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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> 21Alcoholic Beverage Establishment Change of <strong>License</strong>e ApplicationRevised 3/10I,____________________________, DO SOLEMNLY SWEAR, THAT THE FOREGOING STATEMENTS ARECOMPLETE AND TRUE. I UNDERSTAND THAT ANY FALSEHOODS ARE GROUNDS FOR AUTOMATICDISMISSAL OF THIS APPLICATION.I FURTHER CERTIFY THAT I WILL NOTIFY THE COBB COUNTY BUSINESS LICENSE DIVISION OF ANYCHANGES AFFECTING MY STATUS AND/OR POSITION WITH THIS COMPANY._____________________________________APPLICANT NAME (PRINT)__________________________________________APPLICANT` SIGNATURE, FULL NAME IN INK_____________________________________DATE________________________________NOTARY PUBLIC_____________________________________DATE

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