Resumption Of Sales - City Of Tampa

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CITY OF TAMPA
Planning and Development
Bob Buckhorn, Mayor
RESUMPTION OF SALES
Date: ______________
I, ______________________________________________________________, the
Print Name
(Mark the appropriate box)
Property Owner
Alcoholic Beverage License Holder
Designated Representative/Agent (if designated representative/agent, you must also file "Authorized
Agent" form concurrently with this statement.
do hereby affirm that the sales/service of alcoholic beverages
from: _________________________________________________ (address of property)
resumed on _____________________________________________ (date sales/service
resumed)
_______________________________________________________ (signature)
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Sworn or affirmed to and subscribed before me this _______ day of ________, 20__ by
_________________________________________ (printed name of person making statement)
who is personally known or produced identification __________________________________
__________________________
(Notary Signature)
(Stamp)
1400 North Boulevard • Tampa, Florida 33607 • (813) 274-3100 • FAX: (813) 259-1712

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