2023-03-14 P & Z Packet - Laserfiche WebLink

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Type of Organization: S-CorpC-CorpLLC Sole Proprietorship Partnership Complete Legal Business Name: Date of incorporation: State of Incorporation: I agree, as part of this application, to list the corporate owners holding more than five percent (5%) of the outstanding stock of the corporation. I will notify the City Clerk of any change in legal ownership in this business. The ownership interest of the business are as follows: Officer / Partner / Owner #1 First Name: Middle Name: Last Name: Date of Birth: Email Address: Street: City: Address of Residence: State: Zip: % of Ownership Interest: Officer / Partner / Owner #2 First Name: Middle Name: Last Name: Date of Birth: Email Address: Street: City: Address of Residence: State: Zip: % of Ownership Interest: Officer / Partner / Owner #3 First Name: Middle Name: Last Name: Date of Birth: Email Address: Street: City: Address of Residence: State: Zip: % of Ownership Interest: