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BOROUGH OF
455 Broadway
2006 APPLICATION=
FOR
LANDSCAPING LICENSE
Name of Applicant______________________________________________________
Business
Name__________________________________________________________
Address of
Applicant_____________________________________________________
Phone Numbers:
Home_______________Business______________Cell_____________
Number of Trucks___________Pesticide License
No.____________________________
Sicker Numbers___________________Sales Tax ID
No.__________________________
I certify that the above information is correct. Attached is an insurance certifica=
te
which covers my landscaping business.
I have also included a check in the amount of $25.00 made payable to=
the
Borough of
Dated: ______________________<=
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style=3D'mso-tab-count:2'> &=
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_______________
BOROUGH OF
THIS LICENSE IS =
HEREBY
GRANTED TO:
________________=
_______________________________________________________
________________=
_______________________________________________________
The above named licensee, havi=
ng
completed the necessary application, paid the required fee and satisfied all
requirements under Ordinance No. 02:09, Section 3, is granted said license =
upon
the express condition of a forfeiture in case the licensee or his agents sh=
all
violate any law or ordinance regulative, specifically Ordinance No. 02:09, a
full copy of which is provided to the licensee herein.
Dated: _____________________ &=
nbsp; ________=
___________________________
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