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10/1.7/2007 WED 1.5:15 Fax 6127623302 Canon 6870 <br />Directions: <br />This vain nwsi be tilled out vquit use of a lypewl iter or by printing in ink woo application 1 by a natural person, by <br />Mph person; IVY a partnership, by one of the paranown; if by a corporation, by an oilcor, thereof; or if by an <br />u;iincorporateil associaiion; <br />byte mauler or matagiug officer thereof. <br />PART 1- GENERAL INFORMATION <br />Name of applicant: Applebee's Restaurants North LLC <br />liusm"sname Applebee's Neighborhood Grill & Bar <br />Busmessaddres;. 2800 39th Ave NE, St. Anthony, MN 55421 <br />Bosmess phonz: 612 781-5274 <br />Type of trpplicant: Nnurail Person <br />–_—_ Paiureiship <br />R Corporatiou <br />--Association or Other <br />If busi}ress is to be conducted under a designation, name or style other than full individual <br />name of the apnlicmll, a copy 90w Trade Name Cer lificme, as required by Nhwesota <br />Samos Chapter 333 certified by the clerk dols Domet Court must be attached. <br />Scale the exact legal description of the premises to be licuns'ed. (Applicant must also submit a plot plan of the area <br />sMwleg dinaansions, location of buildings, skeet access, perking fanNics, and the locahems 9t, distances <br />10 the nearest chinch braddo g rod public school grounds.) <br />See legal description attached <br />Haim are the premises classified under the St. AlAng Zoning Ordinance? <br />Commercial <br />State full name, resAwice/busmess address and telephoto number of owner or owners of the building wherein the <br />licensed business witl be located, ifowneris other than the applicant <br />Individual or cogxirafc name <br />St. Anthony Retail Development LLC <br />I- <br />imueorbusinessaddress 7650 Edinborou h Way, #375 <br />1'honc nwilber Edina. MN 55435 <br />Contac[ persai <br />J <br />Where file building is ov:ped by other than app OM" slate in summary the conditions orthe lease agrceurent, such as, <br />terms of lease, tron[hly rental, renewal privileges, etc. (A etc copy of the lease shall be attached) <br />If building owned by individual applicant, partnership, eorpm-ation or association, state. (Attach a time copy of the <br />Purchase Agreement) <br />0019/030 <br />18 <br />2 <br />