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Get NY FSI 302a-15 2015-2024

Two years from date of issuance. Entity No._________________ Receipt No.________________ Certificate No.______________ INSTRUCTIONS Read and complete both sides of this application. Prepare a separate application for each location. Include license fee by check or money order payable to “Department of Agriculture and Markets” and mail to the address at the end of the form. An original signature of owner or corporate officer is required in Section (8). NOTE: This license is ONLY for food ware.

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