
- First and Lastname: Daniel Myers
Phone Number: 5414713
Email: [email protected]
Home Address: 292 Del Perro Heights
- Name of Business: Avalon Entertainment
Link to Registration: LINK
Business Address: 34 Hawick Ave.
Business Registration Type:
Mark an X in the appropriate checkbox.
[] Stand-Alone
[ ] Subsidiary [Parent Company Name]
[x] Parent
- Please note as a Parent Company, one license can be used for up to 2 Subsidiaries, but you can subscribe to multiple of the same type of license. If this applies to you, please mention how many subsidiaries need the license.
Please list all licenses you wish to apply for from the list HERE:
- LICENSE #1
License Name: EEBL:02 - Event Organizer
Subsidiary Names (if applicable):
- LICENSE #2
License Name: EEBL:04 - Raffles
Subsidiary Names (if applicable):
- LICENSE #3
License Name: GRBL:03 - Food & Drink Service
Subsidiary Names (if applicable):
- LICENSE #4
License Name: GRBL:05 - Liquor
Subsidiary Names (if applicable):
- LICENSE #5
License Name: GRBL:11 - Vending Machine Retailer
Subsidiary Names (if applicable):
- LICENSE #6
License Name: EEBL:01 - Adult Entertainment
Subsidiary Names (if applicable):
Vending Machine License (If applicable)
- Address of Vending Machine: Your answer here
Photo of Vending Machine: *ATTACHMENT*
- LICENSE #1
- By submitting this request, you hereby agree that all information provided is truthful. You agree that you have read & understood all requirements, regulations and penalties related to the license(s) you are applying for. If your request is approved, you agree to a continuous effort to adhere to laws and regulations laid out by the San Andreas State Government. You also agree to submit any future changes to your business to the Business Licensing Bureau. You also agree to a full legal background check of your person.
Owner's Signature: D.Myers
Date: 28/9/2024











Police Detective II





