E ONLY N .... TYPE OF REGISTRATION (Check one box) 1;2 O I. Individual O 2. Partnership O 3. Corporation 4J 4. Co-owner 0 5. Gov't CI 8. Nan-CI: n.1 5 C NAME OF APPLICANT (Person (s) shown on evidence of ownership. It individual, give last name. first' name. and mickle initial.) 1.) Shudt