To apply to obtain a permit, an applicant shall: Submit to the Board an application on a form provided by the Board; Pay the fee set by the Board in COMAR 10.44.20; and Provide evidence satisfactory to the Board that the applicant meets the qualifications for a Class I, Class II, or Class III permit. The Board may issue a Class I, Class II, or Class III permit to an applicant for a specific practice location after the Board's review of: The applicant's application and accompanying affidavit; The applicant's qualifications; The applicant's administration evaluation; The applicant's facility evaluation; and Any other pertinent documents or information including, but not limited to, patient complaints that may affect the applicant's ability to safely and effectively administer anesthesia and sedation. A permit expires on April 1 of the 5th year following the effective date of the permit.