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Get PA PLCB-193 2007-2022

PLCB-193 6/07 COMMONWEALTH OF PENNSYLVANIA PENNSYLVANIA LIQUOR CONTROL BOARD AFFIDAVIT OF COMPLIANCE BUREAU OF LICENSING REGARDING NOTICE POSTING AS REQUIRED BY License Number LID Applicant Address of Premises ZIP CODE Type of Application New with an Amusement Permit Extension Change of Officers Transfer with an The undersigned applicant for a license action concerning alcoholic beverages that a Public Notice of Application has been and will be continuously and conspicuously posted on the premis.

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