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Click ‘Get Form’ to open Pbctc Form 65 in the editor.
Begin by filling out Section #1: Business Information. Indicate your business type by checking the appropriate box (Home Based, New Business, etc.). Provide your Corporation/Business Name and Fictitious/DBA/Trade Name as required.
Complete the Owner/Applicant Name and provide either your Federal Employer ID or Social Security Number. Fill in the Business Address, including City, State, and ZIP code.
Enter your Business Phone Number and Email address. Specify the Nature of Business or Profession and maximum number of Employees, Machines, Rooms, or Restaurant seating as applicable.
If applicable, indicate whether you received a Notice of Non-Compliance. Finally, certify that all information is true by signing and dating the form.
Ensure you have completed Zoning Approval before submitting your application. This may require additional signatures from relevant authorities.
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