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Complete the following sections to prepare the file:

You have to submit the Amount of: Seats: _________, restaurant apartments, manufacturing, parking lot, vending machine, Other: _____________________, Name and Social Security Number, Name and Social Security Number, burglary or other emergency, Name, Address, City, State Telephone #, S U B, R O T A C O L, Y C N E G R E M E, This information is given freely, and REMARKS: space with the necessary data.

Within the area referring to Applicant to Print Name, Signature of Applicant, Date, OFFICE USE ONLY: o MRC, o NET, o CODE ENFORCEMENT, CHECK#, o ADD NEW BUSINESS, o ADD RECEIPT DETAIL, o NAME, LI, C CODE, S #:, LI, CENSE TITLE, S PRICE: $, DISCOUNT: $, PRORATE:, CU, ST #:, BILL #:, BUS #:, CU #:, ORACLE #:, D FN, AD 003 Rev, Reviewed by, Data Entry by, and Date, it's essential to put in writing some appropriate data.

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