INITIAL APPLICATION FOR LICENSURE
form ila 1 rev 7/2016 business, consumer services, and housing agency • governor edmund g. brown jr. board use only initial application for licensure
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www.bot.ca.govRevised 7/2017 BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY • GOVERNOR EDMUND G. BROWN JR. T REQUEST FOR DUPLICATE LICENSE / PERMIT Type of license being requested:
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