Cobb County Business License Division 1 New Alcoholic Beverage ...
Cobb County Business License Division 1 New Alcoholic Beverage ...
Cobb County Business License Division 1 New Alcoholic Beverage ...
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<strong>Cobb</strong> <strong>County</strong> <strong>Business</strong> <strong>License</strong> <strong>Division</strong><strong>New</strong> <strong>Alcoholic</strong> <strong>Beverage</strong> Establishment ApplicationRevised 1/09 42<strong>Cobb</strong> <strong>County</strong> <strong>Alcoholic</strong> <strong>Beverage</strong> and <strong>Business</strong> <strong>License</strong>Fingerprint AffidavitBy executing this affidavit under oath, as an applicant for a <strong>Cobb</strong> <strong>County</strong> <strong>Alcoholic</strong> <strong>Beverage</strong> and<strong>Business</strong> <strong>License</strong> for_______________________ (name of business) I _____________________________(name of applicant) have submitted finger prints to the Georgia Bureau of Investigation through GAPS incompliance with O.C.G.A 3-3-2.In making the above representation under oath, I understand that any person who knowingly andwillfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of aviolation of Code Section 16-10-20 of the Official Code of Georgia._____________________________Signature of Applicant_____________________________Date_____________________________Printed NameSUBSCRIBED AND SWORNBEFORE ME ON THIS THE____ DAY OF ____________, 20_______________________________Notary PublicMy Commission Expires:_____________________________
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