Fillable Coin- Operated Machine Application (Town of Cutler Bay)

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Coin- Operated Machine Application (Town of Cutler Bay)

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Coin Operated Machine Application
INSTRUCTIONS
This application must be completed and returned to the Town with the appropriate fee before an Occupational
License for Coin Operated Machines can be issued. Coin operated machines include soft drink, pinball,
cigarette, washing, gum, trinket, pool tables, etc.
APPLICATION
Name of Business
Business Owner
Business Address
Business Telephone
Business Fax
Name of Operator Address Telephone
Number of License No. Fee
Machines Type of Machine Issued
TOTAL FEES
10720 Caribbean Boulevard
Suite 105
Cutler Bay, Florida 33189
(305)234-4262 Office
(305)234-4251 Fax
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Coin- Operated Machine Application (Town of Cutler Bay)

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Completed 14 July 2020

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