HomeMy WebLinkAbout15131 Triton Ln - CofO (9)SUPPLEMEN i"A�L INFORMATIM
1.
BUSINESS ADDRESS 165131 f /--I
rt
2.
Person to ` contact in case of emergency,:, G
AA
Telephone number* i _
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3.
Does the building in question have electricity?
Yes
❑ No
(a) If No are you requesting that the electricity be
❑ Yes
turned on?
❑ too
i
4.
The building is spr nklered?
Yes
❑ .No
5
Operations will produce dust/wood shavings ; or simctar'
: material?
❑ Ye;,
„�hlo
6.
Operations will involve the repair or replacement of
❑ Yes
`
automobile parts?
No
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i
If Yes.
I
(a) Describe the components repaired or replaced.
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a
(b) Does the operation involve the use of an open
flame? ❑ Yes
. NO
7.
The business is drinking, dining or assembly use that
will
rtisuit in _ an occupant load of more than 50 persons.
❑ Yes
N o
�i.
The following best best describes my operation;
f�firc Only
.
Retail Sales
�tarehouse�
+ng/ Distribution (describe process and end product)
Restaurants Take Out Food
Medica± 1 Dental
Other (describe)
x
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