Transcription of LIC34: Licensing Supplemental Affidavit - New York City
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LIC34: Licensing Supplemental Affidavit - New York City
7/08 LIC34: Licensing Supplemental Affidavit Application must be typewritten. 1 Convictions Date of Conviction Charge or Offense Name of Court and Location Sentence or Disposition If you have been convicted of an offense, explain fully in the boxes below. 2 Penalties and Fines 3 Statements and Signatures (*Indicates optional) As a condition of being granted a License from the Department of Buildings, I hereby comply with all New york city Administrative Code Provisions and Departmental Rule, Regulations, and Directives regarding how licensees conduct their specific trade. I understand falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment, or both. I also understand it is unlawful to give to a city employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the job or in exchange for special consideration.
LIC34: Licensing Supplemental Affidavit Application must be typewritten. 1 Convictions Date of Conviction Charge or Offense Name of Court and Location Sentence or Disposition If you have been convicted of an offense, explain fully in the boxes below. 2 Penalties and Fines 3 Statements and Signatures (*Indicates optional)
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