(a) Information Required. An applicant for a smoking lounge license shall annually file in person at the office of the Village Clerk, a completed application on any form acceptable to the Village Clerk. The application shall be signed as required herein and shall be notarized. An application shall be considered complete when it contains, for each person required to sign the application, the information and/or items required in paragraphs (1) through (8) below, accompanied by the required application and license fees:
(1) The applicant's full true name and any other names used by the applicant in the preceding seven (7) years. If the applicant is a partnership, corporation, limited liability company, or other legal entity, then all persons with an influential interest in the entity shall be deemed an applicant and shall provide the information required by this article. Each applicant must be qualified under Section 770.05 and each applicant shall be considered a licensee if a license is granted.
(2) Current business address or another mailing address of the applicant.
(3) Written proof of identity, in the form of a driver's license or a copy of a birth certificate accompanied by a picture identification document issued by a governmental agency.
(4) The business name, location, zoning classification, legal description, parcel identification number, mailing address and phone number.
(5) The name and business address of the designated local agent who is responsible to supervise the premises and activities and who is authorized to receive service of process.
(6) A statement of whether any applicant has been convicted of or has pled guilty or nolo contendere to a criminal act as defined in this Chapter, and if so, specify each criminal act involved, including the date, place, and jurisdiction of each, as well as, the dates of conviction and release from confinement, where applicable.
(7) A statement as to whether any business in which an applicant has had an influential interest, has, in the previous seven (7) years, and at the time during which the applicant had the influential interest:
A. Been declared by a court of law to be a nuisance, as defined under any applicable law; or
B. Been subject to a court order of closure or padlocking.
(8) Statement of nature of proposed operation
The information provided pursuant to paragraphs (1) through (8) of this subsection shall be supplemented in writing by certified mail, return receipt requested, to the Village Clerk within ten (10) working days of a change of circumstances which would render the information originally submitted false or incomplete.
(b) Signature Required. If a person who wishes to operate the business is an individual, the person shall sign the application. If a person who wishes to operate a business is other than an individual, each person with an influential interest in the business shall sign the application for a license as applicant.
(c) Application Fee. A nonrefundable application fee of one hundred dollars ($100.00), payable to the Village, shall be due at the time of application and annually thereafter for renewal applications.
(d) Disclosure. The information provided by an applicant in connection with an application for a license under this article shall be maintained by the Village Clerk's Office and all personal information shall be deemed confidential and may be disclosed only as required by law or by court order.
(Ord. 2014-09. Passed 3-4-14.)