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 |
The Donut Hole LLC
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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) |
8582 E. Frontage Rd Prescott Valley
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is the business location: |
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Mailing Address (Street name and number only) |
8582 E. Frontage Rd
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Mailing Address City, State, & Zip Code |
Prescott Valley Az 86314
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Business Phone Number |
+19287726023
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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: |
RESTAURANT WITHOUT LIQUOR
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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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Driver's License Number |
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Driver's License Expiration Date |
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Date of Birth |
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Social Security Number (Last four (4) digits ONLY) |
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Email Address |
[email protected]
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Corporation Information
State in which the LLC was legally established |
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