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'A <br />¥ <br />i :y <br />s <br />vt <br />I ' <br />'X <br />\f <br />V--. <br />■»; <br />,/. MinneMttDepattmeM of Public Safety <br />Alcohol Mid Gwnbilut Eafbrocncnt <br />444 Cedar Street, Suite 133 <br />StPwI.MNSSIOl-5133 <br />651-296^79 • TTY 651-282-6555 • Fax 651-297-5259 <br />RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES <br />No linoae will be approved or lekaiett umil the S20 Ratailn ID Card fee ii leoeivcd by MN Liquor Coaool • (315i Liceue* excnipt) <br />' Lteenaop: Please verify your license infonnation contained below. Make corrections if necessaiy and sign. City <br />Clerk/County Auditor shwid submit this signed renewal with completed license and licensee liquor liability for thie new license <br />period. CHy Octlt^otinty Auditor ere also required by M.S. 340A.404 S. 3 to report any license <br />OFSL ,»__JLicense Period Ending. Urono <br />l£/31/£00*=lb#&BA1License Code__________ <br />City/County where license approved. <br />LicenseeName Navarre Liquors Inc. <br />Trade Name __ <br />Licensed Locationaddress <br />City, State. Zip Code <br />Business Phone <br />952/471-8&00 <br />LICENSE uRBA- Off Sat# t OnSaleS Sunday! <br />150.00 0.00 0.00 <br />By BigalBg this renewal appllcolioa, applicant ceiHScs that there has been no chfinge in ownership on the above named <br />.Ueenaac. For chanfea in ownersMp, the Hoensec named above, or for new licensees, AiU applications shonU be used. See <br />back of this appMMtioa tor Birthcr information needed to codiplete tbis renewaL <br />3421 Shoreline Dr/PO Box 117 <br />Navarre, MN 55392 <br />AppUcant*i| fjgff PTT *** *!»*»'IS the liollowlnB! FaHare to report anv of the followlHg will remit in dnes. <br />1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in <br />Minnesota. If so, give deuUs on back of this application. <br />2. Lioenaeeconfirmstfaatiihasneverhadaliquorlicenserejectedby anycityAownship/county inthestateof <br />Minnesota. If ever rejected, please give detaib on the back of this renewal, then sign below. <br />3. Licensee confirms that for tlw past five years it has not bad a liquor license revoked for any liiquor law violation <br />(state or local). If a revocation has occurred, please give details on the back of this renewd, then sign below. <br />4. Licensee confirms that during the past five years it or Its employees have not been cited for any civil or criminal <br />liquor law violations. If violations have occuned, please give details on back of this renewal, ^n sign below. <br />5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability <br />Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. <br />6. Licensee confirms that Workers Compensation insurance is in effect for the full license period. <br />Llceiisec has attacbed a liquor liability Insuraiice certUlcatc that correspouds with the license period In dty/connty <br />where license is issued. SIM^WO in cash or securities or $100j000 surety bond may be submitted in lieu of liquor Habil- <br />ity. (3JI5l> liquor licenses.aracxeggUf^cs tatifas than $25,000 at on sale, or JOO at off sulci. <br />^ \ n i ^Date 1Lififniy* Signamre <br />(Signature certifies all above information to^ correct and lic^bae has been approved by city/coumy.) <br />nerV/Tniinty Auditor SigtiRnire Dafg*________________ <br />(Signature cenifie.* that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) <br />rn.inty Attorney .Cignamre Date <br />County Board issued licenses only (Signajpre cenifies licensreJ6 eljgible for license). <br />Pnlice/SheriffSipiati <br />:iOr(Signature certifies licensee or associatevliave^t been citeo during the past five years for any state/locil liquor law violations <br />(criminal/civil). Report violations on back, tnen sign here. <br />PS 9093-98