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15. Type of Activity: <br />16. Description of Activity: <br />17. Other cities or communities where you've applied for or held a <br />license to operate a similar type of business: <br />18. Have you, or in the case of a corporation, the owners of more than 5% <br />of the outstanding stock of the corporation, been convicted of a <br />gross misdemeanor or felony relating to a sex offense or to the <br />operation of an adult use and related activities? If yes, <br />explain: <br />19. Please fill out COMPLETELY the attached forms that are required for <br />the Minnesota Department of Revenue and Department of Labor and <br />Industry. Some of this information may be repetitive, but it is <br />required by Minnesota Statute Sections 270.72 and 176.182. <br />Applications will not be accepted until these forms are filled out <br />completely. <br />20. The license will take effect on January 1, 1990 and will expire on <br />December 31, 1990. The license fee as prescribed by Ordinance must <br />be paid at the time of application. <br />** <br />The undersigned applicant makes this application pursuant to all the <br />laws of the City of Little Canada, Ramsey County, State of Minnesota <br />and such rules and regulations as the City Council of the City of <br />Little Canada may from time to time prescribe. <br />Applicant's Signature: <br />Date: <br />The applicant is required to submit, at the time of application, a <br />building plan drawn to scale of the premises showing location of all <br />activities. <br />Received on <br />Receipt # <br />Approved on <br />Police Department Findings: <br />9 <br />Page 102 <br />