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19) If corporation, state names and addresses of all officers and directors. <br /> <br />No other persons than those named in this application have any interest in the management and control of such <br />business. <br /> <br />20) Period of time in which activities will be conducted: '~T~&'I~- ~ ~'/~'¢ ~0~ ~ <br /> <br />21 Parking Provisions for employees and visitors: <br /> <br />22) This application shall be accompanied by a certificate of insurance for public liability and workers' <br /> compensation. <br /> <br />23) This application shall also be accompanied by a site plan/layout of proposed amusement center and a <br />notarized letter by the property owner acknowledging and accepting the temporary use on the property. <br /> <br />I hereby certify that the foregoing statements are true and correct to the best Of my knowledge and that the giving <br />of false information or the failure to give pertineDt information constitutes cause for revocation of this permit. <br />Further, I agree to comply with all tbe,,provisions o,~he ordinance under which this license is granted. <br /> <br />Applicant's Signature: <br /> <br />Date: ,~' /f - 0 L// <br /> <br />DO NOT WRITE BELOW THIS LINE - FOR CITY USE ONLY <br /> <br />Received on <br /> <br />Receipt # <br /> <br />Approved on <br /> <br />Zoning Approval <br /> <br />Comments: <br /> <br />Findings by Ramsey Police Department: <br /> <br /> <br />