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Get CBP 216 2015

21. FOR THE FTZ OPERATOR Signature 22. TITLE 23. DATE CBP Form 216 10/15 Paperwork Reduction Act Statement An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. OMB Control Number 1651-0029 Expiration Date 10/31/2018 DEPARTMENT OF HOMELAND SECURITY 1. ZONE NO. AND LOCATION Address U*S*Customs and Border Protection APPLICATION FOR FOREIGN-TRADE ZONE ACTIVITY PERMIT 2. ZONE ADMISSION NO. 3. APPLICATION DATE 19 CFR 146. 52 146. 66 4. TYPE OF ACTIVITY FOR WHICH PERMIT REQUESTED Manipulate Manufacture Exhibit Destroy Temporary Removal 5. FULL DESCRIPTION OF THE ACTIVITY Include designation of the exact place in zone where the operation is to be performed and in the case of a proposed manipulation or manufacture a statement as to whether merchandise with one zone status is to be packed commingled or combined with merchandise having different zone status. If additional space required attach separate sheet. If first application for manufacturing of this kind state whether Foreign-Trade Zones board has occurred in proposed operation* ZONE LOT NO. MARKS AND OR UNIQUE NUMBERS IDENTIFIER DESCRIPTION OF MERCHANDISE QUANTITY WEIGHTS MEASURES ZONE STATUS If any merchandise is to be manipulated in any way or manufactured I agree to maintain the records provided for in sections 146. 21 a 146. 23 and 146. 52 d of the Customs Regulations and to make them available to CBP officers for inspection* 12. APPLICANT FIRM NAME APPROVED BY FOREIGNTRADE ZONE OPERATOR 13. BY Signature 14. TITLE PERMIT The application made above is hereby approved and permission is granted to manipulate manufacture exhibit destroy or temporarily removed as requested on condition that the applicable regulations are complied with and the records required to be maintained will be available for inspection* 17. PORT DIRECTOR OF CBP By Signature 19. DATE FTZ OPERATOR S 20. TO THE PORT DIRECTOR OF CBP I certify that the goods described herein have been disposed of as directed except as noted below. The control number for this collection is 1651-0029. The estimated average time to complete this application is 10 minutes. If you have any comments regarding the burden estimate you can write to U*S* Customs and Border Protection Office of Regulations and Rulings 90 K Street NE Washington DC 20229. OMB Control Number 1651-0029 Expiration Date 10/31/2018 DEPARTMENT OF HOMELAND SECURITY 1. ZONE NO. AND LOCATION Address U*S*Customs and Border Protection APPLICATION FOR FOREIGN-TRADE ZONE ACTIVITY PERMIT 2. AND LOCATION Address U*S*Customs and Border Protection APPLICATION FOR FOREIGN-TRADE ZONE ACTIVITY PERMIT 2. ZONE ADMISSION NO. 3. APPLICATION DATE 19 CFR 146. 52 146. 66 4. TYPE OF ACTIVITY FOR WHICH PERMIT REQUESTED Manipulate Manufacture Exhibit Destroy Temporary Removal 5. ZONE ADMISSION NO. 3. APPLICATION DATE 19 CFR 146. 52 146. 66 4. TYPE OF ACTIVITY FOR WHICH PERMIT REQUESTED Manipulate Manufacture Exhibit Destroy Temporary Removal 5. FULL DESCRIPTION OF THE ACTIVITY Include designation of the exact place in zone where the operation is to be performed and in the case of a proposed manipulation or manufacture a statement as to whether merchandise with one zone status is to be packed commingled or combined with merchandise having different zone status. .

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