Form: salvage-yard-operator-license-application

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Salvage Yard Operator License Application

Fee: $100.00

License Term: July 1st thru June 30th

Name of Establishment:

Address of Licensed Premises

Street Address

Address of Licensed Premises

City

State/Province

Zip/Postal

Address of Licensed Premises

Licensee Information (Corporation / LLC / Partnership) Name:

Business Manager:

Business Manager Date of Birth:

Business Manager Driver's License Number:

Business Manager Phone Number

Upload Picture of Business Manager's Driver's License

Maximum file size: 52.43MB

List Names / Titles / Addresses / Date of Birth of all other Officers / Directors / Partners of Business:

Under the provisions of the Village of Fox Crossing Municipal Code, Applicant hereby applies for a License for said business to be conducted on the above described premises in Fox Crossing. Applicant hereby certifies that the foregoing facts are true to the best of their knowledge.

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