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HomeMy WebLinkAbout3520 FRENCH AVEc tioib-1110 11-1 V,D.M - 1 0 j J, 2-77 INSTRUCTIONS: DEPARTMENT OF BUSINESS REGULATION DIVI,`IOAf OF BEVERAGE NEW TRANSFER OTHER This form must be completed in Cuplicate and submitted to the Division of Beverage with application foi- alcoholic beverage license or CWD li- cense. Applicant's Name: Eek_ -Con Corporation Business Name: Exact Location for which License is, ,;ought: 2520 French Avenue (SO,,iiiole) 32771 Phone Numbers: Business: 322-13114 —Residential TYPE OF LICENSE DESIRED: Beer - Consumption on prem;ses (1 -COP) Beer - Package Only (1 -APS) Beer & Wine - Consumption on Promises (2 -COP) Beer & Wine - Package Only (2 -APS) Beer, Wine & Liquor - Consumption on Premises (COP) Beer, Wine & Liquor - Pack-c`.:ge Only (PS) Beer, Wine & Liquor - In connect -.ion with a Hotel, Motel or Motor Court - or in connection with a Restaurant (COP -S, COP -SR, COP -SRX) Beer, Wine & Liquor - Club License (11-C) Other - (Specify) I certify that I have been advised that a dealer's Application for a Certificate of Sales and Use Ta:, Reg_;stration is -required under Sec- tion 212.18 F.S. I further certify that I havelshal-I fl'le with the Department of Revenue prior to the beverage/cigarette license .--or which Sworn to and subscribed before ire -ch-is Uth day Of rcI A.D 9 C, Z. N Publi-Z-State o± Florida at j -,a.rge (d) the necessary application engaging in business under I � am;inq. Z Ipplicant SECTION BELOW TO BE COMPLETED B__7 T,'IE LOCAL ZONING AUTHORITIES ONLY: -------------------------------- ------------------------------------- Tme above location DOES- co,,npl.,j with local zoning ordinance for the sale of al,coholic beverage,-,, as stated above. The above location DOES NOT comoly with the local zoning ordinance for the sale of a1cohoyT_C,,_)ev-?rages, as stated above. Is`-,Iocati6n within the limits o.1 an incorporated municipality? yes S I G N i D T rTL E City Clerk C I T Y Sanford -COUNTY Seminole --DATE- Mgy 8 g 19N SECTION BELOW TO BE COMPLETED BY TIIE STATE/COUNTY HEALTH AUTHORITIES. ----------------- ---------------------------------- --------------------- inspection of tj_je above-named establishment was made on the date of ,5-- eo- F v , and it was found that the sanitary facilities of the establishment (4) comply _( ) Do Not Comply with the minimum requirements uqder regulations of the Florida State Sanitary Code, as promulgated uider Chapter 19366, General Laws of Florida. AAI ARIADepartment