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 |
Sakura Japanese Hibachi Grill & Sushi Bar 1 Inc
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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) |
6648 N Viewpoint Dr #1-2 Prescott Valley AZ 85315
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| Mailing Address (Street name and number only) |
6648 N ViewpointDr Ste 1-2
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| Mailing Address City, State, & Zip Code |
Prescott Valley AZ 85315
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| Business Phone Number |
+19285839763
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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: |
SERIES 12 RESTAURANT LIQUOR LICENSE
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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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Applicant Information (Must be completed by the person filling out this application)
| Name (First and Last) |
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| Home Address (No PO Boxes) |
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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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| 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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Federal Tax ID or Social Security Number
| Please enter your Federal Tax ID Number |
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Liquor License Information
| Have you applied for a Liquor License with the State of Arizona Department of Liquor Licenses and Control? |
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