Sapd Form Sob-2 - Sexually Oriented Business Manager Permit Application Form
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2CITY OF SAN ANTONIO
SEXUALLY ORIENTED BUSINESS (SOB)
MANAGER PERMIT APPLICATION
PRINT USING BLACK OR BLUE INK ONLY
Section A: Identification Data
DATE OF APPLICATION
NAME AND ADDRESS OF SOB WHERE YOU WILL BE WORKING
1. ALIASES:
NAMES & DATES OF USE
2. REAL NAME:
LAST
FIRST
MIDDLE
MAIDEN NAME
3. RESIDENTIAL ADDRESS:
STREET ADDRESS
COUNTY & CITY
STATE
ZIP CODE
STREET ADDRESS
4. PRIOR RESIDENTIAL
ADDRESSES DURING
COUNTY & CITY
STATE
ZIP CODE
THE PRECEDING TEN
YEARS
STREET ADDRESS
(If necessary, attach
additional sheets)
COUNTY & CITY
STATE
ZIP CODE
STREET ADDRESS
COUNTY & CITY
STATE
ZIP CODE
5. BIRTH INFORMATION:
MONTH/DAY/YEAR
PLACE OF BIRTH
CITY, COUNTY & STATE
6. DESCRIPTORS:
RACE
SEX
WEIGHT
HAIR COLOR
EYE COLOR
HEIGHT
7. TATTOOS:
DESCRIPTION
LOCATION
8. IDENTIFICATION:
Driver's License/State
Identification No./State
U.S. Passport No.
Military I.D. No.
9. POINT OF CONTACT:
Your Telephone No.
Section B: Criminal Information
10. HAVE YOU BEEN CONVICTED OF ANY OF THE FOLLOWING OFFENSES WITHIN TEN YEARS
IMMEDIATELY PRECEDING THE DATE OF THIS APPLICATION?
a. Prostitution or Promotion of Prostitution
YES _____
NO _____
b. Aggravated Promotion of Prostitution
YES _____
NO _____
c. Compelling Prostitution
YES _____
NO _____
d. Obscenity
YES _____
NO _____
e. Sale, Distribution of Display of Harmful Material to a Minor
YES _____
NO _____
f.
Sexual Performance By A Child
YES _____
NO _____
g. Employment Harmful To Children
YES _____
NO _____
h. Possession of Promotion of Child Pornography
YES _____
NO _____
i.
Public Lewdness or Indecent Exposure
YES _____
NO _____
j.
Indecency With A Child
YES _____
NO _____
k. Sexual Assault, or Aggravated Sexual Assault
YES _____
NO _____
l.
Harboring a Runaway Child
YES _____
NO _____
m. Criminal attempt, conspiracy or solicitation to commit any of the above offenses
YES _____
NO _____
n. A felony in any jurisdiction
YES _____
NO _____
o. Any Violation of City Ordinance Number 2012-12-06-0933 (Sexually Oriented Business), as
YES _____
NO _____
amended
p. Texas Penal Code 20A.02 - Trafficking of Persons
YES _____
NO _____
Page 1 of 2: December 2012
SAPD Form SOB-2
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Parent category: Business