A. Name and address of the establishment or enterprise for which the permit is sought, including, in the case of multiple locations, the names and addresses of each enterprise or establishment;

B. Name and address of the applicant;

C. The general nature of the business of each enterprise or establishment;

D. The number of persons working in each enterprise or establishment on a representative day, being the median number evidenced by social security tax returns during the preceding year;

E. The calendar year for which the permit or permits are sought;

F. The amount of inspection fee accompanying the application;

G. The date of the application.