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Apr 13th, 2017
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  1. [divbox=white][center][flb][/flb][b][size=110]
  2.  
  3. T1 CCWP Application Form 1.A19[/size][/b][/center][/divbox][divbox=Black][/divbox][divbox=White][size=65]Firearm permit application format, last updated as of the 19th of January, 2017. Developed by the Firearms Licensing Division of the Los Santos Police Department in accordance with the laws and acts set forth by the Supreme Court of San Andreas.[/size][hr][/hr]
  4. [b][size=90](Applicant Information Section)[/size][/b]
  5.  
  6. [b]Title:[/b]
  7. - Ms
  8. [b]Name:[/b]
  9. - Aileen Byrne
  10. [b]Date of Birth:[/b]
  11. - State here (08/04/1990)
  12. [b]Primary Address:[/b]
  13. - #2, Penn Street.
  14. [b]Secondary Address:[/b]
  15. - #2, Sunset Blvd.
  16. [b]SSN (( Fingerprint from UCP )):[/b]
  17. - E60A814AA47C0995CC2C67380D785BC7
  18. [b]City of Residence:[/b]
  19. - Los Santos.
  20. [b]State of Residence:[/b]
  21. - San Andreas.
  22. [b]Time of Residence:[/b]
  23. - 6 years.
  24. [b]Phone Number(s):[/b]
  25. - 697-660
  26. [b]Firearm usage experience:[/b]
  27. - Do you know how to use a firearm safely? If so, please explain how you acquired this knowledge/skills.
  28. [i] Yes, I do. When I was young my father used to take me often to the gun range when my mother was shopping with my sister. He's tought me the basic "rules" of weapon handling aswell as how to maintain them safe & efficient for constant use.[/i][/divbox][divbox=Black][/divbox][divbox=White][b][size=90](Relevance Section)[/size][/b]
  29.  
  30. [b]CCWP Variant:[/b]
  31. [X] Civilian
  32. [ ] Law Enforcement Officer
  33. [ ] Retired LEO (LEOSA)
  34. [b]If former LEO:[/b] state DEPARTMENT, RANK, and DATE OF DISCHARGE.
  35.  
  36. [b]Occupation:[/b] (Company and full title)
  37. - N/A.
  38. [b]Properties:[/b] (Type, address, zoning, and ensure you include zip code+4 (( interior ID )) )
  39. - #2, Penn Street. (2409)
  40. - #2, Sunset Blvd. (1262)
  41. - The Lash House. (2122)
  42. [b]Vehicles owned:[/b] (Make, model, year, plates and VIN)
  43. - 2016 Land Rover Range Rover Sport SVR - Plates: A1L 333N | VIN: 17824
  44. - 1958 Ford F100 - Plates: HU3 2006 | VIN: 25487
  45.  
  46. SCREENING:
  47. [b]Have you ever had encounter(s) with law enforcement, government, or the courts in a negative manner?[/b]
  48. - No.
  49. [b]Have you ever been suspected (not convicted) of any crime (felony or misdemeanor), and/or committed assault, vandalism, or a similar crime?[/b]
  50. - No.
  51. [b]Have you ever used or discharged a firearm without holding a valid CCWP?[/b]
  52. - No.
  53. [b]If you moved into San Andreas, do you have a criminal record/file in another US territory or state, excluding the State of San Andreas?[/b]
  54. - No.
  55. [b]Have you ever been diagnosed with a mental disorder or experienced any mental issues?[/b]
  56. - No.
  57. [b]IF YES, state:[/b] Description of disorder(s)/mental issue(s)
  58. [b]Do you have a history of substance/alcohol abuse or domestic violence?[/b]
  59. - No.
  60.  
  61. [b]Why are you applying for a permit to carry a concealed handgun?[/b] [i](Minimum 150 words; LEO applicants are exempt from the 150 word requirement, however should still put forth effort to establish their intentions with the permit)[/i]
  62. - [i] As a concerned citizen of this hell of a city we call Los Santos, I think anyone who spends any time around a week in this place and does not have severe mental issues is capable of noticing the problems the city is going through, whether it's for insecurity or generally the lack of care from the citizens themselves. Getting a CCWP license is my best option when it comes to protecting whether it's myself or my family in general, especially after the notable rise of illegal activity. Me, my family members & acquaintances have all been robbed at least once, and me myself have even been kidnapped lastly in the lapse of 72 hours.
  63. I am also a proud citizen of the United States of America and the second amendment protects my right as a citizen to keep and bear a weapon, and thus here I am applying for the CCWP.[/i][/divbox][divbox=Black][/divbox][divbox=white][b]LSPD FIREARM CCWP - TERMS OF AGREEMENT[/b]
  64. [size=70]The Los Santos Police Department, henceforth referred to as the CCWP Issuer, is officiated to register, distribute, regulate and maintain CCWP Holders. All CCWP Applicants, henceforth referred to as CCWP Holders, agree to acknowledge and abide by the following terms of licensing:
  65.  
