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Directions: 218 This form must be filled outwith use of a typewriter or byprinting in it*. If the application is by a nahual person, by such person; if by a partnership, by one of the partners; if by a corporation, by an officer, thereof; or if by an unincorporated association, by the manager ormanaging offcer thereof. Name of applicant Business name: Business address: Business phone: PANT I - GENERAL I_tTFORMA' ION D 1 011. Type, of applicant: _ Naural Person Partnership Corporation Association or Other If business is to be conduetd'under a designation, name or style other than full individual frame of the applicant, a copy o the Trach Name Certificate, as required by Minnesota Stanacs Charter 333 ccnifiedby the clerk of ib.e District Court most be attached, S a4:e dre exact le ul de cription of the premises to be licensed. (Applicant must also submit aplot plan of the area showing dimensions, location of buildings, street access, parking fachities, and the locations of the distances to the nearest church building and public school grounds.) 5'eeej How are the premises classified under the St. Anthony Zoning Ordinance? State Rill name, residence/business address and telephone number of owner or owners of the building wherein dre licensed business will be located, if owner is other than die applicant Individual or corporate name Hone or business address Phone number Contact person Where the building is owned by other than applicant, state in summery the conditions of the lease agreement, such as, terms of lease, monthly rental, renewal privileges, ata. (A truecopyof the lease shall be attached) If building owned by individual applicant, partnership, corporation or association, state. (Attach a true copy of the Purchase Agreement)