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Other License Application

  1. Mailing Information
  2. Corporate Officer or Owner’s Information
  3. Business Information
  4. Signature
    The applicant agrees that when this application is approved and a license is granted to abide by all the rules and regulations of the Port of Palm Beach District and all the provisions of the Port of Palm Beach District Tariff, as amended periodically. Nothing contained herein shall relieve Applicant or its employees from the obligation to comply with security requirements now existing or hereinafter imposed by the Port of Palm Beach District, Local, State, and Federal Authorities.
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  6. This field is not part of the form submission.