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Okaloosa County BOCC — December 4, 2012 — QBVC Check List — reading text
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Machine-extracted text — 07-QBVC Check List.pdf
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Revised December 1, 2011
Qualified Beach Vendor Certificate Check List
(New Applications or Renewals)
Date Received: Ship JB
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Company Name: 77 _ 2K BEG (US VODIES
Contact Person: A2R7 AY. LoS
Phone #: S530- 92GB - 72 SBL3 - 235-3 GR
Email: — AVA&27 2) MATL A VAS LDA LIE Vow? 2
a Application form ZZ? Cve 2®)
an $500 Application fee
ae Hold Harmless Agreement
LI. Designated Beach Area Permit
AB Authorized Beach Vehicle Permit
LA $500 Beach Vehicle Permit fee per vehicle
te Statement of Acceptance of Ordinance 08-06
ae Copy of Liability Insurance for $1,000,000 Naming BOCC as insured.
a“ Copy of O.C. Local Business Tax Receipt for the State of Florida
eae
AM Copy of Workman’s Comp. Insurance Policy