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:-';,;'•:;'1 x��`` �j� �+�j <br />{fir Def[ �ry s—�_,�^.� <br />s <br />�10. Will your business be located within 300 feet of a church or public hospital? ❑ Yes o <br />.._,.: <br />_ ..... ...... ... ..::...........::......: ...:. ' : '..:.. :....: , '... :. <br />;NOTE: For churches. or public,hospitals me-lsWe from front door fo. front:door,: along::the p gperfy Imes. of the <br />street fronts and in a direct. Line' across:intersections.. - :. <br />�11. Will your b4sthess be located within 300 feet of any private/public school, day care center or child care <br />facility? fYes ❑ No <br />If "YES," are the facilities located on different floors or stories of the building? ❑ Yes ❑ No <br />! NOTE:.. For:private/public schools, daycare-:centers and child care facilifies:measure in a direct line from.#he <br />::;;>nearest property line. of the school, day care: center. or child care'facility to: the nearest propert}i line of'the <br />' <br />place of business, and in a-.direct line.across intersections.: :. <br />I <br />:NOTE:. For multistory building:businesses. may. be.. within. 300 feet.of a. daycare center-or child .care facility as..I <br />'long as the facilities are located on different'floors of the building. <br />'NOTE. If located.on or-above. the fifth,story of a multistory building: measure in a direct fine from the property.: <br />i.:':fine of fhe private/public school. to,property line of your place.of business in a direct lure across intersections <br />:..:vedically.up the.building at.the property line to the base of.the, floor on which.. yaur.business is located <br />:12. Will your business be located within 1,000 feet of a private school? ❑ Yes ❑ No <br />113. Will your business be located within 1,000 feet offaa public school? ❑ Yes ❑ No <br />X14, If you were required to post a 60-day sign as required by Section 11.391 or <br />Exact Date (mm/dd/yyyy) <br />1 61.381 of the Texas Alcoholic Beverage Code at this location; what exact <br />date was the required sign posted at the location? -_- r - - <br />.............. <br />1Tr© (� / : 2-®O j <br />...:.::.......:':::.:.:. <br />5. CHECK HERE IF NOT IN CITY LIMITS { <br />I I, the applicant, have confirmed I am not located in the city limits of any city and therefore all city <br />j_certificates are not rewired, <br />Wp ]NIG <br />(ndiv�dual/andl+n ua1 owner oc..... an!©ificer <br />S�N�R.,...M. farinerahi�/Partner _ Limited t rablUt�lOmpan OE T {ana4er <br />:.... <br />rrtl ... n. 1 r.. ..... <br />...., ....... .. ...................... . ............. ,.. G ra ..tin .:.:;:,:. <br />f. -.WARNING:_:Section.1Q1.69-of <br />Alcoholic. Beverage Code. states::.:;.:a per's..on..who makes a.::'I:: <br />.the.Texas <br />false staidrnent or false. representation ..in an, appiication fora permit.: oe .-license or in a. statement, <br />report; .pr other nstrument:io be :filed with the GommIssiion .and required to be sworn commits an <br />:offense punishable by imprisonment in. the penitentiary for not less. than.2:nor more. than 10 years.":: <br />ww... <br />.BY SIGNING.YOU ARE'SWEARING TO ALL. INFORMATION.AND .ATTACHMENTS .TO'THIS.PACKET, <br />PRINT SIGN <br />1 NAME Ercccri HERE <br />i <br />j TITLE <br />Before me, the undersigned authority, on this 2 awx� day of , 20/Y, the person whose <br />sname is signed to the foregoing application personally appeared a , duly sworn by me, states under <br />I oath that he or she has read the said application and that all the facts therein set forth are true and <br />' correct. <br />SIGN <br />HERE <br />NOTAR BLIC Hl w <br />JARED FULtEYLOVE <br />'- <br />�� <br />My Co <br />Commission Expires <br />S._E _A - ---- .. _.. - __ -- - -- - --------'------------- ------------------------ - — ---- <br />nu®uSt Zl, ZU16 <br />Page 2 of 5 'R���E*'� Form Lf1N <br />