Port Coquitlam, 8.0. VEG 2A8

941-5411 -
APPLICATION. L OR BUS

Application is rade herevath for a Business Licence in
business is sutrmuted:

Business Trac: Name: (Corporation or Personal}

WihkA TENA

Local 2

rey
VAST)

Lik JERE 3S. LICENCE

FILE NO,

CHEN Cen) SE Rice,

n support of which the following information concerning the Applicant and the

§€ Corporation:
Name of President:

ZETIA  VOXIEED

Business Location:

Address of President:

Vy LOR?

is  RRoSE.

Business Mailing Address

Telephone: <1 uy | ~ S231 l

Ca TOU IAD (K

Applicant's Narne In Full: Vester

Applicant's Home Mailing Address: inde! \ CER NSS7ON |

Horne Telephone: al U2 = TAS,

MWe. Ces VAM

Position In Company: —_ QA»! NJEEXC_

Date of itn [ARAL 20 Me SAN. =

7 ; .
Full Description of Business Activity intended: Beso wees LICeNes ¢. WANG. Feo Fut SER cE

QOS UST Bau

SEVE SER us he Se RACE RAYS.

To

"Have you heldal icence Previously? ¢ 5

Where ter CRS TN when SNE =

NO.

Has Licence ever been cancelled or retused?

IQ sk 199 Feeney

NUMBER OF PERSONS ENGAGED IN BUSINESS:

2
Principals: — Regular (Full Tirne)

Zz > Part Time >

A: PRESIDENT BUSINESS:

Floor Arca: (square feet)

Commencement Date:

Coriificate =

NON-RESIDENT BUSINESS:

Commencement Cate:

(Contractor, ete.)

Certiticate &

RENTAL UNITS:

New Licence:
Type and Number of Rental Units:
Rooms:
* Suites:
Sachclor

Re-application:
Hotel/Motel uw
1 Bedroom

Other

Name of Manager:

2 Bedroom —_..

Telephone:

Teanster:

3 Bedroom

Address of Manager:

Barbers & Beauty Parlours: No. of Chairs:

Pool Roonis & Bowling Alleys: No. of Tabtes:

Vending Machines: 1¢ Only Machines:

No. of Operators:

No. of Alleys:

Other Machines

ae

UWe hereby make application fora licence in accordance with the nartioulars as abeve stated
- and correct, and Luoderstiad thadit lam aranted the boone apobed for, Lmust comply with cag

By-laws now in foree, or which "Tee cong inte foree en the City.
DATE: gence Q-<-

SIGNATURE OF APPLICANT .S

~~ A

GAN

and destace Chat the above shuemoatis ue
Sd every “—\ contained Inuabaws and

iT 'T tS AN OFFENCE TO MAKE A FALSE DECLARATION

L olbnuadatenadihelnhanthtias kent nemntdeticda ct ndtkatonion Reemtantha. cassadensetammapatnoanaid

+ es come
« .

OF FICE USE “ONLY,
CLASSIFICATION,

DATE: APPROVED.

-. 6 ee

FEE! etme: TRANSEER OF LICENCE NO. .o 2 oe cee ae unnee

Licence laspector
.