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Trade N ( )
Pikkolo Mondo;Inc.
Street Address
5959 S.W. 71st Street
City County State Zip Code
Miami Miami-Dade FIL 33143..
The above establishment complies with the requirements of the Florida Sanitary Code.
Signed � 'I� C`�o����. � Date --3-
Title t,-LL Zt t P _.0 Agency 0'
s7 ........�.............C I ..RSA.............�.. ....ME.M. .......................................
These questions must be answered about this business for every person or entity listed. Copies of
agreements must be submitted with this application.
1. Yes ❑ No ® Is there a management contract, franchise agreement, or service agreement in
connection with this business?
2. Yes ❑ No ® Are there any agreements which require a payment of a percentage of gross or net
receipts from the business operation?.
3. Yes ❑ No ® Have you or anyone listed on this application, accepted money, equipment or
anything of value in connection with this business from a manufacturer or wholesaler
of alcoholic beverages?
R ,
DBPR ABT-6001 — Division of Alcoholic Beverages and Tobacco Application for Alcoholic
Beverage License and Tobacco Permit
STATE OF FLORIDA DBPR Form AB&T
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ABT-6001
Revised 02108
NOTE—This form must be submitted as part of an application packet 61A-10.083 FAC
If you have any questions or need assistance in completing this application, please contact the Department
of Business and Professional Regulation or your local district office. Please submit your completed
application to your local district office. This application may be submitted by mail, through appointment, or
it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's
page of the DBPR web site at the link provided below.
ham://w.ww.myflorida.com/dbpr/abt/district offices/licensing.html
.............
...................................................... ..
Trade Name (D/B/A)
Pikkolo Mondo, Inc.
Transaction Type:
® New License Do you wish to purchase a Temporary License?
❑ Yes ❑ No
Series Requested Type Requested
4COP SRX
.............:......:.:.:..;:..... ............................................................................:........ . ..... ......
........... ::::::::....:::;>:;:>:::<::>:::>::>::::;»:<:>::>:::<::»>::>::> ::SEC .C? €.2.....CHiM._K_€�I 1SE. ATEG R..
® Retail Alcoholic Beverages ❑ Alcoholic Beverage Manufacturer
❑ Beer/Wine/Liquor Wholesaler ❑ Retail Tobacco Products
❑ Passenger Waiting Lounge
1
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Trade Name (D/B/A)
Pikkolo Mondo, Inc.
Street Address
5959 S.W. 71s Street
.City .. County State Zip Code
Miami Miami-Dade FL 33143
Are there outside areas which are contiguous to the premises which are to be part of the premises sought to-be
licensed?" ® Yes ❑ No
If this application is for issuance of an alcoholic beverage license where zoning approval is required,the zoning
authority must complete "A".
A. The loc n complies with zpjq requirements for the sale of alcoholic beverages or wholesale
tobacc. r ducts pursuant plicati for a Series 4COP SRX lic nse.
Signed Date �G
Title
7