Fillable Common Victuallers License Application Fillable Pdf (Town of Douglas)

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Common Victuallers License Application Fillable Pdf (Town of Douglas)

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Town of Douglas
Common Victualler License Application
MGL c140
To the Licensing Authority,
The undersigned hereby applies for a License in accordance with the provisions of the Statutes relating thereto.
Applicant Name:
Business Address:
Business Name: Mailing Address:
Phone Number
Purpose of
license
Description
of premises:
* Menu or description of food to be served and the manner in which such food shall be served.
* Give a complete description of all the premises to be used for the purpose of carrying on the business (e.g. number
of dining rooms, cooking facilities, etc. Include a blue print, or drawn to scale diagram of premises.
I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all
state taxes required under the law.
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Common Victuallers License Application Fillable Pdf (Town of Douglas)

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Completed 14 July 2020

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