4.5. An application for a permit and an application for permit renewal shall be made in writing and shall contain the following information:(1) the applicant’s name, address, telephone number and, where applicable, fax number; that information is also required from the applicant’s representative, if any;
(2) where applicable, the applicant’s business number in the enterprise register registered under the Act respecting the legal publicity of enterprises (chapter P-44.1);
(3) the name under which the establishment is operated;
(4) the address of the place of operation;
(5) the nature and class of the permit applied for;
(6) the applicant’s signature or the signature of his duly authorized representative.