Transcription of PART 1: APPLICATION FOR RETAIL LICENSE
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PART 1: APPLICATION FOR RETAIL LICENSE
PART 1: APPLICATION FOR RETAIL LICENSET otal paid: $ (office use only)Receipt number: (office use only)Agent: (office use only)Record number: (office use only)Form 806-4 (Rev. 09/2021). This is an official state document and all information contained or submitted therein is public information. Refer to Privacy Statement on the bottom of page two regarding personal/tax 1: RETAIL LICENSE APPLICATION | | | 7450 Freight Way . Mechanicsville VA 23116 | PO Box 218 . Mechanicsville VA 23111A. INSTRUCTIONSPART 1 OF THE APPLICATIONMail or deliver the following to Virginia ABC Headquarters in Hanover (address located at the top of each page of the APPLICATION ).
Municipal Golf Course Private Club, Resort Complex, Resort Complex with Restaurant, Restaurant, Restaurant at Point of Entry, Rural Grocery Store ..... $ 450.00 Restaurant and Casino ..... $ 450.00 (plus $5 per gaming machine)
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