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c. The address of the premises where the retail establishment: is to be located if <br />proposed to have:a fixed location in: which the retail services are pro)" ided <br />and if the applicant does not own the premises, a copy of the lease.: <br />agreement to occupy the premises;. <br />d. Statement of whether all.taxes and: special. assessments due and owing on <br />the premises on which the applicant.proposes to operate the.licensed <br />business are current, and. if tares are delinquent, the years for which the <br />taxes on the premises are delinquent (this information is required by the <br />applicant only if the applicant or other entity -in which the applicant has an <br />interest has the legal -duty to pay said, property taxes or assessments due and. <br />owing); <br />e. The name of the business if the business is to be operated under a nanie or <br />designation other than the name of the applicant. This shall be accompanied <br />by.a. certified copy of the certificate required by Minn. Stats. H 333.01 and <br />333.02; <br />f. Proof of general liability insurance; <br />g. The applicant shall.produce at time of filing application the applicant's proof <br />of identification which may be established only by one of the fol101Ail.lg: <br />i. A valid driver's license or identification. card issued by Minnesota, <br />another state, or a province of Canada, and.. including the <br />photograph and date of birthx of the license person; <br />2. A. valid military identification card issued by the United States <br />Department of Defense; <br />3.. A valid passport issued by the United States; or <br />4. In. the case of a foreign..national, bya.valid passport. <br />For.purposes.:of proof of identification;. the "applicant" shall mean the on - <br />site manager or agent for a retail establishment filing the application and the. <br />natural person signing the.application,for. a cannabinoid product license;. <br />h. The application shall identify the full name, address, date and placeof birth, <br />and telephone number of the natural person, designated by the applicant as <br />the cannabinoid product business's on -site manager or..agent, along with the <br />notarized written consent of such a. person to: (1) take. full responsibility for <br />the Conduct of the .license premises operation; and (2). serve. as agent for <br />service of notices and other process relating to the licenses; <br />i. With: respect to the,owner, operator; or any person who has a five.percent <br />financial Interest in the proposed licensed cannahinoi.d product sales <br />business and the appointed. on -site manager or agent of the applicant, <br />information as to any and all criminal convictions of anystate, county, or <br />local law or regulation; <br />j. Proof of Workers.' Compensation Insurance. as required by Minnesota.law <br />and <br />k. Information as. to any and all criminal conviction(s) of any state, county, or <br />local law or. regulation; <br />1. Such other information as the city shall require. <br />