Agenda - Council - 07/13/2004 - Laserfiche WebLink

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.TI_ _ll".l- 14-2E~E14 :L2:2 ? C [ T'Y' PF_ RiqhlL:;E"r' %c -......- ,-.,. ..... '-,= ....... ....... .~-..-, P. 85 List below any felonies or gross misdemeanors or any crimes of tr, ett or ~ssuance or a worthless check of which you were convicted of within the ten (' OI most recent years and the nature of the crime or crimes at: which you i 7) Have you laken advantage of.any State or Federal bankruptcy or insolvency law or proceeding as a bankrupt or debtor within the ten (I O) most recenl years'.¢ 'LO if yes, explain: List below ~:_U_L..L names, dates of birth, and driver's license numbers and State at Issue of all employees otr'.er than the above applicant wr~o w~ll be seliing these goods in the City at Ramsay: ~,..,~-~ 19) Do you reside in Ramsay and nave your r~ome as o case for your business'¢ 'res: It yes, what i$ fn6 present zon,ng at the properiy~ If you reside within the city limits of Ramsay and your principal place of business is at your ,nome, you may ce subject to certain zoning regulbtions and you m~ have TO appiy f~r o co,naificna~ .JSe perrnif. 21) Please fill out COMPlETElY the olloched forms that ore required for fha Minnesota Departmem Of Revenue and Deparlmenf of Lobar and Industry. 5oma of this information may be repetitive, bu~ ~t is required by Minnesota Statute Sectfons 270.72 and ]75.~82. Applications will not be accepted until these forms ore Died ~urT~ ...... /. 22) In order to permit The verification of the information required Oy City Code, any person requireo to submit information as herein set forth shall not engage in selling or in making calls as described ir~ the C~ty Code dh'fi! seven (7) days have elapsed offer submilting the application. Licenses are good for The calendar year and must be renewed each ¥'eor. The LICENSE FEE OF ,.SI00.00 shail be paid at the time at al~plication. required is proof of ~nsurance par your corrlpony. I hereby certify that the foregoing statements are :rue and correct to the best at my Knowledge and fnat fha giving of false information or the failure Ia give pertinent information constitutes cause for revocation of This permH. Further, I agree Jo comply with o~1 the pDrovJsiorls of' the ordinance under which this license Is granted. Do This license will take effect as early as January 1, 2004 and will expire on December 31, 2004. The license fee of $!00,00 must be paid at the time of application,