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<br /> "y" <br /> ' . ' ,.16yS' :14y ' , %N r . <br /> " . . 3 -,a~i+~' . - . ' _ • ' " t ~,~`,w I.,/~ ~ <br /> <br /> . ~ <br /> <br /> • ' 4 F ~7;eb: <br /> <br /> <br /> <br /> MiS1T1e30t8 <br /> licensecl/physician indicating tYaat the <br /> applicant has been exami.ned less than, <br /> tlzirty (30) days prior to the applica- <br /> tion and has been found free of <br /> comaaunicable diseases. <br /> (31 If the applicarat is a partnership: <br /> <br /> a. The names and addresses of all partalers <br /> and all 3nforiaation concerning each <br /> partner as is requf.red of an individual, <br /> applicant in subsection (2) hereinabovet <br /> b. The name and address of the managinq <br /> partner(ss) and the interest of each <br /> ..part.rser in the bus ines s; <br /> <br /> c. Iai true copy of the Partnership Agree- <br /> ment, attached to the appla.cation, as <br /> well as.a certified copy of the certifi- <br /> cation as to trade name required by <br /> ' M.S.A. Chapter 333; <br /> (41 If the applicaait is.a corporation or other <br /> organization: .;d <br /> <br /> a. The natne and, if incorporated, the <br /> jurisdiction and date of incorporation; <br /> b. A true copy of the certificate or <br /> Articles of Incorporation, br Associa- tion Agreement, and the By-Laws or <br /> <br /> Constitution thereof attached to the <br /> application, and, if a foreign corpora- <br /> tion, a Certificate of Autfiority as <br /> . , described in M.S.A. Chapter 303 like- ~ <br /> wise attached; . <br /> c. The names and addresses of all stock- <br /> holders, directors, officers, associates, <br /> managers, and agents,of the corporation <br /> and all infonaation concerning them as <br /> is required in subseotion (2) herein- <br /> above; <br /> d. A list of all persons who controZ or own an interest in excess of five per- <br /> <br /> cent (5%) in such corporation or <br /> association; <br /> <br /> - e. If the applicant is a non-profit cor- <br /> poration; a list ot all iuembers thereof, <br /> whether the applicant has for more than two (2) years prior to application <br /> owned or leased a building or space in <br /> a building suitable and adequate for <br /> the accommodation of its members, and <br /> a statement of the purposes for which <br /> . the corporation was incorporated. <br /> <br /> <br /> <br /> <br /> <br /> - 6 - ~ <br /> ~i <br />