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10/17/2007 WED L5: 15 FAX 6127623302 Canon 6970 <br />0021/030 <br />20 <br />SOate the floor number, general arca, and all rooms where ma" ewhag liquor is to be sold and consumed (Applicant (t <br />shall attach a floor plan showing dimensions and indicating nunTerofDemons intended to be served in said rooms.) <br />See Floor Plan attached <br />What permits required by do Federal Government havc been applied for or issued for the premises`I In who name were <br />these applied Ar Or issued and who is die na,, f&, permit? <br />TT13_- Tax Stamp - Applebee's Restaurants North LLC <br />Man Mints or licenses rephod by to State oftA4innewta :s,e o ....plan, for or sued for rhe premises'' Lu what <br />'our weft Ame applied ka or awned anJ who is the narom of the permit of license? <br />_Tiuper's,Card_- Applebee's Restaurants North LLC <br />Arc mny real estate taxes, posonal properly Cases, special assessments, of other financial claims of dtc City of St. <br />Anthony delinquent a unpaid lot dr promise's to be licensed . <br />yous _ono <br />IT Yes, We Clic derails: <br />Is the prco i,es located with MAO No o[ any public sahool __yes X no any chwh __yes X__no <br />('hhts distances is as measured in a straight Or h'om die nearest point of bat ding to building) <br />If the pcmises s a uoml; is there a uranin nu total buildin.- arca 011,000 square feel, smith a minimum kitchen and <br />dininf, ama of 2,000 square by, with a mimmmn sewing capacity of 130, open to the public? R yes __no <br />If dw premises is a mannumn 0 the -e a rninmrom When and dininr area of 2100 square Net, with a uvuinunm scaling <br />Cry. tap• of 130, open to die genual public ! -X-Yes _uo <br />Names, residence addresses, busmuss addresses and telephone numbers of three persons, residents of we State of <br />Minnesota, of good moral character, not rrhvd to the applicant nr Inancially interested in the premises or business, who <br />may be referred to as t:he applicant's character: <br />FUN name. <br />B h4h date <br />Mae address <br />Phone number <br />Business address <br />Phone number <br />FUN tonne <br />L'u Ili datc <br />1lome aMess <br />Phonanunder <br />Business address <br />Phone number <br />lull name <br />Birth date <br />Home aridress <br />Phone number <br />Budiress addess <br />Phone number <br />Middle <br />iAN& <br />List <br />Last <br />Last <br />