(a) The full name and address of the applicant;
(b) The municipality, county and street address where the business is to be operated;
(c) Whether or not the applicant is an individual, partnership or corporation;
(d) In the case of an individual, both the business and residence address of the applicant;
(e) In the case of a partnership, the names and business and residence addresses of all partners; and
(f) In the case of a corporation, the domicile thereof and the names and business and residence addresses of each officer and director thereof.
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