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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 provided <br />andif the applicant does. not own the premises;.a eopy.. of the lease <br />agreement to occupy the premises; <br />A.. Statement of whether all taxes and special assessments. due and owing on <br />the premises on which the. applicant proposes topperate.the licensed <br />business are current, and if taxes are delinquent; the years: for which the <br />taxes on. the premises .are delinquent (this information is.requited by the <br />applicant only if the applicant or other entity in which the applicant has an <br />interest has the legal duty to paysaid property taxes or assessments due and <br />owing); <br />e. The*narne of the business if the business is to: be operatedunder a name 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 maybe established only by one of the following: <br />z.. Avaliddriver's lime or identification card issued. by Minnesota, <br />oApther state, or a province of Canada, and including.the: <br />phaatograph and date.of birth of the license person; <br />.2. Avalid military identification card issued by the- United States <br />pepartment :of Defense; <br />3. Avalid passportissuedby the United States; of <br />4. In the case of a foreignnational,:by a:valid.passport. <br />For purposes of proofofidentification, 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 place of 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 personto: (x) take full responsibility for <br />the conduct Afthe license is 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 aiay person who has a five percent <br />financial interest in the proposed lieensed.eannabinoid 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 any state, county, or <br />Iocal law:or regulation; <br />J. Proof of Workers' Compensation:Insurance as required by Minnesota la* <br />and <br />k. Information as to any and all criminal. conviction(s) of.anystate, county, fir <br />local law.or regulation; - <br />Such other information. as the city shall require. <br />