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19F - RECEIVE AND FILE PUSH CART
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19F - RECEIVE AND FILE PUSH CART
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Last modified
11/25/2020 12:08:27 PM
Creation date
11/25/2020 12:04:32 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Parks, Recreation, & Community Services
Item #
19F
Date
12/1/2020
Destruction Year
2025
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Exhibit 2 <br />SANTA ANA BUSINESS LICENSE NO. <br />DATE OF EXPIRATION <br />NUMBER OF EMPLOYEES <br />IF UNIFORMS ARE REQUIRED, PLEASE <br />DESCRIBE <br />COMMISSARY NAME, ADDRESS AND PHONE NUMBER <br />PREVIOUS• <br />List the business, occupation or employment history of the applicant for three (3) years <br />immediately preceding the date of the application, including, if applicable, the business <br />license and permit history while operating as an ice cream or pushcart vendor, in order of <br />most recent experience. <br />Name of Employer #1 <br />Employment Date <br />From: <br />Employment Date To: <br />Employer's Address <br />Employer's Primary Phone Number <br />Type of Business <br />Type of Pushcart/Concession <br />Name of Employer #2 <br />Employment Date <br />From: <br />Employment Date To: <br />Employer's Address <br />Employer's Primary Phone Number <br />Type of Business <br />Type of Pushcart/Concession <br />Name of Employer #3 <br />Employment Date <br />From: <br />Employment Date To: <br />Employer's Address <br />Employer's Primary Phone Number <br />Type of Business <br />Type of Pushcart/Concession <br />List all cities in which the business now holds a vending permit: <br />Has the applicant ever had any permit, franchise or similar license in this or any other city, <br />county, state or territory suspended, revoked, or denied? <br />❑ NO <br />u YES If checked "yes", list the location and state the circumstances of such <br />suspension, revocation or denial below: <br />19F-5 <br />
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