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VILLAGE OF GOWANDA 27 E Main Street * Gowanda, If B07) (716)}532-3353 « Fax (716}5322938 BUSINESS PERMIT APPLICATION Business Name: Ba lance. df L C. doer Book feepi ny "Business Address: / YO B n oO ad tw ae Ve di , Gouwanda, My 14070 Business Mailing Address: / Yp B fowdl Chef 70 ocecl Gowerda, VY /Yo7O Property Owner: a eAct rel ft E 2 1 9 ry) Desired Opining Date: f Nay / a Jokb APPLICANT INFORMATION Applicant Name: Rie havel A, E. o (6% ia) Applicant Address: | / “yf a) B fon diay Load , (owanda MY (YO7O Applicant Mailing Address: / “p hfe adwvay Koad Gownda., MY 14O70 Applicant Phone Number: C77 b ) FO 7- 6b 7 76 .