Project Green Light Business Application
* Required
Owner's First Name
*
Your answer
Owner's Last Name
*
Your answer
Owner's Date of Birth
MM
/
DD
/
YYYY
Owner's Home Address
*
Your answer
Owner's Phone Number
*
Your answer
Owner's Email
*
Your answer
How many businesses would you like to enroll?
*
Your answer
Primary Contact (if different from owner)
Your answer
Primary Contact Email (if different from owner)
Your answer
Primary Contact Phone (if different from owner)
Your answer
Business Name
*
Your answer
Business Corporate Entity Name
*
Your answer
Detroit Business Address
*
Your answer
Business Phone Number
*
Your answer
Business License Number
*
Your answer
Business License Expiration Date
MM
/
DD
/
YYYY
Business Type
*
Gas station
Grocery Store
Liquor Store
Restaurant
Medical
Apartment Building
Church
Community Center
School / Vocational Center
Child Care Center
Car Wash
Bank
Laundromat
Retail Store
Other:
Business Days and Hours of Operation
*
Your answer
Are you the business owner?
*
Yes
No
Do you own the building?
*
Yes
No
How many businesses occupy your building?
*
Your answer
Number of public entrances
*
Your answer
Property Description
*
Single business in one building
Single business in two or more buildings
Multiple businesses in one building
Multiple businesses in two or more buildings
Other:
How is the property used?
*
Retail
Residential
Industrial
Offices
Multi-use
Hotel / Motel
Other:
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