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Business Intake Form

2. 

4. Today's Date

6. Business Name

8. Business Owner

10. Principal Contact

12. Business Address

14. Phone

16. Fax

18. Email

20. Website Address

22. Project Profile

24. Type of Project

    1. Residential
    2. Industrial
    3. Office

    1. Hotel
    2. Restaurant
    3. Retail

26. Other (Please explain)

28. Proposed Project Name

30. Project Description

32. Do you need assistance in finding a location?*

    1. Yes

    1. No
34. Proposed Location

36. Square footage needed

40. Do you have questions regarding

42. Check any, or all that apply

    1. Township Demographics & Statistics
    2. Land Development
    3. Available Locations
    4. Grading Permits
    5. Development Fees
    6. Zoning
    7. Conditional Use
    8. Home-Based Businesses

    1. Conceptual Plans
    2. Taxes
    3. Building Permits
    4. Sign Permits
    5. Liquor License Transfer
    6. Subdivisions
    7. Utilities
44. Other

46. Additional Information that will help us to assist you

50. Thank you for your inquiry. Our staff will contact you within three business days.

52. If you have an immediate question, please contact our Customer Service Center, 724-776-4806 and they will direct your call to the appropriate staff member.

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field