  66. • CCWP Holders are to adhere to all local ordinances, state & federal laws, and regulatory policies issued by the CCWP Issuer and/or its officiated personnel.
  67.  
  68. • CCWP Holders are to read the terms/policies regarding registration, distribution, regulation and maintenance as they are subject to change without prior notification.
  69.  
  70. • CCWP Holders are allowed to hold up to two licenses, one for smaller caliber firearms (Tier 1) and the other for automatic rifles and specialized firearms (Tier 2) if granted by the CCWP Issuer.
  71.  
  72. • CCWP Holders are subject to all local, state, and federal laws or acts regarding self defense. Any usage of your firearm in violation of these laws or acts is disallowed. Private sport shooting may be done in a secure private range.
  73.  
  74. • CCWP Holders are to immediately contact and notify the LSPD if their firearm is stolen or their license is missing/stolen and shall be subject to loss of license with a ban for future registration if they fail to do so.
  75.  
  76. • CCWP Holders are to register their firearms within 72-hours of purchasing their firearm and are to provide accurate and truthful information. Failure to register all possessed firearms or invalid registrations may subject the CCWP Holder to loss of license and other applicable consequences.
  77.  
  78. • CCWP Holders are to immediately contact and notify the LSPD if their (personal) situation changes, they move to another address, or a change occurs that could reasonably change the CCWP Holder's permit standing.
  79.  
  80. • Official representatives of the Firearms Licensing Division, Los Santos Police Department, reserve the right to request identification and documentation for your firearm if stopped as well as to verify proper storage of your firearm on your person or in your vehicle.[/size][/divbox][divbox=Black][/divbox][divbox=white][b]LSPD FIREARM CCWP - DECLARATION OF ACKNOWLEDGEMENT[/b]
  81.  
  82. [size=70]I declare that I have read, agree to abide by, and am aware of all the firearm laws of Los Santos, San Andreas. I will follow, at all times, all of the rules and regulations of the Concealed Carry Weapon Permit and have read, understood, and agree to abide by the Terms of Agreement. I understand that if the permit is issued to me, I take full responsibility of it and my actions with it. I understand that all fees that are being paid for the processing of this permit are nonrefundable. I am aware that any misuse of my firearm may result in legal repercussions against me and can have consequences for my CCWP standing. I agree and am aware that the LSPD may conduct extensive background checks in any way the LSPD feels necessary in the course of this application or after as far as the LSPD deems it required.
  83.  
  84. I hereby declare that I have read, understood and agree to abide by all of the rules and regulations for the CCWP and that I will abide by all laws, rules and regulations set forth to regulate it.
  85.  
  86. [b]Signature:[/b] [i]Aileen Byrne.[/i]
  87. [b]Date:[/b] [i]08/04/2017[/i][/size][/divbox][divbox=Black][/divbox][divbox=white][b](( OOC INFORMATION ))[/b]
  88.  
  89. [b]Ingame Account Name:[/b] JuanTwoThree.
  90. [b]OwlGaming Community Forum Account Name:[/b] JuanTwoThree.
  91. [b]List the names of all your alternative characters, Dead/Alive/Deactivated:[/b] Here (Do not use a screenshot for this)
  92. [b] Active & alive[/b]:
  93. - Aileen Byrne.
  94. - Benito Ascolese.
  95. - Einar Bjarke.
  96. - Matt Hammond.
  97. - Jax Beaumont.
  98. - Marcus Elliott.
  99. - Miguel Carton.
  100. - Sebastian Beaumont.
  101. - Taryn Beaumont.
  102. - Taryn Hoffman.
  103. - Zoey Telford.
  104.  
  105. [b]Deceased[/b]:
  106. - Taryn Hammond.
  107. - Devin Crawford.
  108.  
  109. [b]Deactivated[/b]:
  110. - Bahiyya Faddl Akdehulli.
  111. - Aiden Thrustmore.
  112. - Connor Hammond.
  113. - Darriel Gibson.
  114. - Jackson Crawford.
  115. - Juan Carlos Rivera.
  116. - Wei Tse Changming.
  117. [b]Did you ever change your in-game or community forums account name?:[/b] YES/NO
  118. [b]If you changed account name, list all previous to current account names:[/b] Ingame: JuanMartin321 and/or Forums: JuanMartin321
  119. This will be verified, not listing account name changes may be punishable as an OOC lie.
  120.  
  121. [b]Screenshot of /history (in-game):[/b] http://prntscr.com/eu4753
  122.  
  123. [b]Screenshot of your characters /stats, in-game not the UCP:[/b] http://prntscr.com/eu46xw
  124.  
  125. [b]By submitting this application, I understand that leaving open or failure to fill one or multiple questions to its full extent may lead to denial of this permit application.[/b] (This means that you cannot partially answer questions, and have to take the questions fully as they are written answering them entirely) I understand.[/divbox]
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