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1 6) .is~ below any ieionies or gross misdemeanors ,or any crimes of theft or issuance of o worthless ,check of which <br /> you .... were canvictea of within the ien [10) most recent years and the nature of the ._,"r~,me or crimes of which you <br /> <br />i7) Hove you iaken advantage of any Stale or Federal O~ni?~J,2,~c.y ,or insolvency Iow or proceeding as a bankrupt <br /> r~n, ;/ears? / \//F----~.lf ye~. exDiain: <br /> or ,..debtor within the ten (]0i mos.:. ~-~ ~ <br /> <br />List below FULL homes, dates of Direr',, and driveris license numDers and State of Issue of all <br /> ~mplo¥~o other <br />than the a,oove aPPlicant wno ~ili De selling thes~ aooas in the ~i~v~ ,, of Ramsay:, <br /> <br />. ,° Dovou' reside in Romsey onO hove your nome as o base for your Dusiness~ v~,~s.. ,rx~ [.,: \ No: <br /> <br /> If vo~, ~., what ,.i~ the oresent zoninq_ of the property?, <br />If you reside 'wiflqin the ~i*, is your ' ~'~ <br /> ~.,? limits of Ramsay and your ; ~; ' ~ ' <br /> n~,,l=, you may <br /> , pr,n~,p~.~.plo~e of business <br />suDject fo ce~oin zoning regulations o~o you may hove to appl?'for o conditional use permii. <br /> <br /> Deportmeni of Lo,or and Inous~q*. Some of this information may be repe-ffiive, but ii i~ required by Minnesota <br /> ~ ' I OTF~ 70 ' ~ ' ~ 0~ <br /> Statute beCTIOP. S ...... and ~/0.~,. Appiicotions wilt not be occepied until these floras ore filled <br /> cOmple~ <br /> <br />22) In order tc permit the verification of fha information required by City Code, any person required to submit <br /> information ,as herein set fomh snoli no1 engage in selling or in mokinc coils os described in the City Code until <br /> seven (7) days have elapsed offer summifting the appiicoiion. Licenses ore good fo~ lhe coiendmr year' <br /> ,must be reneweO each year. The LICENSE- ~EE OF 5100.00 shoti be paid al lhe time of application. .Also <br /> -required i$ proof of insurance for your company. <br /> <br />I hereby cart fy thOT the foregoing simiements ~re true mhd correcl 1o the b_~, of my knowledge and that the givinq <br />oF false information or the ioiiure ~o. give peHineni ~nformmfion constitute: cause for revocation of this permil. <br />FurTher, i agree ~o comply with all the provisions o~ the ordinance under w~ich this license is granted. <br /> <br />mppiicont s Siqnoture: <br /> <br />This license will take effect as early as January 1, 2004 and will expire on December 31, 2004. <br />The license fee of. 51 00.00 must be paid at the time of application. <br /> <br />DO NOT WRITE BELOW THIS LINE - FOR CITY USE ONLY <br /> <br />~eeceiveaon ~_ ( -- C ;<-{ , <br /> <br />~,pDroved' OFi' <br /> <br />-80- <br /> <br /> <br />