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f <br />PHON^ $12-296 61S9 <br />MINNESOTA DEPARTMENT OF PUBLIC SAFETY M/A<#ArbML/» I <br />LIQUOR CONTROL DIVISION EVENTV^ " _ <br />333 SIBLEY • ST. PAUL. MN S5101 /fc,«c*AYDATE: <br />APPLICATION FOR CONSUMPTION AND DISPLAY ISET UPI^EHMIT^’^^’^*'" <br />ONE DAY PERMIT PEE iffMW $25.00 <br />IP NAMi AMD AODAiSS SHOWN ANf <br />NOr CONIICCT. MAKf CHANGCS IN <br />t^ACSS 9f LOW <br />CITY OF <br />NOTE: ALL CLUB ‘ON-SALE* INTOXICATING UQUOR LICENSEE'S ARE EXEMPT <br />AB9H«««M« N«m« iDvtlfMtt. PSPlMBfSHlB, COfBBPBllTi^ <br />miM <br />I tip <br />0(i.i NAtg if’OM Gtn feA 4»#L f HoUif <br />iBMBtt fMMI AAWPM W NutitABP ----i - .. _ m-b.a v'l. <br />f ot 6aa " <br />KIoA^U 5C^lftft■l£ <br />l^ninrTTff <br />Nftf b TD ih Iwm — CHW MtWBfM <br />^ftgcio A. <br />_ ______ /VTlAfNgStt^ <br />Tvm BI SmbUmb (U«M(P BK.t <br />Hg/YAR^Dl’iSj <br />SIBIP ”■'f«B C«MB <br />SS3^l <br />m ^ ~ — — — ^ ^ ' —w- w - 'V — V - • f <br />CoP>muMi‘V\i A(L^ Q,givil6A- <br />Oi MlABfp V <br />•4 APPLufXT <br />Opm <br />OAIOINA <br />:ATim <br />i>r AtNCWAuCi TMAPlSrtAQ <br />♦FTIttRf <br />ol IIMBBtPP V \ <br />AMBMBtOvNIM _ V I *■ T <br />MAS ON <br />TO this BUSlNCt <br />#6nbI4 ciciHstAi ^A mc an B ouIinc II tNA di na A*' <br />PDN A Pimic ■UtlNiU! <br />1 ImA^V ftVQbiUCJLCi li‘S'fke<veV\CftG?Llhft. IjiAi/tivift <br />1^|i6Mjul ^/ice Sfe£5ickAi+fitekicVx Ca £ifL liA {i^MTJYiA <br />abbpbw T b <br />Wfe? SpAjV>K Ki U 1^. <br />1 1 ..rATICLOB’^ 0 ------------ <br />1 llBit C<«B bifSAUBB TA bw AIP b I iwBNBBtdf A bbbm BI wt 6m%YninBBilfBB •tButfBmanH <br />1 Al ISBSBBt OaoPPB# <H Nbp Mb B* <br />OmCNlBRflBidilBix LocNtfS ^ <br />tl««B Or^icBP/OWBCtBf ^Bmo" <br />CIn A OHifBP/DMPCfBP PIBNIB <br />A4#«mi <br />ABA iBM <br />M»» appHcani; II p«r|n«fthip. any parintr; it ccKporaiion. any ollicar or dlractor; If club. ar>y club ofUctr or diractor. t«tr <br />HadaHctuMundar ihaMinncfoia Liquor CorMtol Act revoked or impended or been convicted lor any viotolion of Slate <br />Lanri or local ordinancti; If lo, give dale aruj detailt ._ <br />I N#*PAt IN#I ll*B •*• MUB •! OMM hnOMlfdBP uBNP*%l§nd |T»BI tRf A*****f ®* Ib **# i<b*0*»^BlMM» B* ihB lB*Hi*# IB SH b BB*IMBA| In IwBMIIbb <br />CBAMiiBiBt CBMft Ib * «tvNCBI«BA b « «A i« MBPiMt ANV BINMlf iSSUtO HtNIEUNOf N QOtS WT AtiOW TMf SAL| OP INTOHICAf INC tlQUON. <br />NO CONSlOENATION WILL 6E GIVEN TO THIS APPLICATION <br />UNLESS APPNOVED A$ PNOVIOED BELOW <br />IP THE BUSINESS IS LOCATED IN A COUNTY <br />^B«B«BB • C*<»NBB«gB# CBM<«1v ilB**B 9* B*B««%«r«ldtr«« 0*1^ <br />If THE BUSINESS IS LOCATED IN A MUNICIPALITY <br />Appl 1 |i>< - CBB^C'I Yib MABBI bp ABBfttB««l#MoB <br />rtwiiAN <br />S^tttfiB - A biii «(»«b # A^feMi <br />a g- /jv 9^ <br />If A CLUB ArtACH A COPY OP THC CONSTITUTION ANO <br />BVLAWS OP THC CLUB ANO A CURRCNT LIST OP <br />MEMBCns. <br />CASH <br />CHICK