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Il To: FEIN ___________________ ST of ALA TAX # ___________________ CITY OF VESTAVIA HILLS 513 Montgomery Highway Vestavia Hills, AL 35216 FORM OF OWNERSHIP (Check One) Sole Prop. _____ Corp. _____ LLC ______ (205) 978-0100 Fax (205) 978-0132 *Contractors License: (205) 978-0125 Fax (205) 978-0213 Partnership ______ Prof Assoc ______ Other ___________ Please Print or Type SEE REVERSE SIDE FOR INSTRUCTIONS AND FURTHER INFORMATION Application Type : New ____ Owner Change ____ Name Change _.

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