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Shadywood Road
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2500 Shadywood Road - 20-117-23-11-0034
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Federal license application
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Last modified
8/22/2023 3:48:06 PM
Creation date
9/25/2018 11:04:06 AM
Metadata
Fields
Template:
x Address Old
House Number
2500
Street Name
Shadywood
Street Type
Road
Address
2500 Shadywood Road
Document Type
Misc
PIN
2011723110034
Supplemental fields
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Updated
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:°:'. ::' ..�: ... . . . . : . . . .. . . . . . . .. . .. . . <br /> • - ' � lNSTRUCTIONS ' ' - <br /> 1. PURPOSE Use this tortn to intert�aly reter potentia! viala- _ 3. DISTRIBUTION <br /> tions oi ATF administered statutes and.to extemally re(�to � ''� <br /> the appro�riate._.Federai, State or local eniorcemenU a Ori�inal, with any ariachmenta, and ths rec[pient's <br /> repuiatory apency poiential violations of other statutes.Also, response copy to the appropriate ATF otticial ot ather <br /> use this form to transmit infom�ation(includinp conGrtnation apency.lf form is used to transmit requested lnfortnation, <br /> oi oral transmittals)to,or to dxument inspections(on-site) do not include response copy, <br /> by, another Federal, State o�Ixal agenry� that identifies, „ <br /> directly or indirectly� a licensee..permittee, taxpayer� appli- b. Copy tot repional office licensee or permittee ille,when . <br /> cant,or any person(individuai,paAnership,corporation,etc.), referrinp potentiai violations. <br /> connected with, or alieped to have committed, a possible <br /> violation oi,or to have incuned a possible Iiabiiity for tax or c. Copy for the apprrning otficial's file,when referrinp poten- <br /> other imposition under,any Federal statute enforced by ATF, tial violations. <br /> 2 PREPARATION d. Make additional copies when necessary for: � <br /> a. The ATF officer uncoverinp the potential violation or� in (1) Tax and Trade Compifance Branch, Buresu Head- <br /> the case of a transmittal of requested iniormation,ihe ap� quarters,wrien referrinp FAA Act tradc practices viota- <br /> propriste individual wlll compleie items 3 throuph 8 in PaR tions to State or Ixal agencies. <br /> I,as applicable. <br /> (� Otfice of Pubiic Aftairs, Disclosure Branch� Bureau <br /> b. The approving ATF otficial wili compiete the remaininp . HeadquaAers. when reterrinp to a State agency <br /> items in Part I.For reterrais by Law Enforcement,the RAC retums or retum information under 26 U.S.C.6103. <br /> or SAC is the approving official.ln the case ot referrals by <br /> Compiiance Operations personnel,the approvin�official 4. RESPONSE <br /> is the CFO or CTS,excepl that reierrals concerninfl tire� �' <br /> arms and explosives matters may be approved by the a. ACTION BY RECIPIENT ATF OFFICE Complete Part II <br /> Supervisor. Firesrma and Explosives Licensinp Section. and retum to the oripinatinp ofiice wlthin 10 workinp days <br /> Referrals of FAA Act trade practices violations,to Law En- of receipt ot a referra�oi potential violations.Submit an in� <br /> forcement and other FEDERAL apencies will be approved terim response ff an investigation will continue past the <br /> by the Chief,Tax and Trade Comatiance Branch.Refercais 10�day period, and a tinal response upon completion of <br /> by the Repulatory Audit Staft will be approved by the the investipation. . <br /> repionai audit manaper. � <br /> b. ACTION BY OTHER RECIPtENT AGENCY. Please cort►� <br /> . � plete PaA II when a retenal ot potential violations und� <br /> � � .. your jurisdictioa has been received and retum to ihe <br /> _ oriflinatinp oNicc�.. - . - <br /> - ... . ._ . .,_ . . <br /> _ -- • <br /> • � PAPERWORK REDUCTION ACT NOTICE � � '' ' " � '� � <br /> This request ia in acoordar�with 1he Paperwork Reduction�,ct ot 1980. This iniormation collectlon is used to determine the reapor�so of and valw to,otfier <br /> Federat and Sta4e gavernment agencies and bodies of iniorrt�ation suppl'ied by ATF ATF inany usa the response to coordinate actions of iaw eniwoement <br /> Tha information is voluntary. . <br /> The estimated average burden associated with this colleeti�of information is 1 h�ur(s)par respondant or►ecordkeeper,depending on indhridual ci►cum- <br /> stances. Comments conceming tM a�rary ot tliis burden astimate and suggestion tor reduang this burden should be addressed to Raports Management <br /> Otfic�r.Iniormation Programs Branch,Bureau of Ak:ohd,Tobaxo and Fnearms,Washington,D.C.20226,ar►d the Office o(Management and Budge� <br /> Paparwork Reduation Project(1512-003�,Washington,D.C.20503. <br /> A7F F 500021 (�-6c) <br />
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