Cobb County Business License Division P.O. Box 649 Marietta ...
Cobb County Business License Division P.O. Box 649 Marietta ...
Cobb County Business License Division P.O. Box 649 Marietta ...
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<strong>Cobb</strong> <strong>County</strong><strong>Business</strong> <strong>License</strong> <strong>Division</strong>Taxicab Company ApplicationRevised 10/10TO BE COMPLETED BY THE LICENSEE, SPOUSE OF LICENSEE, OWNER/SHAREHOLDER, ANDPARTNERS WITH 20% OR MORE OF SHARES AND THEIR SPOUSES.22CONSENT FORMI HEREBY AUTHORIZE COBB COUNTY BUSINESS LICENSE TO RECEIVE ANY CRIMINAL HISTORYRECORD INFORMATION PERTAINING TO ME WHICH MAY BE IN THE FILES OF ANY STATE OR LOCALCRIMINAL JUSTICE AGENCY IN GEORGIA.____________________________________FULL NAME PRINTED____________________________________STREET ADDRESS____________________________________CITY, STATE, & ZIP_________ _________ ____________________ ______________SEX RACE DATE OF BIRTH SS NUMBER____________________________________ALIEN NUMBER (IF NOT A US CITIZEN)____________________________________SIGNATURE____________________________NOTARY PUBLIC_______________________DATEU:\ComDev\GIS_Section\JosephPowell\contribute\downloads\Taxicabapp10NEWADDFeeIncreaseDRAFT.DOC
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