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14. Have you ever been convicted of any felony, crime, or violation of any ordinance, other than <br />traffic? Yes ❑ No A( If yes, give information as to the date, place, and offense <br />for which convictions were had. <br />15. List the names, resident addresses, and business addresses of three residents of Minnesota, of <br />good moral character, not related to the applicant or financially interested in the premises or <br />business, which may be referred to as the applicant's character. <br />Full Name <br />Residence <br />Business A. <br />Full Name: <br />Residence E <br />Business Ac <br />Full Name: <br />Residence f <br />Business At <br />it -3 <br />I declare that the information I have provided is truthful and I understand that falsification of <br />answers on this application may result in denial of this application. I authorize the City of Elk <br />River to investigate and make whatever inquiries are necessary to verify the information provided. <br />Applicant Signature <br />Date <br />OFFICE USE ONLY <br />Application complete ��la�� 1 s License Fee paid la 1,2211, S J <br />Proof of graduation attached? Yes ❑ No ❑ <br />Proof of 500 hours attached? Yes ❑ No ❑ <br />Licensing period <br />Council approval granted <br />