Get NY 314C 2013-2021
EAR DOLLARS CENTS NAME OF LICENSE/PERMIT (For detailed instructions and information about what is required to apply for this permit, please go to www.nyc.gov/healthpermits) IMPORTANT: Please type or print legibly in ink using capital letters. Allow spaces between completed words or numbers. Standard abbreviations are permitted. All section must be completed in ink. SECTION A – NAME, ADDRESS AND CONTACT INFORMATION OF ENTITY TO WHICH LICENSE/PERMIT IS TO BE ISSUED READ CAREFULLY: Enter the .
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