Agenda - Council - 06/27/2000 - Laserfiche WebLink

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I I I JA)~-14-1399 OB:~. CIT~ OF RAMSEY 61~ 427 554] P.03×09 161 List below any fe(onies or gross misc~emeonors or any crimes of theft or issuance of a ',vod'hless check of which you were convicted of within the ten (1 O) mast recent years and the nature of the crime or crimes of which you were convicted; ,, .., ~ / 17J Hove you taken advantage of any State or Fedoral b~gkruptcy ar insolvency law or proceeding as a bankrupt or debtor w thin the ten [ 10) most recent years? /x%J ~'.) . If yes, ex~ain: I I List below FULL names, dates of birth, and driver's license numbers (:~d State of Issue of oil employees other ~hc~n the above applicant who ~,'ill be sel~ing these goods in the City of Rcmsey: 19} Do you reside in Ramsay and have your home as a base foryour business? Yes: NO:. I :i I I I ;I I If yes, what is the present zoning of the property? if you reside within tr~e city limits of Ramsay and your princlpcl place of business is al your home. you may be subject to certain zoning regulations and you may have to apply for a coqditicncl use permit. 201 Please fill out COMPLETELY the o?ta=,qed torres that are required for t'~e t~nnesota Department of Revenue and Department of Labor and Indus%,. Some of this information rncy be repetitive, but it is required Minnesota ¢~tute Sections 270.72 and i76,182. Applications will not be accepted until these forms are fiilec out completely. In order fo permit the verification of the information required by CiTy Code, any person required fo submit information c~s herein set forth shall not engage in sei~ing ar in making cal~s as described in the City Code until seven (7) days have elapsed aP, er submiHing the application. Licenses are good for fha calendar year and must be renewed each year. The LICENSE FEE OF $100.00 shall be paid al the time of application.. Also required is proof of insurance for your company. I hereby certl~ that the foregoing statements are true and correct to the best of my knowledge and that the giving of false informcltion or the failure to give pertinent information constitutes cause for revocation of this permit. Further, I agree to comply with all thee ordinance under which this license is granted. ^pplicant's Signature: Date: This license will take effect as early as January l, nd w/Il expire on December 31, fha license fee of $100.00 must be paid at the lime of application. I I I I I DO NOT WRITE BELOW THIS LINE-FOR CITY USE ONLY Received on Approved on Zoning Approval Comments: