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Economic Development
Office Information
Name of Business: _________________________________________________________
Business Address: _________________________________________________________
Mailing Address: ___________________________________________________________
___________________________________________________________
City
State
Zip
Phone: ________________________________ Fax: _____________________________
Principal Contact: _________________________ Title: ___________________________
Nature of Business: ________________________________________________________
Number of Employees: ______________________________________________________
Date Business Established: ___________________________________________________
Are you Engaged in:
______ Manufacturing
Products: ___________________________________________________________
______ Construction/Contractor
Type: _______________________________________________________________
______ Wholesale Trade
Products: ___________________________________________________________
______ Retail Trade
Products: ___________________________________________________________
______ Services
Type: _______________________________________________________________
Facility Information:
Own: ________ Lease: ________
Freestanding: ____ Multi-tenant: ____ Remodel of property:____ Change of use on property:____
Size of Building: ___________________________________ square feet
Size of Site: ______________________________________ square feet/acres
The Economic Development Office uses this information for statistical data compilations. This
information will be treated in a confidential manner.
We also need to be certain of reaching the correct person with pertinent local information updates
regarding business, financial, taxation or other issues affecting individual businesses.
If you have any questions or if we can be of assistance to your business, please call the Economic
Development Office at 303-289-3620