Laserfiche WebLink
AMENDMENT-Change or Alteration of Premises Information <br /> 3. CHANGE OF LOCATION <br /> 3A. PREMISES LOCATION <br /> Last-Approved Street Address <br /> Proposed Street Address <br /> 3B.DESCRIPTION OF PREMISES <br /> Please provide a complete description of the premises to be licensed,including the number of floors,number of rooms on each floor,any <br /> outdoor areas to be included in the licensed area,and total square footage.You must also submit a floor plan, <br /> Total Sq.Footage Seating CapacityC � Occupancy Number [ � <br /> Number of Entrances Number of Exits Number of Floors <br /> [ � <br /> 3C.OCCUPANCY OF PREMISES Deed,lease,letter of intent) <br /> Please complete all fields in this section. Please provide proof of legal occupancy of the premises.(E.g. <br /> Please indicate by what means the applicant has to occupy the premises <br /> Landlord Name <br /> �— <br /> Landlord Phone F_ Landlord Email <br /> Landlord Address <br /> Lease Beginning Date Rent per Month <br /> Lease Ending Date Rent per Year <br /> Will the Landlord receive revenue based on percentage of alcohol sales? C)Yes C)No <br /> 2 <br />