![Image](https://i.imgur.com/X1y3Xmt.png)
1. OWNER INFORMATION
- First and Lastname: Lance Slash
Phone Number: 5435763
Email: [email protected]
Home Address: Eclipse Towers (Format: ## Street)
2. BUSINESS INFORMATION
- Name of Business: Red Rose
Business Address: Joshua Rd. 19 (Format: ## Street)
Type of Business: Nightclub
Mark an X in the appropriate checkbox.
[ X ] Stand-Alone ($15,000)
[ ] Subsidiary ($35,000)
[ ] Parent ($50,000)
Photo of the Business Exterior Entrance:(( Make sure that the address of the property/business door is visible on the image above. You can either use the image BBCode or just paste a link to the photo ))Photo of Front Door
3. EMPLOYEE INFORMATION
- List of Current Employees & their position(s):
- Lance Slash - Owner
4. AGREEMENT
- By submitting this request you hereby agree that all information provided is truthful. If your registration is approved, you agree on 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 and that you're the rightful owner of the property in question.
Owner's Signature: Lance Slash
Date: 15/11/2022
![Image](https://i.imgur.com/AQYYUtk.png)