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2. If you need further information please call (407)262-7700 Ext. 1109 or email communitydev@casselberry.org
4. BUSINESS INFORMATION
6. Business Name
8. Applicant's Name
9. Phone Number
11. Email Address
13. Business Address
15. City
16. State
17. Zip
21. CORPORATE INFORMATION
23. Name
25. Mailing Address
27. Brief description of the nature of the business
29. Number of agents/employees to distribute handbills
31. Length of time requested for permit (select one)

    1. 1 week or less, $15.00 fee
    2. 3 months, $25.00 fee
    3. 1 Year, $50.00 fee
33. Signature
34. Date
38. Office Use Only
40. Date
41. Permit Number
43. Reviewer's Signature
44. Expiration of Handbill License
Leave This Blank:


47. Print Only

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