Laserfiche WebLink
CITY OF k~MSEY <br />APPLICATICN TO OPERA2~ A PAhN SH~ <br /> <br />Ramse¥ City Hall. .15153.N~ct~n Blvd. NW.. P~m~ay, Mm 55303 <br /> <br />Te~ of Lieense~' Oae (1) year frc~ date of Issum~ce ' License Fee: $1,500.00 Arnually <br />Raference:' . ...... Chapter,.130.12 .............. Applica~i~l Fee : $250.00 <br /> <br />~ Soc. Sec.No. <br /> <br />1. Have you operated a pa~n shop previously? Yes No )<[ . <br /> If yes, where end wl~? <br />2. Have you ex~r been deni~'d' ~ license to co6ducu a pawn Shop, or'had such license <br /> suspended, revoked, or c~%celled? <br />3. Do you operate a pa~n shop at the presmut tin~, or are you applying for a pav~ <br /> brokers license elsewhere at the prese~lt time? Yes No . <br /> If yes, where? ' <br />4. Have you ever b~e~' convicte'd of an 6ffense which relates to the ccnducC Of Such <br /> a license business? Yes No. ~ " <br /> If yes, what offense, where, when? <br /> <br />BUSINESS ' INM~EI'~TIOM <br /> .... <br /> <br />5. ~~?--~ ~ed by a ~ora~? Yes' ~ NO <br /> <br />6. ~y of ~~te of ~ora~, ~e~s. of In~orati~, ~d By-~ ' <br /> a~dt ~se ~. ~d if ~Rra~ion) YeS ' NO <br /> ' ..... <br />7. If ~r~m~ inclu~ ~ l~al '~s, ~s of bi~ ~d a~esses of <br /> of~ ~d ~c~ors of t~ ~ora~ ~d all s~hol~rs ~ ~ al~e or <br /> ~ ~j~i~ ~_th ~r ~e or ~l~n ~ ~ l~J of t~ iss~d s~ <br /> of ~ ~ra~ sto~ (~e s~ate s~et of p~r for a~ti~ ~Ei~, <br />~ if ~s~) <br /> <br />~ N~ Ad, ss Bir~Ce ' <br /> ( <br /> <br />~1 N~- ' <br /> <br />~rth'da~e <br /> <br />FulI Name Address <br /> <br />B£rthdate- <br /> <br />Have any of the above-listed persons bean convicted of a crime or had an <br />application for a oa%n ~hop denied, z~ok~d, or suspended within ,the last <br />five years-? ' Ye~ ..... NO': <br /> <br />yes, state name and gi~e ~etailS.~ ................................ <br /> <br /> <br />