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TOWNSHIP OF DENNIS |
Information required:
Type of Business:_________________________________________________________
Name of Business:________________________________________________________
Name of Owner :_________________________________________________________
Mailing Address :_________________________________________________________
Mailing City :___________________________ State:___________ Zip:_________
State I.D #:___________________________ Federal I.D. #:______________________
Location of Business: Block #:___________________ Lot (s) #:_________________
Business Street Address:____________________________________________________
Business Phone #:________________________ Owners Phone #:__________________
Number of Employess:____________________
Do you use any hazardous materials in conjunction with your business?______________
If yes please list types:_____________________________________________________
>______________________________________________________________________
Additional Information:____________________________________________________
OWNERS CERTIFICATION
I _______________________________ hereby certify that this business qualifies as a home occupation as defined in the zoning ordinance of the Township of Dennis, and that does not regularly sell or offer for sale any goods or products, and that no more than one commercial or business related vehicle is parked or stored at the occupation’s location as defined in Ordinance 90-202.
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Owner’s Signature Date
______________________________________ ______/______/______
Notary Signature Date