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Application for On Sale and Sunday Intoxicating Liquor License, Part I General Information <br />3. Full Name <br />Last First I�11 Middle Name <br />Page 3 <br />Date ofBirth Interest % <br />Residence Address <br />Residence Telephone <br />Business Address <br />Business Telephone ; <br />Part II, Personal Information Form, must be filled out and attached for this individual <br />B. The managing partner wil be <br />C. The full name, residence address, and telephone number of the manager, proprietor, or <br />other agent in charge of the partnership's premises to be licensed: <br />Full Name <br />Last First Full Middle Name <br />Residence Address <br />Residence Telephone �l Date of Birth <br />Part II, Personal Information Form, must be filled out and attached for this individual <br />D. Attach a true copy of the partnership agreement, and a copy of the certificate of trade <br />name under provisions of Chapter 333, Minnesota Statutes, certified by the Clerk of <br />District Court. <br />7. A If the applicant is a corporation or association, give the name of corporation or <br />association, branch address and telephone number, and home offiCe address and <br />telephone number: <br />Name Chili's of Minnesota. Inc. <br />State of Incorporation or Association Minnesota <br />Branch Address 10 Rosedale Center, Roseville, MN 55113 <br />Branch Telephone Number � ) t o b e i n s t a 11 e d <br />Home Office Address 6820 LSJ Frwy., Attn: Legal, Dallas, TX 75240 <br />