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Get PA PLCB-2404 2011

Ited Winery Farmers Market Permit for Calendar Year 1. Name of Licensee LK License No. 2. Trade Name (if any) LID No. 3. Address of Premises (Street, Rural Route, PO Box No.) (Post Office) (State) (Zip) 4. Name and Address to which Permit should be mailed if different from the above applicant. RESOLUTION (Corporations and Limited Liability Companies Only) At a regular or special meeting held on ,20 by the applicant, it was resolved that said application be .

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