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Get Cgs 409414 Form

E $250 Precious Metal or Stones Dealer Renewal fee waived with Secondhand License Renewal $25 Renewal $100 Initial License fee $10 BRANFORD POLICE DEPARTMENT 33 Laurel Street Branford, Connecticut 06405 Phone : 203-481-4241 Fax : 203-315-0254 Renewal $10 Name of Business: Type of Business: Last Name of Applicant: First Name of Applicant: Sex: Place of Birth Middle Name of Applicant: Age: Race: Applicant's Date of Birth: BUSINESS ADDRESS APPLICANT'S RESIDENTIAL ADDRESS Street Add.

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