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HomeMy WebLinkAboutAllison Huffman app 610324 02 15 23 (iiii0 ENVIRONMENTAL HEALTH Cotuwbo County Government Ceder catawba county 25 Ga' Drive I P.O.Box 389 I Newton, NC 28658 public health Phone: (828)465-8270 I Fen: (828)465-8216 MAINS.Uvu.. . Email: EHAdmin@CatawbatountyNC.gov Application for Tattooing Permit F Li _.0- .)0) .- ite ;S-3 Date of Apologia I 2 I D. 4 6 l L'�3) j Tattoo Artist Informa tion: ��� o � J lO� A11i53n tssilim. Nt}tt Ilan SI & tidllsg Adissu PO Qox -105 Gy CtCAIemon-* sea C 4 28010 Teyk's*Nsisher:02 4449-9i93 lila a1It -Hiarpe I- 0 ria (kw] Tattoo Establishment Information: liral Edeilislmsd: 61 heap Bo( 51.1,4iessr 22% union Square, my 4ix4 sider� C13 2 god ► wain slur,` —�'ue.s - v-nd q'S Sa-i-, q- l:o o Sun a-- Men dosed bier of Tose Arch is b1ibrVsr 1 As_dd ode se brie Toneir TON Add spin: UJJA ffrifr Instructions Purpose: Te ism i ss rids to a fir wombs was a s required le emend Scads J 30A-2$3 mei 15A AGC I IIA.3202. A Mode aRiisl Intl IS aslifisrd fir oedi 1 Preparation: E sir tam sin nal ar■01de r dlPiallgalili''illiMe�iw_for is&bawd.mica M sr she+sI aia3s h taMiag Oita In Side i Ilei Cates. _ snit Mini : ii ssrm�,�was wiinso sssi sirrrr of tis woo arise, it mao aiml ..dims df tb wt.a aIi it skim of 1 4 S:ie K Submission: TM mmN6bi meow eMt ee er,, , ieii drpeAwesf L lie NOW riisn is. ssfriirisrat is kaki r)esst>•is}s Won mods iiinni ,' sin.The lad ieik dspwtrsnt s�ngdra mem eF hrs sr aiiGel basin ba s.sa Disposition: tits�M b b ,$ . ro b if trwr ' §i SdM io,lrri W k tf>e PLC. 101111110 di � ,k '','icV,:,,,a 7y�" "• �° 4,'T Yy �°`, °,..Y - - . $ �� r yr �2 'r � z r „`; �^f" �a aDEt nets Rwbdv f A & t h F ? , x^ l i" '�:L:, ( ...; t , i .: .r �$A CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT � ( PHONE:828.465.8399 Wednesday,February 15,2023 1$42 sM www.catawbacountync.gov PAYOR: Blume Beauty Bar Blume Beauty Bar(Huffman,Allison) PAYMENTS TRANSACTION NUMBER: TRC-57730576-15-02-2023 PAYMENT DATE: 02/15/2023 PAYMENT TYPE: Credit Card 301159092 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 02-23-418395 110-580200-663000 Tattoo Artist Fee S225.00 TOTAL PAYMENTS: $225.00 FL1-02-2022-165553 CASE TYPE: Food&Lodging Institutions WORK CLASS: 61 -Tattoo Artists SITE ADDRESS: 228 UNION SQUARE A,HICKORY NC 28601 Applicant BLUME BEAUTY BAR,PO BOX 705,CLAREMONT NC 28610 B:8284469793 ALLYTHARPEI aGMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 02/15/2023 13:32 Page I of 1