Home Occupancy Application
May 11, 2022
submission
#73
Business License Application
Business Name and Physical Location
| Business Name or Trade Name | Airmid Recovery |
| Business Street Address (Physical location of the business cannot be a PO Box) | --- |
| Mailing Address (Street name and number only) | --- |
| Mailing Address City, State, & Zip Code | --- |
| Business Phone Number | +19282788867 |
| Number of Employees | --- |
| Please read trough the list carefully and select the closest description of your business: | MENTAL/BEHAVIORAL SERVICES |
| Business Description (Please describe in detail the nature of the business) | --- |
| Start of business date | 2022-05-10 |
| is the business location: | --- |
| Nature of Ownership | --- |
Applicant Information (Must be completed by the person filling out this application)
| Name (First and Last) | Amy Hirchert |
| Home Address (No PO Boxes) | --- |
| Phone number | --- |