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APPLICATION SUMMARY Date application filed: Name of facility: License number: Address: County: Project Description:Licensed capacity: Current Licensed Owner: Proposed Licensed Owner: Proposed Management
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The current licensed owner is the individual or entity that holds the legal rights to operate or utilize a specific license or permit.
The current licensed owner, or an authorized representative of the licensed entity, is required to file the information regarding the current licensed owner.
To fill out the current licensed owner, you must provide the legal name of the owner, address, contact information, and any relevant license numbers on the designated form or application.
The purpose of identifying the current licensed owner is to ensure accountability and compliance with regulations governing the specific license or permit.
The information that must be reported includes the name of the licensed owner, contact details, address, type of license held, and any other pertinent information required by the licensing authority.
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