Retail Sales Tax/consumer'S Use Tax License - City Of Commerce City, Colorado Page 2

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Date: ___________________
Police Department
Emergency Notification Information
Name of Business: __________________________________________________________
Business Address: __________________________________________________________
Business Phone Number: _____________________________________________________
Persons to be Notified in Case of Emergency
1. ________________________________________ Phone: _________________________
2. _________________________________________ Phone: _________________________
3. _________________________________________ Phone: _________________________
Does Business have an Alarm?
Yes _______
No ______
Alarm Company: _______________________________________
Alarm Termination Location: ______________________________________________________
Does your business have animal protection? If so, please specify below.
_____________________________________________________________________________
Remarks/Additional Comments
_____________________________________________________________________________
_____________________________________________________________________________
List the name and home phone number in the order that you wish their contact. Please list only
those with keys to your business and preferably those who live closest to the business.
This information is for police use only and will be treated as confidential. It will only be
used in case of emergency, to contact a person designated as responsible party for your
business. Please return this completed form with your application.

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