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55B - RESO BRISTOL ST PROJ PHASE 4
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05/03/2016
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55B - RESO BRISTOL ST PROJ PHASE 4
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Last modified
5/3/2016 2:25:56 PM
Creation date
5/3/2016 2:20:49 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
55B
Date
5/3/2016
Destruction Year
2021
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Permits, Insurance, Advertisin <br />57. What types of permits do you have? <br />Type of Permit <br />Required for: (type of equipment or <br />nature of material stored, used or sold) <br />Issued by [what agency]: <br />Current? <br />Y <br />N <br />Hazmat Permits <br />58. What types of insurance do you have (ex: fire, liability, workers compensation, business interruption, etc.)? <br />dates: <br />59. Advertising: Yellow Page Ad ❑ Cable TV ❑ Other ❑ <br />60. Obsolete Stationery: Letterhead ❑ approx. number Business cards ❑ approx. number <br />Ads (brochures /fliers) ❑ approx. number <br />Tax Credits/Enterprise Zone <br />(Ilan e'viiale ' Inn Ip Ile 'c elf cachj <br />61. Describe any tax credits or Business Enterprise Zone benefits you are currently receiving: <br />62. All of the above information I have given is true and accurate to the best of my knowledge: <br />Name of Respondent (Print) <br />Title of Respondent <br />Signature of Respondent <br />Date <br />Interviewer/Relocation Consulting Agent (please print then sign) Date <br />Epic land Solutions, Inc. <br />Relocation Consulting Firm DDITIONAL PAGES ATTACHED Yes ❑ No❑ <br />Page 11 of 11, Non - Residential Survey /Interview 55B -52 08114 <br />
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