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Okaloosa County BOCC — January 8, 2013 — Footprints in the Sand QBVC Check List 2013 — reading text
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Revised December 1, 2011
Qualified Beach Vendor Certificate Check List
(New Applications or Renewals)
Date Received: 7 A043
Company Name: 20)¢@24965 200 (IME SAO
Contact Person: 7747447 JeLibi gH E)
Phone #: $1570. 29/4. 9223 (C599. YOV2
Email: 222914 eyez. Ape 1 2 Genes |. bez?
Application form ~ SEL IE.
$500 Application fee
Hold Harmless Agreement
Designated Beach Area Permit
Authorized Beach Vehicle Permit
$500 Beach Vehicle Permit fee per vehicle
\RARKAR
Statement of Acceptance of Ordinance 08-06
Copy of Liability Insurance for $1,000,000 Naming BOCC as insured.
Copy of 0.C. Local Business Tax Receipt for the State of Florida
aN
Copy of Workman’s Comp. Insurance Policy