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(6) <br /> <br />(7) <br /> <br />(8) <br /> <br />(9) <br /> <br />(10) <br /> <br />(11) <br /> <br />(12) <br /> <br />(13) <br /> <br />(14) <br /> <br />(16) <br /> <br />(17) <br /> <br />(18) <br /> <br />Business and home telephone numbers. <br /> <br />Employment history for the past five {5) years. <br />A statement as to whether the owner has been convicted <br />of any crime other than traffic offenses and, if so, <br />the date and place of conviction, the nature of the <br />offense, and the penalty imposed. <br />Whether the owner has ever conducted an amusement <br />device business and , if so, when, where and for <br />how long. <br /> <br />Nature and description of operation of main type <br />of business activity to be conducted upon the premises. <br /> Nature and description of operation of any business to <br /> be conducted in conjunction with the amusement-device <br /> business, and the anticipated percentage of gross <br /> revenue to be derived from each respective business. <br /> Address and telephone number of the premises and of <br /> the business, if different than that of the premises. <br /> Name under which the business and premises wtll be <br /> operated. <br /> <br /> A statement as to whether the owner will directly <br /> operate the amusement-device business, or whether an <br /> operator who is not an owner will operate it, and <br /> if the latter, the application shall contain information <br /> required by this Section supplied in detail as to <br /> each such operator. <br /> <br /> A floor plan of the premises and inmmdiate vicinity <br /> drawn to scale, shOWing the square footage and placement <br /> of amusement devices, exits, windOWs, storage spaces, <br /> bicycle storage racks, and off-street parking. <br /> o~.ap showing all schools, playgrounds, parks or <br /> ther arcade amusement centers within a radius of one <br /> thousand (1,000) feet of the premises and all churches <br /> within a radius of five hundred (500) feet of the premises. <br /> Name, address and telephone number of agent of business <br /> upon whom service of process can effectively and validly <br /> be made. <br /> The number, type, name, model and manufacturer's <br /> serial number of each amusement device requested to <br /> be licensed. <br /> The name and address of the owner, distributor, and <br /> manufacturer of each amusement device requested <br /> to be licensed. <br /> Specification of terms of agreement governing the <br /> acquisition and installation of each amusement device <br /> requested to be licensed- <br /> <br />7 <br /> <br /> <br />