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•f <br />* r <br />». • <br />U' <br />»’ • <br />Minoesou Deptitmem of Public St^ <br />444 Cedar Street, Suite 133 <br />StPaul.MNSS101-SI33 <br />65I-296^79»TTY 651-282-6535 • Fax 651-297-5259 <br />a " <br />RENEWAL OF LIQUOR. WINE, CXUB OR 3.2% LICENSES <br />No UeaaK will be approved or Riened uaiil the $30 Retailer ID Cwl fee i* leccived by MN Liquor Coetral • (3M UceuM exempt) <br />Pleaae verify your licenae infbrmatioo coiuained below. Make coiiectiofu if neoesaaiy and sign. City <br />Cleik/County Auditor ihould aubmit thia aigned renewal with completed licenae and lioenaee liquor liability for the new licenae <br />period. City dcrWCoaniy Auditor arc alao rcq«*rcd by MS. 340Av404 S. 3 to report any licenae <br />Licenae Code_________________ Licenae Period Endina lS/31/£00^)g_____ <br />Civ/County where license approved. ° <br />Licensee Name <br />Trade Name <br />Orono Liquor Inc. <br />Narrows Saloon <br />Licenaed Location addicM <br />*3380 Shoreline Dr <br />City. State, Zip Code <br />Orono, MN 553S£ <br />Buaineaa Phone <br />95S/471-3352 <br />tlEES: Off Sales <br />0. 00 <br />On Sales <br />5000;00 <br />Sunday $ <br />£00.00 <br />____________^ hi owireMp, the Bcenaee named above, or for new Ucensees, bill applications aoonld be used. See <br />back of tMe appUeatlio fer Ihrthcr Infiirauitioa needed to complete this rcnewaL <br />■Applicant’aalaMninre on tbia renewal conllnna the foBowine: Failure jaiiUtL i'll L^jrrj Inn will result in Unca. <br />1. Licentee confirms it has no interest whatsoever, directly or indirectly in any other liipior establishments in <br />Minnesota. If so, give details on back of this application. <br />Z Licensee coofitma that it hu never had a liquor licenae rejected by any city/township/teounty in the state of <br />Minnesota. If ever rejected, please give details r the back of this renewal, then sign below. <br />3. Licentee confirmt that for the put five years it has not had a liquor license revoked for any liquor law violation <br />(state or local). If a revocation baa occufred. please give details on the back of this renewal, then tip below. <br />4. Licensee confirmt that during the pul five years it or its employees have not been cited for any civil or enminai <br />liquor law violations. If violations have occurred, please give detaib on back of this renewal, then sign below. <br />5. Licensee confirms that during the past license year, a summons has not been issued undu the Liquor Liability <br />Law (Dram Shop) MS 340A.802. If yu, attach a copy of the summons, then sign below. <br />6. Licensee confirms that Wotken Compensation insurance is in effect for die Aill license period. <br />Licensee hu attached a lignor habilWy iwsnranca certificate that rorrvtpondi with the licenae period in city/cwmty <br />where McciMe Is latned. lltMM In cash er aecniMu or $100,MM tartly bond atay be suhnsiMed in Heu of liquor liabiL <br />ity. (3J% liquor Hcenay are exempt if aaiu are ^ Uiaa^,600 at on sale, or $50,000 at off sale). <br />LifiCiUfiLSigDIQUB <br />Itciaeaaareex <br />tttU4boveinfo <br />A iHKL <br />(Signature ceitifiu^above information to be correct and lioenie hu been approved by city/comuy.) <br />Dtte <br />(Signature cenHiu that renewal of a liquor, wine or club license hu been approved by the city^county u stated above.) <br />rnttiwv Attnmey Signanire— --------------------------------------------------------------DuS------------------ <br />County Board issued licenses only (S|cettifiuli is eligible for license). <br />'7 A <br />(Signature certifiu licensee or associaiu Kkve ra bun cited during the put five years for any statedocal liquor law violations <br />(criminal/Civil). Report violations on back, theifsign here. <br />PS 9093-98 <br />r - I <br />r. ■ <br />V- <br /># , <br />• !