Application For Certificate Of Occupancy

User ID# (if applicable)        
Subject: 

Property Owner Information
* First Name:                 
* Last Name      
(This e-mail address will receive electronic notifications, it does not have to belong to the property owner)
* E Mail:          
* Phone        
* Address1               
   Address2      
* City:                 * State  
* Zip             

Location Of Proposed Location (If Different Than Above)
Lessee's Name (If Applicable):
Lessee's E-Mail
Lessee's Phone
Address1               
Address2       
City                 State    
Zip

Name of the business:
State In Detail The Purpose(s):

Number of people to be served by proposed use on a daily basis:
Estimated number of vehicles associated with the proposed use:     
                          A. At any one period? 
                          B. During any one day?
Proposed hours of operation:
Total number of employees at any one time:  
Total number of employees working in a day:
Total number of employees:

If retail or wholesale is to be involved in proposed use, state the type of items to be sold:

If manufacturing and / or production of items are part of the proposed use. please state in detail:
          A. The process used in the manufacturing and / or production of the items:
         
          B. Items produced:
         

If the proposed use involves living accomodations, please state in detail what the proposed use will be:                       

If the proposed use involves a boarding house, lodging house, rooming house, o apartment house which does not require a site plan review, please provide the following information:
                 A: The number of rooms per unit?
                 B: The number of bathrooms per unit?

Other buildings on the same lot (if any):
Other existing uses on the lot or in the building (if any):
Square feet of floor area to be used for other than residential use: