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Ly 2272 McAllister Avenuc me, Wo

949-8441 - Local 238 -
APPLICATION FOR BUSINESS LICENCE:
FILE NO,__. —_

Application Is made horewith for a Business Licance in cupport of which the following informatian concerning tho applicant and the
business is submittod:

Business Trada Name: (Corporation or Porsonal)

PITT STOP MOTORS Lp,

omen

If Corporation:

Name of Presigent: ~-ALEC M. KALYK __ Addross of President: —2080_Butternut St. Coaui tla
Business Location 800_ Lougheed Hwy. Port Coaui tlam Telephone: 94 2—7 14% —-.
Business Mailing Address: Box 211, Port Coquitlam, B.C. v3e 2V2
Applicant's Name In run ALEC MICHAEL KALYK Home Telephonea:_4t re u 521.

Applicant's Home Malling Address: 7080 Butternut St. Coquity Am,B.C" V3C 28. ‘
Position In Company; PRESEDEN) Date of Birth: SER, 15/32 S.LN. #200395790

Full Doseriptian of Businoss Activily intended: SERVICE STATION NOTH OUR FULL SERVICE GAS
AND ON SELP SERVICE GAs PUMP ISLAND

Have you hetd a Licanca Proviously? YES When: PORT. COOULTT AM _ Whun:..OLD Cu PRENT LCS. IO

Has Licence over bean cance lad or retused?_._ NO
NUMBER OF PERSONS ENGAGED IN GUSINESS:
Principats: EIGHT Regular (Full Timo) POUR Part Time »~FOUR.
A PRESIDENT BUSINESS: ~ :
Floor Aron: (sauare foot) Commencament Date: Emote wee Cortilicate I wonton mate ecm amare
NON-RESIDENT BUSINESS: (Contractor, ote.)
Commancement Qate: meen Certificate
RENTAL UNITS: °
How LIC ONO! ere Fle-application: amteenececemenenwese THBNEIET:
Type and Number of Rental Units:
ROOM meeeeenvenece Hotel/Motel St eters strove my aereene

Suites:
Bachelor —eeeewemmenee 1 BOC OOM nmr 2 AOCTOOM a ewenencenmnnr, 3 BEdOOM 0 serecome nenmeneenere enemy

Other

~

TATE om eee are. Bw weeteoet tier

Name of Manager: Telephone:

Adcross of Manager:

Barbers & Beauty Parlours: No. of Chairs: No. of Operators:

Pool Rooms & Howling Alloys: No, of Tables: eran, NO, Of Alleys:
Vending Machines: 1¢ Only Machines: Other Machines

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We horeby make Spplication tor a licence iW ASCardanee with the particulars as above Blalud and deciare (hat the above statement tH tre
and correct, andi undorsland thatittam Ntanted the heonee Applied tor, tmusgt Comply with each ane Ovéaly obligation CONtaNed Nall laws and
Dy-laws now in force, or which hereatter ¢ Md «nto force tn the City, Pa .

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DATE: my Lette x Jf tS? SIGNATURE OF APPLICANT. EZ

IT18 AN OFFENCE TO MAKE A FALSE DECLARATION

Avomar

OFFICE USE ONLY:
CLASSIFICATION: FEE: ~ TRANSFER or LICENCE NO. snecemeenn meena

DATE: we ine APPROVED: wecerestenre ernmenr, tenes sacmetene
Licence Inspoctor