1. OWNER INFORMATION
- First and Lastname: Simon Zinchenko
Phone Number: 285-4897
Email: Simon [email protected]
Home Address: 6 Normandy Dr.
2. BUSINESS INFORMATION
- Name of Business: Hayes Gas
Business Address: Palomino Ave. 30
Type of Business: Gas Station
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 paste a link to the photo ))
3. EMPLOYEE INFORMATION
- List of Current Employees & their position(s):
- Simon Zinchenko - Owner
4. AGREEMENT
- By submitting this request, you hereby agree that all information provided is truthful. If your registration 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 and that you're the rightful owner of the property in question.
Owner's Signature: Simon Zinchenko
Date: 25/01/2023