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2. Description of business operations*
   Please be as detailed as possible.
3. Name of Business*
4. Business Address, City, State, Zip*
6. Email Address*
7. Phone Number*
9. Business Owner's Name*
10. Address, City, State, Zip*
12. Upload a current Certificate of Liability naming the City as insured*
13. Upload additional certifications or information
14. Do you need access to Community Core in order to submit building permits online?*
    -- Select One --YesNo
16. Please read the following statement:
    I declare, under penalty of perjury, that this application has been examined by me and that the statements made herein are to the best of my knowledge and belief, true, correct and complete.
18. Signature*
19. Date*
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

* indicates a required field