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CIT <br />Post Office Bo* 66 • CrysUl B«M <br />I 'll n * !vi A <br />Offii 473-7358 <br />APPLICATION FOR LICENSE TO SBLL^^G^TTES AT RETAIL <br />Ocono Municipal Code <br />1. Nanie of Applicant _ y/^Zs=.— <br />19 <br />Mailing Address 3 3> '3Arr /erf <br />City/State/Zip Code fV\£>u/J Dj ^ Ca^. <br />^ 4^-». ^ J y <br />Phone Number ^^ ^ ^ <br />•' • ' V' r-L* f <-» ’‘.hI <br />u A • • c . t- M C*! <br />L.U <br />2 Sales Location: <br />Name ___ <br />Street Address <br />. tion ; <br />/y^iy'0 6-S'. <br />\IA /2- ^ /77/t/ - ^S3SL <br />Phone Number ~ ^ ^---------—--------------------- <br />3. Principal business carried on at this location ^ <br />Other <br />Ordinan****^ r—^nd ’Ceftea-r4. Method of Sales: Over Counter <br />__(Vending maohine—calea-F''^’" <br />V—Effoptivo date-■5/1/9 0 t^ <br />I hereby nake »PPl ot the^tLU'Vf ^^iSneMVa’and Ibl <br />:"d^7an«rof°th/c‘lly"of 0rono'during the following qoarta.ly pariods: <br />LICENSE FEESF:'fc* .’^ar-Apr <br />M-i rune-July <br />yA Aug-Sept-Oct <br />Nov-Dec-Jan <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee is <br />$20.00. Where applicable, as m tne <br />case of seasonal sales, this may be <br />pro rated by quarters, at $5.00 per <br />quarter.