Business License Application
Business License Status
| What would you like to do today: |
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| Is this a: |
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| If you are are applying for a Prescott Valley local license, please select which Series you are applying for |
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Business Name and Physical Location
| Business name or Trade Name |
Abrio Family Services and Supports
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| Nature of Ownership |
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| Business Street Address (Physical location of the business (cannot be a PO Box) |
2485 N Great Western Dr. Prescott Valley, AZ 86314
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| is the business location: |
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| Mailing Address (Street name and number only) |
1616 E Indian School Rd, Suite 460
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| Mailing Address City, State, & Zip Code |
1616 E Indian School Rd, Suite 460, Phoenix, AZ 85016
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| Business Phone Number |
+16028758510
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| Alternate # (Emergency Phone Number) |
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| Number of Employees |
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| Please choose the most applicable to your business: |
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| Please read carefully through the following list and choose the closest description of your business: |
SERVICE BUSINESS
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| Business Description (Please describe in detail the nature of the business) |
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| Will your business be selling or serving alcohol? |
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| Start of business date |
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| Locations where the business or applicant has operated during the last 5 years: |
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Applicant Information (Must be completed by the person filling out this application)
| Name (First and Last) |
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| Phone number |
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Corporation Information
| State in which the LLC was legally established |
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| Name of the Business (if owned by another entity) |
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| 1. Name (First and Last) |
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| Title |
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| Home Street Address (cannot be a PO Box) |
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| Telephone Number |
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| 2. Name (First and Last) |
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| Title |
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