Please provide some basic information about your business.

Privacy Notice:
Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement.
Please provide contact information for the business you would like to nominate.

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* 1. Business name

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* 2. Business address

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* 3. Business phone number

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* 4. Business website (if applicable)

Please answer the following questions to the best of your knowledge.

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* 5. Is the business an independently-owned, for-profit business?

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* 6. Has the business been in continuous operation for at least 10 years?

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* 7. Does the business have fewer than 50 employees, including the owner(s)?

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* 8. Briefly describe the factors that have put the business at risk of displacement.

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* 9. Briefly describe how the business contributes to the ground-level streetscape and/or neighborhood identity.

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* 10. Briefly describe the community function the business serves, beyond the basic sale of goods and services.

Thank you for nominating a business for the Legacy Business Awards Program. If they are eligible, we will be in contact with the nominee. Nominations close February 14, 2020. OED will notify all nominees by Monday, February 17, 2020, at which point they will have the opportunity to apply. Application period ends February 28, 2020.

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