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It ■ <br />' ir.- <br />h <br />PHONE 612-296 6159 <br />MINNESOTA DEPARTMENT OF PUBLIC SAFET <br />^VENT:A^V333 SIBLEY • ST PAUL. MN 55101 f <br />DATE: I*-<»( <br />APPLICATION FOR CONSUMPTION AND DISPLAY (SET UP) PE^RMh " ’‘ <br />ONE DAY PERMIT FEE $25.00 <br />MINNETONKA CENTER FOR THE ARTS <br />2240 NORTH SHORE DRIVE <br />WAYZATA MN 55391 <br />If NAMt and Aoomss SMO*VN ARE <br />NO? CORRtCt. MAKE CHANCES IN <br />SPACES BE low <br />NOTE: ALL 'ON-SALE' INTOXICATING LIQUOB LICENSEE S ARE EXEMPT FROM APFUTINQ. <br />If All* ritiiia o( niiA <br />1 <br />BltMoqtl SttMl AddiCtI 04 Bom H uiii Om <br />Skoiri^ TVil. f <br />------------------------V H ic. <br />Count f <br />U, <br />% <br />»~Ff BMIT l^W----------------------------------— <br />—— --------------——------*1._( f ( * *A <br />suit *^ <br />fh lOAt id f <br />CKlb Opu MIc Bmlntii <br />ol Of ctuft <br />C ck H- fa- <br />f«am« ol ayMBinf 6wn«f ----t r <br />$>hon« ~ <br />OXWT}> lALl <br />/Ip Coat <br />^539/ <br />.--------VIV I ■— <br />A»/a <br />^Ihc 'n Aliv <br />W 1 I A . ^ <br />if a ^licaiion <br />Aaoftu uf <br />a ; / ^ <br />Addi«tl ol OMn«r <br />r-/ A <br />OWIOINA lS WtNEVXALn TRANArEllQ <br />• L <br />^nis acs^NtsrFL;H'',V.:rLoVA¥.g;;}-* 1:!^^WnilKUtB <br />Uvtl H no <br />MAS 0(1 <br />lo <br />>f IIIANSriH. FOIIMEM LICtHSnS NAME Af.O BCISiNCSS I RAoi HA mI------------------------- <br />_________ <br />roil A 1‘^UtlC UUSINESS <br />Ikitlnpu r«ilt««i/o'|»cpf <br />. wii r wuviw UVJ.'»ir4C>S --------------------- <br />” ................................ >fp-n. .ml ............ol t«l. Px..n.. II . C»,..o.H.o. ..............................a A.,0.... ol E.ch OIII». <br />»J //» <br />iki»lu«i» V^«i|ri««/OlflCM <br />■wuntu P««ln*f/Ollk«f <br />fO) <br />M//* <br />b«l« ClwB A«f4Mt4a4l <br />, 1150 s <br />of 1im« CluST <br />AdUl vti <br />/U //i <br />AUdivii <br />P-2//4 <br />Addf «it eiTY Of <br />Nwinbdi of M«iMb«(r <br />____}J0D <br />At PidMnI Location I ^ j ^ <br />CU'>i otncM^UlfdOo* <br />FOR A PniVATE CLUB <br />FmiC£ OFFia <br />ll Club llulldliif <br />AniounI ol Outi <br />fulfil <br />Mtfiibviihlo n«t|ult««rE«nt«ni rctj 'yf, <br />Oi^ntd Ol Mtnitdl <br />i^JF> <br />bsMB <br />CI mB Olllcdf/DlfactM N«m« <br />Adds: It <br />Additti <br />CHECK TL <br />Club M«inl«ln Lotkcn y <br />f ot M«(ttt>tii I o Slot* LIquol r Lvvi nOl /|l <br />10. <br />Addict* <br />Lam or local ordfoances ; H so. give -leie e: iw .ipeoclcd or been convicEed for any violation ol Stala <br />coNMiiMu. cxu lo. .t.oc.iio«‘oT;Ni."^?,'.:rA'^ r^M*iTs*su‘c pT^nruiiuV n oos s no \* vi\ ow'i7.e"Ta 7 e Of 7n ; VM^cA^?yo'lTQuoy <br />the business is LOCATED IN A COUNTY: <br />ABBtovqB - Cn«lfpqfMn County Bo«td cr R«prot«rstaii»c <br />IF THE BUSINESS IS LOCATED IN A MUNICIPALITY <br />0«it <br />ABBTOPCd “ CBtincU ot RfpuMnfi.is;;" <br />fl §601 13/ill <br />0«t« <br />St^rroiuif - Aullioiftcd Apitliccni Odii <br />mfmbers . <br />CASH <br />CHECK <br />cv <br />ft? <br />O: <br />D32-