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County of Hawaii DEPARTMENT OF FINANCE Vehicle Registration & Licensing Division 101 Pauahi Street, Suite No. 5, Hilo, Hawaii 96720 -4224 (808) 961 -8351 • (808) 961 -8330 (FAX) County of Hawai’i is an Equal Opportunity Provider and Employer. Complaints of discrimination should be sent to: USDA, Director, Office of Civil Rights, Washington, DC 20250 -9410. Or call (202) 720 -5964 (Voice and TDD). Last Updated 11/07 /12 APPLICATION FOR BUSINESS AND OCCUPATION LICENSE Date: Business Name: Address of Sales Location: Mailing Address: Type of License: State of Hawaii GE Tax No.: W __ __ __ __ __ __ __ __-__ __ Owner Name(s): Phone: Email: Print Applicant Name Applicant Signature NOTICE: Issuance of this license does not relieve applicant from securing any necessary approvals from other applicable government agencies, including the Hawai’i County Planning Department. I (We) _________________________________________ do solemnly swear that the statements contained in the foregoing application are true and correct and that I, as an individual or as an officer of the corporation, or we, as members of the partnership or joint vent ure, have authority to sign this application and to make the statements contained herein on behalf of the applicant. Subscribed and sworn to before me this ____ day of ____________________, 20_____ Notary Public, State of Hawaii My commissions expires______________ For Office Use Only: Auctioneer’s Bond Firearms Supplement Purchasing, Wrecking, Rebuilding Supplement SEQUENCE No.________ New No. Issued_________