Pawn 2021 AppIV
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January 4, 2021
Blair Pawn
1647 Washington St.
Blair, NE 68008
RE: 2021 Occupation Tax
Dear Mr. Warrick,
C�_'�T� M� V C�1i
Per Blair Municipal Code, Chapter 10, Article 9 an annual occupation tax
permit is required for all pawnbrokers in the City of Blair. Your permit expired on
December 31, 2020.
We previously sent an application to you requesting this renewal. Please
complete the enclosed Application for Occupational License and return it to us along
with the $50.00 occupational tax payment no later than Friday, January 29, 2021.
We sincerely appreciate your efforts in complying with this city ordinance. If
you have any questions or reasons why you unable to comply with this request, feel
free to contact me.
Sincerely,
Angel D. Christensen
Office Assistant
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail citydblairgd,blair,ne,us
"Application for Occupation License"
City of Blair
218 S. 161h Street
Blair, NE 68008
°`n%se of ail (402) 426 4191
The filing of this application or the granting of an occupation license neither confirms nor denies the use of the land as regulated under the provisions of the zoning
code, and is further subject to pertinent ordinances of the City of Blair which regulates and licenses specific affections and businesses.
Date:
Business Information:
Legal Name of Business Blair Pawn
Common Name of Business
Business Address _1647 Washington St.
Phone 402-426-2274 Fax
Mailing Address (if different from above)
Describe the nature of your business
City _Blair State _N E_ Zip _68008_
Legal Description
City
Pawn Shop
Lot 10, block 46
State Zip
Do you have a monitored Security and/or Fire Alarm System at the business address? Yes No
Will you be selling tobacco products at this business address? Yes No
Do you have music, vending, pinball machines or billiard/pool tables at this business? Yes No
Do you sell, or serve liquor at this address? Yes No
Primary Contact Name:
Secondary Contact Name:
Phone
Phone
Birthdate
Birthdate
I declare under penalty of false statement that to the best of my knowledge and belief the statements made
herein are correct and true.
Signature of Owner or Corporation Agent/Owner
Title
OCCUPATION LICENSE REMITTANCE FEE
I hereby remit $ This is based on Section 10-902 of the Blair Municipal Code
I Date Paid: I Amount Paid: I Certificate # Assigned: