Business Occupancy Application

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This is the Town of Centreville Business Occupancy Application form for anyone seeking permission to occupy a business location in town. It requires applicant and business contact information, the business location and property-owner details (with a letter of permission if the owner is different), a $50 application fee, disclosure of proposed use/previous use and any alterations (floor plans required), whether deliveries or hazardous materials will be used (attach MDE permit if yes), an emergency contact, and reminds applicants that sign and building permits are required; the applicant must sign the form.

Town of Centreville business occupancy application fee property owner permission floor plans MDE permit building permit sign permit

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THE TOWN OF CENTREVILLE 101 LAWYERS ROW CENTREVILLE, MD 21617
410-758-1180 FAX 410-758-4741 WWW.TOWNOFCENTREVILLE.ORG
BUSINESS OCCUPANCY APPLICATION
Applicant must complete ALL of the following information (please print clearly). Please be advised that an incomplete
application may result in the denial of an occupancy permit. NOTE: $50.00 application fee is due at time of application.
Applicant/Business Owner: Home Phone:
Mailing Address: Business Phone:
Cell Phone:
Email address:
Location of Business/Organization:
Street Address City State Zip
Property Owner (if different from applicant, must attach letter of permission for use):
Property Owner Address:
Street Address City State Zip
Name of Business/Organization/Trade Name/DBA:
Proposed Use:
Previous Use:
Alterations/renovations proposed to the building Floor plans must be submitted with application.
Materials/Equipment to be Uued:
Will deliveries be made to the business?  Yes  No Frequency:
Will business involve the use of hazardous materials?  Yes  No If yes, attach copy of MDE Permit.
Emergency contact person & phone number:
Applicant’s Signature:
**ANY SIGN REQUIRES A SIGN PERMIT**
**ANY ALTERATIONS OR RENOVATIONS REQUIRE A BUILDING PERMIT**
Rev. 03-2025