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Get NV LVMPD ISD 41 2004-2024

ECTION WITH THE APPLICATION FOR A LICENSE FOR Business Name Business Address 1. (Number & Street) City State Zip code Total amount that you have invested or will be investing in this business? ...... $ Percentage of ownership this will represent? ................................................... % 2. Has your interest in the business been assigned, pledged, or encumbered to any person, firm or corporation, or has any agreement been entered into whereby your interest is to be assigned, .

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