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2. 
4. Name of Lessee
   Full name
5. Owner's Address
7. Proposed Business Name
9. Email
11. Public Utilities

    1. Yes
    2. No
12. If No, Please Provide Details
14. Business Address
16. Lessee's Contact Number
18. Owner's Contact Number
19. Number of Employees
21. Detailed Description of Business Activity
22. Normal Business Hours
24. 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.
26. Property Owner's Signature*

    By checking "Yes" you are approving your electronic signature

    1. Yes
28. Printed Property Owner's Name
    Full name
29. Date
    Date
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field