Eagle County Tobacco Sales License INITIAL Application
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Legal Name *
Trade or Business Name
if different from legal name above
Applicant's Colorado Tax ID Number *
Federal Employer ID Number *
On-Site Business Manager Name *
Business Phone Number *
Business Physical Address - Street *
Business Physical Address - City *
Business Physical Address - ZIP *
Business Mailing Address - Street *
Business Mailing Address - City *
Business Mailing Address - ZIP *
Business/Manager Email *
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