Agenda - Council - 06/09/1998 - Laserfiche WebLink

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16) List below any felonies or gross misdemeanors or any crimes of theft or issuance of a worthless check of which you were convicted of within the ten (10) most recent years and the nature of the crime or crimes of which you were convicted: I I I ! i 17) Have you taken advantage of any State or Federal b,a_nkruptcy or insolvency law or proceeding as a bankrupt or debtor within the ten Jl 0) most recenl years?V'-,g . If yes, explain: 18) List below .F. ULL names, dates of birth, and driver's license numbers and State of Issue of all employees other than the above applicant who will be selling these goods in the Cily of Ramsey: I I I I ! I i ! I' 19] Do you reside in Ramsey and have your home as a base for your business? Yes:. No: ~ If yes, what is the present zoning of the properly? If you reside within the city limits of Ramsey and your principal place of business is at your home, you may be subject to certain zoning regulations and you may have to apply for a conditional use permit. 201 Please fill out COMPLETELY the attached forms that are required for the Minnesota Depadment of Revenue and Department of Labor and Industry. Some of this information may be repetitive, but it is required by Minnesota Statute Sections 270.72 and 176.182. Applications will not be accepted until these forms are filled out completely. 28) In order to permit the verification of the information required by City Code, any person required to submit information as herein set forth shall not engage in selling or in making calls as described in the City Code until seven (7] days have elapsed after submitting the application. Licenses are good for the calendar year and must be renewed each year. The LICENSE FEE OF .$100.00 shall be paid at the time of application., Also required is proof of insurance for your company. I hereby cedify that the foregoing statements are true and correct to the best of my knowledge and 1hat the giving of false information or the failure to give pertinent information constitutes cause for revocation of this permit. Further, I agree to comply with all the provisions of lhe ordinance under which this license is granted. Applicant's Signature: This license will take effect as early as January 1, 1998 and will expire on December 31, 1998. The license fee of $100.00 must be paid at the time of application. DO NOT WRITE BELOW THIS LINE- FOR CITY USE ONLY Received on (-~/I .,/c>/.~ Receipt # , r ~ / ~'~ O~ . Approved on Zoning Approval Comments: ! I i I