§ 114.04   APPLICATION CONTENT.
   Application for a permit hereunder shall contain:
   (A)   The name and address of the applicant and all persons who have any interest, direct or indirect, in the business.  In the case of a corporation, all officers, directors, and stockholders shall be shown;
   (B)   The address of the proposed location of the business;
   (C)   The record of any criminal convictions of all persons interested, directly or indirectly, in the business;
   (D)   The type of merchandise proposed to be dealt in;
   (E)   If the applicant or any interested person shall have previously been engaged in this type of business, the location and dates so engaged shall be shown; and
   (F)   The application shall be signed and sworn to before a notary public by all persons required to be identified under subsection (A) above.