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Village of Glen Ellyn

ContactUs@glenellyn.org

535 Duane Street, Glen Ellyn, IL, 60137, US

630-469-5000

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Fire Prevention Inspection & Emergency Contact Registration

In recognition of the financial burdens facing all businesses due to the COVID-19 pandemic, the Village Board has waived the annual Business Registration Fee for 2022.

 


Business Information

Business Address

Business Location

Will prepared food and beverages be sold for immediate consumption?


Contact Information

Business Owner

Full Name

Business Owner Address

Business Contact Person (if not Owner)

Full Name

Property/Landlord Owner

Full Name

Emergency Contact Information

Must be available via phone 7 days/week & 24 hours/day

Contact Name #1


Contact Name #2


Billing Information

If different from Business Information Above

Billing Contact Name

Billing Contact Address


Business Owner Signature

Choose how to sign

Date

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