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 or renewing a PV liquor License, please select which Series you are applying for |
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Business Name and Physical Location
| Business name or Trade Name |
K Kittle
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| Nature of Ownership |
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| Business Street Address (Physical location of the business in the Town of Prescott Valley (cannot be a PO Box) |
4102 W Adams
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| is the business location: |
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| Mailing Address (Street name and number only) |
4102 W Adams
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| Business Phone Number |
+14809988900
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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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| Driver's License Number |
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| Social Security Number (Last four (4) digits ONLY) |
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LLC Ownership Information
| State in which the LLC was legally established |
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Professional Licenses
| Professional License or Permit Number & Description |
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Application Affidavit
