§ 10-5. Same—Application requirements; oath.

(A)

The application for said business shall be signed and dated by the applicant and contain answers to the following questions:

(1)

What is the kind of business to be operated?

(2)

What is the name of the business?

(3)

What is the location where such business is proposed to be carried on and the telephone number of said location?

(4)

What is the name of the applicant for the license, and the home address and telephone number of said applicant?

(5)

Where has applicant resided for the six months preceding the date of this application?

(6)

What was the applicant's previous home address, and how long was applicant a resident there?

(7)

What is the Social Security number of said applicant?

(8)

Applicant intends to do business as:

Individual; or

Partnership; or

Corporation?

(9)

Personnel of applicant: If the applicant is an individual, name the individual applying; if a partnership, name all the members of the partnership; if a corporation, name the president, vice-president, secretary and treasurer, as well as the board of directors; list all employees by name, title (individual, partner or corporation), age and residence address.

(10)

Who is the landlord or owner of said location, and what is the address and telephone number of said landlord or owner?

(11)

Has the applicant or any person connected with, employed by or having any interest in said business:

(a)

Been charged or convicted of any violation of law (other than minor traffic violations) in any locality?

(b)

Served time in prison, or other correctional institution?

(12)

If the answer to section (a) of the above question is "yes," state the circumstances in detail. Information must be complete as to dates, charges, court jurisdiction and disposition for each person. If the answer to section (b) of the above question is "yes," state the circumstances in detail. Information must be complete as to the charge on which convicted, name of prison or correctional institution, length of time served, date of release from prison or correctional institution, whether sentence has been completed, or whether on probation or parole, and the terms thereof.

(13)

Give the name, home address and telephone number and place of employment of two persons who are residents of Columbus, Georgia, who are familiar with your character and reputation.

(B)

The following oath shall be required on the application:

"All of the following information is hereby given and all of the foregoing statements are hereby made on oath, willfully, knowingly and absolutely, and the same is hereby sworn to be true under penalty for false swearing, as provided by law.

	/s/ Applicant's Signature

Sworn to and subscribed before me, this_______day of_______, 19_______.

	/s/ Notary Public"

(Ord. No. 81-20, § 1, 3-5-81)