Form
Application must be filled out completely
After application is submitted, Saginaw Township Clerk's Office will send instructions on how to pay the $25 business license fee online. Applications will not be processed until the payment is received.
What type of application is this?
Please Select
New Application
Change of Ownership
Change of Location Address
Name of Business
Starting Date
-
Month
-
Day
Year
Date
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Fed ID/MI Tax ID #
Describe, in detail, nature and type of business
Owner's Name
First Name
Last Name
Owner's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner's Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
After Hours Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Owner's Email
example@example.com
Manager's Name
First Name
Last Name
Manager's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Building Owner's Name
First Name
Last Name
Building Owner's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Status of Occupancy
Please Select
Owner
Tenant
Land Contract
Occupied Square Footage
Hours / Days of Operation
# of Employees
Alarm Company
Alarm Company Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Alarm
Please Select
Burglar
Fire
Both
Sprinklers
Yes
No
Fire Extinguishers
Yes
No
Heat / Smoke Detectors
Yes
No
Signature
Date Submitted
-
Month
-
Day
Year
Date
Chemical Survey
Check all the categories that apply when a chemical has more than one characteristic, (example: both a Class 3 flammable, and a Class 6 poison). See definitions at: https://cms4files.revize.com/saginawtwpmi/departments/clerk/docs/CHEMICAL_SURVEY_doc.pdf
This site is:
Chemical User - Chemicals used in activities on site
Chemical Producer - Chemicals Manufactured at this site, includes packaging
Other - Chemicals are stored on site, but not used or produced
None of the Above
Date Completed
-
Month
-
Day
Year
Date
Please Check 1 Box for Each Category for Specified Quantity
Any Quantity - Class 1 Chemical - Explosives and Blasting Agents (Not including Class C explosives)
Have at or above specified quantity
Have but below specified quantity
Do not have
Any Quantity - Poison Gas
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 100 Gallon Water Capacity - Flammable Gas
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 100 Gallon Water Capacity - Non Flammable Gas
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 1,000 Gallons - Flammable Liquid
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 1,000 Gallons - Combustible Liquid
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 100 Lbs. - Flammable Solid (Dangerous When Wet)
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 500 Lbs. - Flammable Solid
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 100 Lbs. - Spontaneously Combustible Material
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 500 Lbs. - Oxidizer
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 250 Lbs. - Organic Peroxide
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 500 Lbs. - Organic Poison
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 500 Lbs. - Irritating Material (Solid)
Have at or above specified quantity
Have but below specified quantity
Do not have
Quantity: 1000 Gallons - Irritating Material (Liquid)
Have at or above specified quantity
Have but below specified quantity
Do not have
Any Quantity - Radioactive Material
Have at or above specified quantity
Have but below specified quantity
Do not have
1000 Gallons - Corrosives (Liquid)
Have at or above specified quantity
Have but below specified quantity
Do not have
500 Lbs - Corrosives (Solid)
Have at or above specified quantity
Have but below specified quantity
Do not have
Any Category - Known Human Carcinogen
Have at or above specified quantity
Have but below specified quantity
Do not have
Submit
Submit
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