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<br />MAR-26-01 ION ': 56 PM <br /> <br />'<11 ~F FRES' ""E <br />J;.! \. ~ U 1 L .".1'. <br /> <br />F'" \10 <br />.>l..A J. . , <br /> <br />651 464 4968 <br /> <br />P 3 <br /> <br />Please submit accurate and complete business records Ilhovl'ina nlUIlcs lUld liddnlsaes of all <br />individuals havina an interest in business including partners, officers, OWllers and creditors <br />furnishing crcdit for eSlIIblishment acquisition and maintenance and fumishinll of said business. <br /> <br />Please furnish a"utII'tc documentation establishing the interest of the applicant and any other <br />person bavina lntemt in the premises upon which the buildlni is proposed to be located or <br />furnished thereof. The documenlirtion shall be in the form of a le_. deed, contract for deed, <br />mortgagc deed, ete and my other document:! eS'tablishins intcrcstofthe applicant or my other <br />person in thc operation. <br /> <br />Please provide blueprints, diagrams, layouts, etc. showlnll construction md or remodeling to the <br />premises md specifically showing the layout of the bathlnil 3I1d restroom facilities to be used. <br /> <br />Appllcants and his IISsociates will strictly comply with all reiUlatiol!ll promulpUd by the City <br />Council of Forest Lake am! all ordinanccs of said municipality. <br /> <br />1 hereby certifY that 1 have read the foregoing questions and that the answers Ie said qu.el!ltions <br />8l'C true of my own knowlcdge. I further understand that an investigatlon fill, not to exceed <br />$2S0.00, shall be charged an applicant by the City. <br /> <br />Sipture of Appliclllt <br /> <br />Subscribed and sworn to bofore me <br />Thi. day of .20_ <br /> <br />STAMP <br /> <br />Notary Public Signat\lrel <br /> <br />My COl'llll'jssicn Expires <br /> <br />3 <br />