§ 116-5. Application for license.

Any person, firm, corporation or other entity desiring to procure a license as required in § 116-4 of this chapter shall apply therefor, in writing, to the Borough Secretary. Such application shall set forth the following information:

A. 

The name and residence of the person, firm, partnership or corporation applying for the license.

B. 

The name and residence of the owner of each jukebox, pool table or video or mechanical amusement device to be licensed.

C. 

The name and residence of the proprietor of the business establishment in which each jukebox, pool table or video or mechanical amusement device is to be located, used or installed.

D. 

If the owner of the business establishment is not the applicant, then the applicant shall set forth the length of the time for which the premises has been leased and whether applicant is a citizen of the United States.

E. 

The manufacturer, name of machine, serial number, type and fee for each machine, video or mechanical device, pool table, jukebox or apparatus to be located on the premises, installed or used.

F. 

A verification by the applicant, owner and proprietor that the facts set forth in the application are true and correct to the applicant's, owner's and proprietor's personal knowledge, information or belief and that any false statements therein are made subject to the penalties of the Crimes Code, 18 Pa.C.S.A. § 4904, relating to unsworn falsification to authorities.

G. 

That the applicant has been provided a copy of this chapter and that the applicant has read and agrees to be bound by all terms and provisions hereof.

H. 

That a license does not sanction or condone the use or possession of any illegal gambling device, whether illegal per se or as modified.

I. 

That the Borough shall notify the appropriate law enforcement officials of the use or possession of per se modified or other illegal gambling devices, whether or not such devices are licensed.

J. 

That the Borough shall immediately revoke the license of any device illegally used or possessed, either per se or as modified.

K. 

That the illegal use or possession of an unlawful gambling device, either per se or as modified, may result in a criminal prosecution by Borough or other law enforcement officials.