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Reminder: Staff will contact you with the final amount due. Fee payment required before application can be processed.
Please list details regarding your contact and identification information.
Please list information regarding the business.
Please list the contact information for three professional references. The references cannot be family members.
Please list the start and end date of the license you are registering. Note that all the licenses expire at the end of the calendar year (December 31) and you will have to apply for a new license for after that date.
Applicant herein agrees to abide by and be governed by all rules and regulations of the City of Victoria and all laws of the State of Minnesota pertaining to the sale of the goods aforementioned. Submitting an incomplete form may result in a rejected application.
Please take notice that any data received by the City as the result of submitting this form will be classified as government data pursuant to the Minnesota Government Data Practices Act, Minnesota Statutes Chapter 13. Under the Data Practices Act, some or all of this data is classified as public data, including your name, address, email address, phone number, and other personal information provided by you. Public data is available to anyone requesting it and consists of all data furnished via this Web form. Please be advised that the correspondence will be added to the public record. The purpose and intended use of the information collected through this form is to obtain public input and data in support of City activities and services. You have the right to refuse to submit this form. If you choose not to submit this form, you will need to contact the City by another means if you wish to provide the information collected by the form.
This field is not part of the form submission.
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