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Application for Certificate of Nonā€Residential Occupancy and Use
Name of Lesseefull name
Owner's Address
Proposed Business Name
Public Utilities
Business Address
If no, please provide details
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Lessee's Contact number
Owner's Contact Number
Number of Employees
Detailed Description of Business Activity
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Normal Business Hours
Application is hereby made for permission to occupy the premises above described for the purpose herein stated.  If such use complies with the provisions of all laws and ordinances and a certificate of occupancy is issued, it is understood by the applicant that the said certificate will authorize only the use stated in this application and that such use may not legally be extended or changed without authorization in a new certificate of occupancy.
I hereby agree to be bound by the provisions of the ordinances, specifications, regulations and restrictions as may be imposed by the Municipality of Murrysville regarding this application.
Property Owner's Signatureby checking "YES" you are approving your electronic signature
Today's Date
Printed Property Owner's Namefull name
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