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Okaloosa County BOCC — January 8, 2013 — Destin Wedding Co QBVC Check List 2013 — reading text

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Revised December 1, 2011 Qualified Beach Vendor Certificate Check List C(New Ay Applications yr Renewals) Date Received: =? (5 fe8 Company Name: Jes wel 2) Contact Person: Syxs47 JAR Phone #! $50). 302-0083 / £59-69S - QIO Email: svséu © dee Shi Leet /16 BBN AIM Gore Application form $500 Application fee Hold Harmless Agreement Designated Beach Area Permit Authorized Beach Vehicle Permit $500 Beach Vehicle Permit fee per vehicle _ Statement of Acceptance of Ordinance 08-06 Copy of O.C. Local Business Tax Receipt for the State of Florida BAKA RERKKA Copy of Workman’s Comp. Insurance Policy Copy of Liability Insurance for $1,000,000 Naming BOCC as insured.

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