Each permit shall be issued in accordance with the provisions of this section and shall set forth upon the face thereof the following:
1. The name of the person to whom issued.
2. The name of said business.
3. The address where the premises are located and where the address is different from that of the applicant, the address designated by the applicant or his or her authorized agent for mailing purposes. The mailing address so appearing shall be the address to which all notices required or authorized by this article shall be sent unless the applicant or permittee shall request in writing that another address be used for such purposes.
4. The signature of the Chief printed thereon.
5. The date of expiration of the permit and the date upon which the annual permit fee shall be due and payable.
6. A list of the Unified Program elements authorized at the facility.