If the applicant for license is an individual, the application shall state the full
residence address of the applicant and that the applicant is to be personally and
actively in charge of the business for which the license is sought, or if any other
qualified certificate holder is to be actively in charge of such business, the application
shall so state and set forth the name of the person. The application shall also state whether the applicant has ever used an alias. The application shall be subscribed and verified by the applicant and, if any other
person is to be actively in charge of the business, the application shall also be
subscribed and verified by that person.
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