Sec. 10-42Application contents

Each application for an adult entertainment establishment occupation tax certificate shall contain the following information:

(1) The applicant's full true name.

(2) The present address and telephone number of the applicant.

(3) Acceptable written proof that the applicant is at least 21 years of age.

(4) Business, occupation, or employment history of the applicant for the five years immediately preceding the date of application. Business or employment records of the applicant, partners in a partnership, directors, and officers of a corporation.

(5) The business license or occupation tax history of the applicant and whether such applicant, in previous operations in this or any other city, state, or territory under license, has had such license or occupation tax certificate for an adult entertainment business or similar type of business revoked or suspended, the reason therefore, and the business activity or occupation subsequent to such action of suspension or revocation.

(6) If the applicant is a corporation, the name of the corporation shall be set forth exactly as shown in its articles of incorporation or charter, together with the place and date of incorporation and the names and addresses of each of its current officers and directors. If the applicant is a partnership, the applicant shall set forth the name, residence address, and dates of birth of the partners. If the applicant is a limited partnership, it shall furnish a copy of its certificate of limited partnership filed with the county clerk. If one or more of the partners is a corporation, the provisions of this subsection pertaining to corporations shall apply. The applicant corporation or partnership shall designate one of its officers or general partners to act as its responsible managing officer. Such designated persons shall complete and sign all application forms required of an individual applicant under this chapter, but only one application fee shall be charged.

(7) If the applicant, any partners, or any corporate officers or directors, if the applicant is a corporation, have been convicted of any crime involving good moral character in the past five years and, if so, a complete description of any such crime including date of violation, date of conviction, jurisdiction and any disposition, including any fine or sentence imposed and whether terms of disposition have been fully completed.

(8) If applicant is a person doing business under a trade name, a copy of the trade name properly recorded. If the applicant is a corporation, a copy of authority to do business in Georgia, including articles of incorporation, trade name affidavit, if any, and last annual report, if any.

(9) At least three character references from individuals who are in no way related to the applicant or individual shareholders, officers, or directors of a corporation and who are not or will not benefit financially in any way from the application if the occupation tax certificate is granted and who have not been convicted of any crime involving moral character. The business license manager shall prepare forms consistent with the provisions of this subsection for the applicant who shall submit all character references on such forms.

(10) Address of the premises to be regulated.

(11) Whether the premises are owned or rented.

(12) A plat by a registered engineer, licensed by the State of Georgia, showing the location of the proposed premises is not inconsistent with the provisions contained in section 10-39 which provide that no adult business or use restricted shall be located within 1,000 feet of any parcel of land which is zoned for multifamily or single family use or purposes; within 1,000 feet of any parcel of land upon which a church, school, governmental building simultaneously owned and occupied by such government, library, civic center, neighborhood public park, or neighborhood playground is located; within 1,000 feet of any parcel upon which another establishment regulated or defined hereunder is located; within any zoning category other than industrial or general commercial; within 1,000 feet of any parcel of land upon which an establishment is licensed to sell any form of alcoholic beverages; within 1,000 feet of any parcel of land upon which a day care center or child-care facility is operated.

(13) Each applicant for an adult entertainment establishment occupation tax certificate shall be verified and acknowledged under oath to be true and correct by:

a. If the applicant is an individual, the individual;

b. If by a partnership, by the manager or general partner;

c. If a corporation, by the present of the corporation;

d. If any other organization or association, by the chief administrative official.