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• <br /> • <br /> • <br /> • <br /> • <br /> 1 a. The name, home address, home telephone number, date <br /> and place of birth, and social security number of the <br /> 2 applicant if the applicant is an individual. <br /> 3 b. The business name, address and telephone number of <br /> the establishment. <br /> 4 <br /> c. The names, addresses, telephone numbers, and social <br /> 5 security numbers of any partners, corporate officers, <br /> shareholders who own ten percent or more of the <br /> 6 business, or other persons who have a substantial <br /> interest or management responsibilities in connection <br /> 7 with the business, specifying the interest or <br /> management responisibility of each. For the purpose <br /> 8 of this subsection "substantial interest" shall mean <br /> ownership of ten percent or more of the business, or <br /> 9 any other kind of contribution to the business of the <br /> same or greater size. <br /> 10 <br /> d. The name, address and telephone number of the owner <br /> 11 of the property on which the panoram premise is <br /> located. <br /> 12 <br /> 2. All applications for a panoram device license shall be <br /> 13 submitted on a form supplied by the Clerk and shall be <br /> submitted in the name of the person or entity owning the <br /> 14 panoram devices and shall be signed by such person or his <br /> agent and notarized or certified as true under penalty of <br /> 15 perjury. The form shall require the following information: <br /> 16 a. The business name, address, and telephone number of <br /> the location of the panoram devices. <br /> 17 <br /> b. The name, address, and telephone number of the owner <br /> 18 of the panoram devices. <br /> 19 c. A description of each of the panoram devices located <br /> at the location in subsection a. <br /> 20 <br /> d. The name and address of the owner of the business <br /> 21 where the panoram devices are located as described in <br /> subsection a. <br /> 22 <br /> 3. All applications for a manager's license shall be signed by <br /> 23 the applicant and notarized or certified to be true under <br /> penalty of perjury. At the time of application a picture <br /> 24 shall be taken of the applicant by the City Clerk. All <br /> applications shall be submitted on a form supplied by the <br /> 25 City Clerk, which shall require the following information: <br /> 26 a. The applicant's name, home address, home telephone <br /> number, date and place of birth, and social security <br /> 27 number. <br /> 28 b. With the application the applicant shall present <br /> picture identification which shall include (i) a <br /> 29 motor vehicle operator's license issued by any state <br /> bearing the applicant's photograph and date of birth; <br /> 30 or (ii) an identification card bearing the <br /> applicant's photograph and date of birth. <br /> 31 <br /> 32 <br /> 2 <br />