BOARD OF LICENSE COMMISSIONERS
FOR ANNE ARUNDEL COUNTY, MARYLAND
APPLICATION FOR ALCOHOLIC BEVERAGES LICENSE CLASS _____________________
STATE OF MARYLAND _______________________________________________________________________ as:
THIS CERTIFIES, That on the ___________day of _______________, ________, before the subscriber, a
_____________________________ of the State of Maryland, personally appeared _____________________
_____________________________ the applicant (s) named in the foregoing application, and made oath in due
form of law that the statements therein are true to the best of (his, their) knowledge and belief.
WITNESS my hand and notary seal
_____________________________________
(NOTARY PUBLIC)
(SEAL)
_________________________________________________________________________________________________
STATE OF MARYLAND _______________________________________________________________________ as:
THIS CERTIFIES, That on the ___________day of _______________, ________, before the subscriber, a
_____________________________ of the State of Maryland, personally appeared _____________________
_____________________________ the applicant (s) named in the foregoing application, and made oath in due
form of law that the statements therein are true to the best of (his, their) knowledge and belief.
WITNESS my hand and notary seal
_____________________________________
(NOTARY PUBLIC)
(SEAL)
_________________________________________________________________________________________________
STATE OF MARYLAND _______________________________________________________________________ as:
THIS CERTIFIES, That on the ___________day of _______________, ________, before the subscriber, a
_____________________________ of the State of Maryland, personally appeared _____________________
_____________________________ the applicant (s) named in the foregoing application, and made oath in due
form of law that the statements therein are true to the best of (his, their) knowledge and belief.
WITNESS my hand and notary seal
_____________________________________
(NOTARY PUBLIC)
(SEAL)
_________________________________________________________________________________________________
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