Business Occupancy Application Form

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This is the Town of Centreville Business Occupancy Application form used to request permission to occupy a commercial property. It requires complete applicant and business contact information, property address, owner authorization if different, description of proposed alterations, floor plans, materials/equipment, delivery frequency, hazardous material disclosure (with MDE permit if applicable), an emergency contact, applicant signature, and a $50 application fee. The form also notes that any sign needs a sign permit and any alterations require a building permit.

Business occupancy Town of Centreville $50 application fee building permit sign permit hazardous materials (MDE permit)floor plans property owner permission

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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:
Alterations/renovations proposed to the building:
Floor plans must be submitted with application.
Materials/Equipment to be used:
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**
W:\0-PERMITS\APPLICATION Permit Forms\Application forms\Business Occupancy Application1.doc Rev. 03-2020