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State the floor number, general area, and all rooms where intoxicating Equor is to be sold and consumed. (Applicant Shall attach a floor plan showing dimensions and indicating number of persons attended to be served in said rooms.) What permits requited by the Federal Government have been applied for or issued for the premises? In what name were these applied for or issued and what is the nature of the pernn't? What pernits or licenses re(luued by the State of Minnesota, have been applied for or issued for the premises? In what name were these applied for or issued and what is the naa-re of the permit or license? Are any real estate faxes, personal property taxes, special assessments, or over fvtvtcial claims of the City of St. Anthony delinquent or tmpaid for me premises to he licensed? __-Yes —mo If yes, give the details: is the premises located wi lr 300 feet of: any public school _yes X_no any chttmh __-yes X no (this distances is as Measured in a sh'aight line from the nearest point of building to building) Iftheprernises is a hotel, is there a muwnum total building area of 5,000 square feet, with a minimum kitchen and dhting tu'ea of 2,000 square feet, with e mirintunn seating capacity of i3Q open to the public? __yes po If the premises is a restaurant, is there a minunum kitchen and diming area of 2,000 square feet, with a minimum seating capacity of 130, open to the general public'? des —_no Names, residence addresses, business addresses and telephone numbers of three persons, residents of the State of Minnesota, of good most character, not related to the applicant or fnauciany interested in the premises or business, who may be referred to as the applicant's character: Full name Bath date Home address Phone number Business address Phone number Tull name Birth date Home address Phone number Business address Phone Rumber usddi� J. [,,t FOSTER _-3306$ELDL-N_Df311LE.-ta�ANT1=1IINa=.-MN5a41fi------------ --2f 55 -ANTHONY LAN- $.�/2QQ SSAN7�JGiLY_MN 5541£3__ First LEON Midd[e G. i,se JENSEN 107741ft14IS.1BGLEN�ELKRIVER_MN—_----------- tJ9SFL'N vddt- A, est WENTZELL Full name �� Birth date _ ---- Home address2054 Pleasant View Drive NE 331SJd79N, MN 5,119 _—.- ___ Phone number ---- Business address 2BaH-ANS13Ors(YJ_ANF--S. #2D0_.ST-AN-THQN`G,-MN-5541.€1- Phone number 612-436-3293 -.