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Jan 7 2005 10:08 P.04 <br />9. gas applicant ever been convicted of a felony? Yes No <br />Has applicant every been convicted of a misdemeanor or gross misdemeanor <br />for receiving stolen property, sale of stolen property or controlled <br />substance, burglary, robbery, damage or trespass to property, theft, <br />larceny, fraud, or any theft - related offense, or any law or ordinance <br />regulating the business of pawn broker or second hand goods dealer? <br />Yes No. If yes, provide date and place of conviction, nature 01 <br />the offense, penalty assessed, and whether or not the applicant remains <br />an probation or parole. <br />10. Does applicant have more than five percent (5 %) interest in a business <br />holding an intoxicating liquor license from the city? Yes No <br />If yes, what is the business name? <br />11. Have you ever had a pawn broker or second hand goods dealer license <br />revoked or denied? Yes No <br />If so, in what City /State and on what date. <br />NA <br />City /State Date Revoked <br />12. Do you currently hold a pawn broker or second hand goods dealer license <br />in any other City /State? <br />13. Do you intend to deal in precious metals or gems? illk Yes <br />If yes, attach a copy of your Ramsey County License. NJP <br />14. Do you intend to deal in firearms? Yes No <br />If yes, attached a copy of your Federal Firearms License. <br />15. Is eethere another second hand goods dealer at this location? <br />Yes No <br />If yes, is the business under the applicant's unified control and <br />supervision? <br />No <br />If yes, site plan must show location of central point or register at <br />which all sales must be consummated. <br />3 <br />