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Scrap Metal Dealer / jwnk DealerlRecyc4 ng Operation License Appllcafion <br />Page 2 <br />Leased by applicant <br />owned by applicant? <br />K. Are premises: <br />if leased: name of owner <br />Business address <br />VI. AFFIRMATION <br />i, hereby, certify and affirm that all of the information I have and affirm i that hii have in in is true and <br />accurate to the best of my knowledge. I further fy <br />attempted to mislead the City in this application by omitting facts known to <br />e . I ag have read. <br />and understand the regulations of the Scrap Me' a1 s n d� -C +«a, <br />Operations T ransier '— —' Uon license found -H i the Clcy of Suit: i C�crtEi ie�iiirii.� pal .our, S� `. ,.. <br />4 -J1. <br />- oz-,;o <br />Date <br />Signature <br />r� S S ` <br />