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2. Business Contact Informaton
4. Business Name*
6. Business Address*
8. City*
9. State*
10. Zip Code*
12. Business Phone Number*
14. Type of business (example: restaurant, clothing, gas station, etc.)*
16. Anticipated Business Opening Date*
    Anticipated Business Opening Date
18. Hours of Operation*
20. Owner Contact Information
22. Business Owner Name*
24. Home Address*
26. City*
27. State*
28. Zip Code*
30. Phone Number*
31. Email Address*
33. Building Owner Contact Information
35. Building Owner Name*
37. Address*
39. City*
40. State*
41. Zip Code*
43. Phone Number*
45. Building Questions
47. Does the building have smoke detectors?*

    1. Yes
    2. No
49. Does the building have a sprinkler system?*

    1. Yes
    2. No
51. Will you install your own fire alarm system in your business?*

    1. Yes
    2. No
53. Business Floor Plan

    If available, please upload a floor plan for your business.

55. Please note: There is a $25 Occupancy Permit Fee payable to: Town of Zionsville, attention: Fire Department
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field