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7, AMENDMENT-ChAn..................................... _Xq,pf.,F,remises information <br /> D Afteration of P rmeises;(must fill out attached financial information form) <br /> '................................— <br /> ......................................._.... ­................................................ ......... ......................... .............................. <br /> '_iA......A_LT E R—AT 1-0 N--0—F.0"REMISES <br /> Please summarize the details of the alterations and highlight any specific changes from the last-approvocl premises. <br /> ............. ........................................ ...... -—­....­- ................_­­­­­................ ..........................._­­......... ....................... <br /> ........... ..................... ......................... ........ <br /> PROPOSED DESCRIPTION OF PREMISES <br /> Please provide a complete description of the prpposed 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 /> .................................. .......... -----....... <br /> "'I",............ <br /> ................................... ................ ...... ........... <br /> 'Total Sq Occupancy Number <br /> .Footage Seating Capacity <br /> .............. <br /> ........... <br /> Number of Entrances Number of Exits Number of Floors <br /> .............. <br /> .............. ......... <br /> Q,on e f Lo6tion: <br /> _gg. ......... (mu5t fill out attached financial information form) <br /> ............ ........ ........ ....... ............... ...... <br /> 713. CHANGE OF LOCATION <br /> . <br /> ........ ....———--- ------"` ................................... . ............ . — ------ -- <br /> .......— —"""`-— ­­.... <br /> .. ........ <br /> ................................... ........... <br /> Last-Approved Street Address <br /> =1............ ...................... .......... .............-—----- <br /> Proposed Street Address .............. <br /> .................. .......... <br /> --——-- nn <br /> —--------------------- .............. ..................... ........... ......... ............ ........... ........... <br /> 15't ..........C............R,IPTION OF PREW . ......... <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 /> .................... ................................................ ........ ..................... ....... ..... .......... .. ..... .............................. <br /> _­­`......................................... <br /> Total Sq. Footage Seating Capacity Occupancy Number <br /> L................... <br /> ..................... .......... <br /> _rnber of Entrances Number of Exits Number of Floors <br /> ............ ......... <br /> ................. ....... <br /> OCCUPANCY OF PREMISES' ' <br /> Fcp� lease complete all fields in this section. Please provide proof of legal occupancy'of the premises.(E.g.Deed,-lease,letter of intent) <br /> ........ <br /> Please indicate by what means the applicant has to occupy the premises ... <br /> I IF <br /> ........... .............. <br /> Landlord Name <br /> ... .. ........................................ <br /> Landlord Phone Landlord Email, <br /> .............. ............................................... ........... Y ........ <br /> Landlord Address <br /> ........................................................................ .............. <br /> .............. ................ ——-------­------ ...................................................................... <br /> Lease Beginning Date E, Rent per Month 11_1_111___�_.111.111,111­ --------- <br /> - <br /> Lease Ending Date Rent per Year <br /> --------- <br /> Will the Landlord receive revenue based on percentage of alcohol sales? ( Yes No <br /> ........ .111............ .mmrrrrrrrrrr»nr......m .... ....... ........... ........ <br />