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I UNDERSTAND THAT THE TOWN ORDINANCE PROVIDES FOR PENALTIES AND LICENSE REVOCATION FOR MAKING FALSE OR FRAUDULENT STATEMENTS ON THIS APPLICATION. SIGNATURE TITLE DATE. The Town of Blythewood has the right pursuant to the South Carolina Setoff Debt Collection Act to collect any sum due and owed by the applicant through offset of the applicant s state income tax refund. TOWN OF BLYTHEWOOD POST OFFICE BOX 1004 BLYTHEWOOD SC 29016 803 754-0501 - FAX 803 754-0563 2017 CONTRACTOR APPLICATION FOR...
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