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Leave this field blank Contact Information Business Name Owner Name Phone Number Email Business Location Zip Code Are you currently operating a business in this location? YesNo Start Date or Expected Start Date Do you know if this space currently has a Certificate of Occupancy on file? Yes it doesNo it does notI do not know Building Information I am: Leasing this spacePurchasing this spaceThe property owner of this space What type of space is this? Stand alone buildingTenant space in a larger building How was this space used previously? RetailDay CareFood/BevMercantileIndustrialStorageEducationI do not knowWhat type of business was in the space? Approximate Square Footage Are you making any physical changes to this space? YesNo What changes do you plan to make to this space? Low (paint, flooring)Moderate (windows, doors, plumbing, electrical)Major (redesign/moving walls)Select any that apply. Do you have any active permits or scheduled inspections for this space? YesNo If you have permits or inspections, please let us know what those permits and inspections are for. Building Use Information What type of business do you plan to operate in this space? RetailMercantileDay CareSalonFood/BevIndustrialStorageEducation What are your anticipated hours of operation? Will there be food prepared in this space? YesNo Will there be walk-in customer traffic? YesNo Will there be outdoor seating or other use of outdoor space? YesNo Will there be any use of heavy equipment or harsh chemicals? YesNo How many on-site employees will you have? 0-56-1516-3031+ Submit
