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Get Application Notice To Local Municipality Or Community Board Form

Treet address: 22. City, Town, or Village: 23. Business telephone number of building owner: State Zip Code: - - I am the applicant or hold the license or am a principal of the legal entity that holds or is applying for the license. Representations in this form are in conformity with representations made in submitted documents relied upon by the Authority when granting the license. I understand that representations made in this form will also be relied upon, and that false representation.

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