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Millcreek 2001 S. State Street #N-3600 Salt Lake City, UT 84190-4050 Phone: [PHONE REDACTED] FAX: [PHONE REDACTED] For more information about your new city visit www.millcreek.utah.gov Request to Close Business License Account Business Name:_ Account Business Date all Business Activity will Cease: Current Owner Forwarding Address:_ _ Phone:_ I CERTIFY THAT ALL BUSINESS ACTIVITY HAS CEASED AT THE ADDRESS AND ON THE DATE STATED ABOVE. Signature:_ Print Date:_ Lf2 Dec16