HomeMy WebLinkAboutoccupational applicationOCCUPATIONAL LXCENSE`APPLICA' ION
:D; NO 1�1 / �� .B Y OF CORAL GABLES,,F'IoRIDA LICENSE YEA
(' ITINANCE DEpARI'MLNT COLLEcti.ON DIVISION
Q k 4Q5 BII.TMORE WAY; OW 1-1A L A.LL LICESISES EXPIRE-SEPTEMBEIt 30;
t.[� 14.
CORAL" GABLES; FLORIDA 33134 y
Utti NP (305)460•5302
•
- PLEASE RETUI N EY
TO EXPEDITE PRQCESSING iOF YOOR APPLICATIOt*1, K1TlD.... ANSWER QU STIONS:
As A ov,ded by the Code of the City of Coral Gables and by any amendments thereto, T hereby •make application for a'hcense. in the olassification/s.
Its
New 0 Renewal 0 Transfer of Location/Ownership O,
D Department of Agriculture No
C�cisl Security No
Federal Employer.1D No' f
CI-State-License/Bar No.
Q Drivers License Na
Business Name
Business Ad ires
Suite/Room No.
INSPECTION 'FEE 20.00
RECORDING' FEE .5.00
TRANSFER FEE --�"
INCENSE FEE
TOTAL DUE t
/lin
Address fferent) v _�•�� . �,
Mam[� mf dt '
O W ner/Co i•p, Nami
President's Name
Commencement date {start date) or transfe
Give .a brief description 'of .type of business
A
Cost Value of Stock Carried
Number of Chairs, Seats, Etc.
Number°of •units
Emergenc
1�l male
contact who has•access to:place elbusiness
I SWEAR THE INFORMATION GIVEN HEREON IS TRUE AN
DAT
*** A license is issuedafter inspecton and upon approval by.
the Building and Zoning Department. A renewal applicationis
sent in August asthe license expires September. 30. *"
OFFICE .USE O•
Rec'd by
Amt .Pd
rsy6190
Iassification/s
Date / ( Folio it Cert. of Use # ( /9(37"'
i (:)((:.)_) Check # , r % Drawer # . BA
White - INSPECTION • Canary FIRE DEPARTMENT' • Pink.- APPLICANT • Golden - FINANCE
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