ATTENTION RESTAURANT OWNERS:
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I grant permission to the City of Norfolk to use my cash bond to pay any outstanding invoices due and to refund the difference to:
I grant permission to the City of Norfolk to transfer my cash bond to the New Owner:
SIGNATURE. I CERTIFY THAT THE INFORMATION PROVIDED ON THIS FORM AND ON THE ATTACHED AFFIDAVIT IS TRUE, CORRECT AND COMPLETE. I FURTHER DECLARE THAT I AM AUTHORIZED TO FILE THIS FORM AND I UNDERSTAND THAT THE PENALTY FOR FILING FALSE INFORMATION IS PUNISHABLE BY LAW. I FURTHER UNDERSTAND THAT THIS INFORMATION SHEET AND ATTACHED AFFIDAVIT DOES NOT GRANT ME PERMISSION TO PERFORM ANY ACTIVITY THAT IS DEEMED ILLEGAL IN THE STATE OF VIRGINIA.
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