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Minnesou Dc|>artinem of Public Safety <br />Alcohol and Gambling Enforcement <br />444 Cedar Street. Suite 133 <br />Sl Paul.MN 53101-5133 <br />651-296-6979 • TTY 651-282-6555 • Fax 651-297-5259 <br />RENEWAL OF LIQUOR. WINE, OR CLUB LICENSE <br />No license mUI be approved or released untiJ the S20 Retailer ID Card fee is received by NIN Liquor Control <br />Lksi:iMS- Please verify your license information contained below. Make corrections if necessary and sign. City <br />Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new <br />license period. City CTerk/County Auditor are also required by M5.340A.404 S. 3 to report any license <br />cancellation* <br />License Code 0|v|55 <br />City/County where license approved.Qpono <br />License Period Ending 1 ypnnPiD# PSAI <br />Licensee Name Orono Liquor Inc. <br />Trade Name Narrows Saloon <br />Licensed Location address •33B0 Sh o r e 1 i n e Dr <br />City, State, Zip Code Orono, MN 55392 <br />Business Phone 952/471 -3352 <br />UCENSE FEES Off Sale SO. 00 On Sale S 40Clir,Tf0 Sunday S 200.00 <br />By signing this renewal application, applicant certifies that there has been no change In ownership on the above <br />named licensee. For changes In ownership, the licensee named above, or for new licensees, full applications should <br />be used. See back of this application fur further information needed to complete this renewal. <br />Applicant's signature on this renewal vjiHTiiTsthe following; Failure to report any of the following will result in fines. <br />1. Licensee confirms it has no interest whatsoever, direedy or indirectly in any other liquor establishments in <br />Minnesota. If so. give details on back of this application. <br />2. Licensee confirms that it has never had a liquor license rejected by any ciiy/iownship/county in the state of <br />Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. <br />3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation <br />(state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. <br />4. Licensee co.Jinns that during the past five yc;us it or its employees have not been cited for any civil or criminal <br />liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. <br />5. Licensee confirms that during the past license year, a summons has not been issued undci 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 Worken Compensation insurance is in effect for the full licenv.- period. <br />Licensee has attached a liquor llabllily Insurance certificate that correspond.s with the license period in city/county <br />BablHt**^”** ^ $I00,0(M) In cash or secuHUes or $100,0M surety bond may be submitted In lieu of liquor ’ <br />Licensee Signature Dale <br />(Si^maiure certifie; aJi<J?o\e infomiation to be correct and license has been approved by city/county.) <br />City r,HLrk/County Auditor Signature Date <br />(Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) <br />County Attorney Signature Date <br />County Board issued licenses only (Signature cenifies licensee is eligible for license). <br />Police/Sheriff Signature Date <br />(Signature certifies licensee or associates have not been cited during the past five years for any state/local liquor law violations <br />(criminal/civil). Report violations on back, then sign here. <br />PS 9093-98 <br />iWii