The form will be submitted to firstname.lastname@example.org
$5,000 Annual License Fee required to accompany application
List All Owners with any level of interest in the property or in the business. (Copies of valid drivers license must accompany application for required background check). I (we) hereby swear and attest that I (we) are the owners of the above parcel of property and the information is true and accurate to my (our) knowledge.