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VEREFRCKil 00N OF VERCLE COMMISSARY <br />Plea pmbie'e kaPometiOn requested. Ar,=,‘, itiM0111Pea.0 appli',L-,agora may delay elopmveL <br />I W,T;,licL-E:IINFIPREAt <br />{Vehicle Name (EA): <br />! Address for vehicle: 99,9 El ,Y" StstAtItitrea <br />• <br />UCEirge, Hetet, <br />Vehiols vin fr.veld:viEJ L <br />Stgt- Decal #: <br />VizmE:gag,iumtt. <br />177 4) Year: <br />Arly2.6_,./r7) lifiakerigatiet <br />00101: <br />Name: <br />f Audram a? DiAlfi01-: 8- <br />Stm2Atidnee <br />ev2A1 <br />— €73- Oita 1 Ths =Wiz, tbud fagiRisNaU speracm oat a? a MIValiatzEW eL7a . shel Fax,V,:ik.--.) the qaiiiiWaig at k?aac'. V.ka•Ttie203.2 I operating day ?el- els-ening mid sentgling ignig©Og ,SeakYIS 1i4290. & 112120?)) T ae em-, of gle rzorami*rir ,•',a Pr .1 Oimntinti, the wat heids? Ewe?. YaMigg mit ailee 2t-.1 make the neassamy aimges, Fatigaya im notik this i office rs'of reap& in permit. FelfMajP57. end nenaiffee <br />2ignatana of Vehicle Operator D 00-nrdangWelVtglIkisite- ,--.— i f <br />; Owner Noma: <br />busine.ss Naime:_, , r ,_!:L.,,,_ ,-- • ' rs, p„, LE--, • 1 . 11 k, ,,-• t_11 ,----, i <br />1_......_.___._._..L.2a.Lclj..._=..r.z..2L\. „ ENte Address: 79 00 <br />ZtreetAddree-6- <br />,- •k_ <br />10 <br />Z21,1 <br />i <br />- <br />[ 1, E.:il eam.V.ssanj owner, can end wiii pivalcie the necessawfaoliite.s for the grime 51M9Ineoned verkide et nly oormisseris es cheaked hp.goinn <br />' • : <br />S' fonclisuppi° <br />Phone: (zeq) <br /> <br />c7'4,;(yr <br />uclifid &sew Imam disposal a Utensil washing sink aura ourroar-craava) OtilU Store frozen fond <br />i <br />Vehicle wash feraTiftes !._ <br />M Hot & oid water for dennikg El Toilet & hmd !meshing. ri. 0 Store refrigerated kod <br />M Provide table water E-, Overnight perking Adequate electnea' I titile '4 ?: i <br />I Signature of Go <br />LTN <br />• <br />IF the corsralsearylfesd eb-tatolishmenfas oza-Mde Sam aDagEgini County, gle local heaNta jurTer2toffion rhuetirefsk CurFerst heath giermii•_ity siosigkg 1cijw..e,o-ierdissergEood establEshment is in taounty. <br />[want'ift_tnine itperatoL ate <br />END 16-017 Matt= ad' 6 11.(iFFIJAF'PLICATIONI