Transcription of DEKALB COUNTY BUSINESS REGISTRATION APPLICATION
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DEKALB COUNTY BUSINESS REGISTRATION APPLICATION
DEPARTMENT OF PLANNING & SUSTAINABILITY 330 W. PONCE DE LEON AVE. DECATUR GA 30030 (404) 371-2461 FAX (404) 371-2946 Page 1 of 2 BL Form 105 Effective COUNTY BUSINESS REGISTRATION APPLICATION BUSINESS INFORMATION SOLE PROPRIETOR LIMITED LIABILITY COMPANY (LLC) PARTNERSHIP FOR PROFIT CORPORATION TRUST OTHER _____ NON-PROFITFED EMPLOYER ID # _____ GA SALES AND USE TAX # _____ FED WORK AUTHORIZATION # _____ PERMIT/ # _____ LOCATION TYPE SANITATION PROVIDER name DEKALB COUNTY SANITATION # HOME BASED COMMERCIAL_____ _____ LEGAL/ ENTITY name : TRADE name / DBA name : _____ _____ PRIMARY LINE OF BUSINESS TO BE CONDUCTED: _____ OTHER LINE OF BUSINESS TO BE CONDUCTED: _____ PHONE: _____ EMAIL: _____ PHYSICAL (LOCATION) ADDRESS (S)
fed work authorization # _____ permit/ c.o.# _____ location type sanitation provider name dekalb county sanitation # ☐home based ☐ commercial_____ _____
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