§ 112.12. Application and requirements.

Require Applicant to complete an application and registration of video game devices as set forth in Attachments "A" and "B".

ATTACHMENT "A"

LICENSE TYPES 1 AND 2
(LOUNGE/BAR/TAVERN/RESTAURANT)

Please submit the appropriate license fee with the New Application. Checks or money orders should be payable to: "City of Hitchcock". Cash will not be accepted.

The Applicant (business):

1.

Application must be complete and notarized

2.

Photograph of establishment (With address showing if possible)

3.

Diagram of Establishment showing proposed location of video gaming devices

4.

Articles of incorporation, Articles of Organization, Partnership Agreement (if applicable)

5.

Release of All Claims

6.

Request to Release Information

7.

Affidavit of Full Disclosure

8.

Copy of Property Lease Agreement (if applicable)

Each person required to meet suitability must submit the following:

1.

Personal History Questionnaire

2.

Release of All Claims

3.

Affidavit of Full Disclosure

4.

Request to Release Information

5.

2 FBI Fingerprint cards

ATTACHMENT "B"

LICENSE TYPES 3-8
HOTEL/MOTEL/OTB/RACETRACK/TRUCK STOP/DEVICE OWNER/SERVICE ENTITIY/DISTRIBUTOR)

1.

Application must be complete and notarized

2.

Photograph of establishment (with address showing if possible)

3.

Diagram of Establishment showing proposed location of video gaming devices

4.

Articles of Incorporation, Articles of Organization, Partnership Agreement (if applicable)

5.

Release of All Claims

6.

Request to Release Information

7.

Affidavit of Full Disclosure

8.

Zoning Certificate or Zoning Letter

9.

Copy of Property Lease Agreement (if applicable)

Each person required to meet suitability must submit the following:

1.

Personal History Questionnaire

2.

Personal Financial Questionnaire

3.

Release of All Claims

4.

Affidavit of Full Disclosure

5.

Request to Release Information

6.

2 FBI Fingerprint cards

(Ord. No. 2010-908A, 8-9-10)