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7. AMENDMENT-Change of Premises Information <br /> ❑ Alteration of Premises:(must fill out attached financial information form) <br /> 7A.ALTERATION OF PREMISES <br /> Please summarize the details of the alterations and highlight any specific changes from the last-approved premises. <br /> PROPOSED DESCRIPTION OF PREMISES <br /> Please provide a complete description of the proposed premises,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 E= Seating Capacity Occupancy Number <br /> Number of Entrances Number of Exits Number of Floors <br /> ❑ Change of Location.(must fill out attached financial information form) <br /> 713. CHANGE OF LOCATION <br /> Last-Approved Street Address <br /> Proposed Street Address <br /> 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 /> Convenience store. <br /> Total Sq.Footage Seating Capacity Occupancy Number <br /> Number of Entrances Number of Exits Number of Floors <br /> OCCUPANCY OF PREMISES <br /> Please complete all fields in this section. Please provide proof of legal occupancy of the premises.(E.g.Deed,lease,letter of intent) <br /> Please indicate by what means the applicant has to occupy the premises <br /> Landlord Name <br /> i <br /> Landlord Phone Landlord Email 1 <br /> Landlord Address <br /> i <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? ()Yes No 10 <br />