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v <br />3 <br />,rr LOCAL GRANT PRO <br />• • 1 t , <br />I. APPLICANT INFORMATION: lease Fill In the Grey Shaded Cells <br />Diamond Drinks of Florida, Inc <br />Business Name <br />AnthonyJoseph Cemmo Jr. <br />Business Owner(s) Full Legal Name(s) <br />e.. John Howard Smith, Jr. <br />Officers Full Legal Names <br />Agent(s) Full Legal Names) (Enter Officers in multiple lines above) <br />600 Railway Street Williams rt PA 17701 <br />Address City State Zip Code <br />570-326-2003 acenimo(ususrdd.com suscon lastics.com <br />Phone Number E-mail Website <br />David Wayne Dawes Controller <br />Contact Person (Full Legal Name) Title <br />Business Unit's Federal Employer Identification Number: <br />Business Unit's Unemployment Compensation Number: <br />Which of the following best describes this business: <br />Yes/No <br />Yes New business to Indian River g2unty <br />No Existing business in Indian River County <br />If an expansion, how Many 'obs are currently in the business? <br />H. PROPOSED SITE LOCATION <br />if known); <br />7355 90 St Sw <br />Vero Beach 32968 <br />Address <br />333930000010040000010 <br />City Zip Code <br />Property Parcel Number(s) <br />Current Location (if different) <br />Address <br />City Zip Code <br />Property Parcel Number(s) <br />50 <br />