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Provide local business & corporate information with supplemental documents.
For sole proprietors ONLY: Please attach documentation of your "Assumed Name Certificate" from the County. Or in the interim, you may submit a receipt as proof that you have complied with the County's requirement to publish the notice in a local newspaper.
Please provide information on your business operations. If you need additional room, please attach a separate form.
If you have additional, please attach the listing.
A minimum of (2) two contacts are required. Do NOT provide ownership info. as listed above.
Provide a listing of applicable items
Building Owner. Please attach a copy of the lease.
Please attach documentation of ownership of the property or an authorized and executed lease.
By selecting I agree option below you are giving your electronic signature.
Your submission of this form certifies that the information provided is true and correct.
Information for individual completing this form.
This field is not part of the form submission.
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