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Scotland County Business Information Form

2. Organization Name
4. Physical Address
6. City
7. State
8. Zip Code
10. Phone Number
11. Fax Number
13. Mailing Address
15. City
16. State
17. Zip Code
19. Operating Hours / Days
21. Emergency Contact
22. Phone Number
24. Emergency Contact
25. Phone
27. Emergency Contact
28. Phone
30. Contact Email
32. Building Owner
    If Different
34. Building Owner Address
36. City
37. State
38. Zip Code
40. Type of Business
42. Alarm System
44. Burgler

    1. Yes

    1. No
45. Fire

    1. Yes

    1. No
47. Alarm Panel Location
49. Fire Sprinkler

    1. Yes
    2. No
51. Sprinkler Control Valve Location
53. Special Information
55. Power Company
56. Water Company
58. Phone Company
60. Send To:
    Scotland County Fire Inspector
    P.O. Box 489
    Laurinburg, NC 28352
    Fax: 910-277-3160
Leave This Blank:


61. Print Only

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