Fillable PERMANENT EXPANSION OF LICENSED PREMISES $119.00 (City of Duluth)

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PERMANENT EXPANSION OF LICENSED PREMISES $119.00 (City of Duluth)

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LICENSE
FEE
PERMANENT EXPANSION OF LICENSED PREMISES $119.00
LICENSEE BUSINESS NAME & ADDRESS:
__________________________________________
__________________________________________
__________________________________________
__________________________________________
MANAGER’S NAME & ADDRESS
__________________________________________
__________________________________________
_______________
___________________________
TRADE NAME: ________________________________
BUSINESS PHONE NO.__________________________
EMAIL ADDRESS:______________________________
COMMENTS: INCLUDE AN EXPLANATION OF AREA TO BE EXPANDED ON ATTACHED FORM.
I HERE
BY STATE THAT ALL INFORMATION HERE IS TRUE AND CORRECT AND THAT I SHALL COMPLY WITH
ALL PROVISION 0F THE ORDINANCES OF THE CITY OF DULUTH AND LAWS OF THE STATE OF MINNESOTA
AND THEIR AMENDMENTS.
_____________________________________________
Signature of Applicant
___________
Date
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PERMANENT EXPANSION OF LICENSED PREMISES $119.00 (City of Duluth)

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Completed 3 August 2020

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