Business Registration Application Form

Business Registration Permit Application

BUSINESS APPLICANT INFORMATION

Name of Business: Business Phone:

Physical Address:

Street Address: City: State:
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code:

Mailing Address:

Street Address: City: State:
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code: Website Address (URL):
Facebook Address (URL):
How long in business at any location? Owner(s) Name(s): Driver’s License #: Owner(s) Residential Address City: State:
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code: Cell Phone: Fax: Email:

BUSINESS PREMISES

Property Owner Name: Address: Property Owner Phone: City: State:
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code: Is there living space on the premise? YesNo How many entrances/exits? Property PIN #: Have you registered your contact information with E911 Addressing? YesNo Is there a secondary key holder? YesNo Is there an alarm system installed? YesNo

EMERGENCY CONTACTS

How many emergency contacts do you want to list? OneTwoThree Name: Address: Phone #:

DESCRIPTION OF BUSINESS

Describe your business: Will there be more than one business/activity within said premise? YesNo

Previous Next

By signing below, I confirm that the above information is true and correct to the best of my knowledge and that any alarm system installed is directed to 911 Emergency Dispatch. I also understand that I have received a copy of the Downtown Parking Regulations Map.

Once this form is submitted, you will be redirected to the online payment portal for this form. Please select "Business Registration" on the following page. If you have any questions or concerns, contact Town Hall directly.

Previous Next