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Page 5 <br />Application for On Sale and Sunday Into�cating Liquor License, Part I General Information <br />2. Full Name <br />Last FYrst F�11 Middle Name <br />Date of Birth Intererst % <br />Residence Address <br />Residence Telephone )' <br />3. Full Name <br />Last First F�11 Middle Name <br />Date of Birth Interest % <br />Residence Address <br />Residence Telephone �l <br />4. Full Name <br />Last FYrst F�11 Middle Name <br />Date of Birth Interest % <br />Residence Telephone 1 <br />Part II, Personal Information Form, must be filled out and attached for this individual <br />D. The full name, residence address and telephone number of the manager, proprietor, or <br />other agent in charge of the corporation's or association's premisis to be licensed: <br />Full Name General Manager — to be named later <br />Last FYrst F�11 Middle Name <br />Residence Address <br />Residence Telephone � Date of Birth <br />Part II, Personal Information Form, must be filled out and attached for this individual <br />E. Attach a true copy of the Articles of Incorporation or Association Agreement. <br />8. State the legal description of the premises to be licensed. (Applicant must also submit a <br />plat plan of the area showing dimensions, location of buildings, street access, parking <br />facilities, and the locations of and distances to the nearest state institution including, but <br />not limited to, educational buildings and land, fair grounds, correctional buildings and <br />land.) <br />