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:f3;K <br />tpji <br />'.' i>W rj - ^ <br />W:\m <br />ill:; <br />f.; ,.-. <br />-.8 -i <br />?i.r <br />Ji’u-- <br />i’"'^ <br />r ,i*! 'li'S:fe:i'S <br />■■r <br />■J <br />- J ••’ <br />lV.-i ;!f <br />■]\ ’■( V-: <br />■- Ij- <br />•*>- V ‘ <br />l: :;• V <br />■ • •;. :K • '■ <br />■ :^u f I <br />! <br />: •^ I' <br />•V <br />I ■, ■ \ <br />p <br />: ' j/j <br />‘i > <br />PHONE 612 296 6159 <br />MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br />LIQUOR CONTROL DIVISION <br />333 SIBLEY • ST PAUL, MN 55101 <br />»••• • • m <br />APPLICATION FOR CONSUMPTION AND DISPLAY ISET UP| “ERMIT^jg|J "J ’1000 <br />PERMIT FEE $150.00 <br />5598 PUBLIC <br />Don Scherven Corp. <br />Navarre Lanes <br />Co Rds 15/19, Box 51 (Orono) <br />Navarre, MN 55392 <br />l» NAME AND ADDRESS SHOWN ARE <br />NOI CORRECT, MAKE CHANGES IN <br />SfACES BELOW <br />CITY OF a'm <br />jjjMIW <br />NOTE: ALL CLUB ON-SALE’ INTOXICATING LIQUOR LICENSEE’S ARE EXEMPTFRQMAPPliffIfiQ.IW <br />_____ «K|f <br />Appiicjnlt Nam* |eu«ln*t«, PaHti«i«hi!^mpn<ation>^ 1**^)* wim# oba ---------------------------------------------------------VOTWi <br />/U-^rz oo/fV <br />Suiinni Sl>>«i Addicn at ilna NumbaH <br />X A'/ <br />\.**T <br />O^OA/Q C ^ 1 <br />SfSWIf IVBt <br />OwNati Club ubMc Budnat, <br />Nam# ol Builnaii or Club Manafai <br />Do a/ S // d. AU /S' <br />I *aEl» Nartt* n« OBA <br />Builnait Pbona <br />i/?/ <br />Slai* <br />I vpa oT Huiifiati INttlautani, Oanc« Mair. ale | <br />wm!iW I lai <br />|, !fe;r <br />, ''t ftVi <br />«:r'? <br />Nam* of BuHdlnf <br />A' ^E tmc club riffAGsiN^ss r«f *Aflt THE tTui ri" a JslEaf SS PdE *.1KI < M PA II A I t T 111 )M AN V <br />OTHCn BUSINESS CSTABLIS mmc NI I r-a- <br />E^ vaa 1.. JNi. <br />IS awlicaticjn <br />ORIGINAL f~! HfNEWftl^^T RANSI t R I. I <br />RatUi^iJU'C. 2,/Y/^g^S <br />Ad<l(*i» ot Mana*«* <br />Additll ol Oamar <br />A'A <br />jj/ /^ t/ /? U A <br />< Wll.U A NCTN INT ok K A I.o^M^VB!ls^^fEWr,;RV.^’:rLU'A^^^ *irewijiuia <br />^vai CU nb <br />IP. i ORMCR LICLNSttS MAMI ANU BUSINISS ihAOl N a WS <br />FOR A PUBLIC BUSINESS <br />II a Paima'thip, Siaia lEi Na'»ia ami A<l.|iau pi f ach Pa'loan II a Cwpoiaunn. Siaia Hia Nai«a and A.iii»at» ol Each OII><ta <br />Butinati PatintoOMirar <br />aA 4 y A /A- <br />Buamaii PafiottM^Muar <br />Builnatt PaHn#»iOMK#f <br />Afiditti <br />yf7ti AA /»aU4/D <br />Uata CiuP Or«am#td Numpt* a* M*inb*ta <br />C*Mb OrViCit/DMtelo* Narrt* <br />FOR A PWtVATC CLUli <br />Amr|«m| fsf n«a<i| <br />1% t*ub 6«ttid<r««| <br />'>«m*d Of n*nl#d* <br />cliib Off1C*'/Oir*ctfH Nam# <br />CiMb OMlc*r/Utvtcto« Nam* <br />Dn*t Ciul> Mamtam L<Ht**tt <br />f o» M*mh*fft I»» Sim* LtQuo# •Cl vat C. Na <br />Has applicant, if partnersfiip. any partnef , if coiporation. any officer or director, if cluh. any dub officer or diieclor. ever <br />had a license unrier the Minnesota Liquor Contml Act revoked or susiiended or been convicted for any violatiai of State <br />Laws or local ordinances; if so. give date and rietaits A ^ <br />I l*a«tbv cv'tily iSai Hit anin*'t a*a Uua ol m, nion ao'ininiijr 40.1 iioiifMiaoa lhai ii'a q.tiof (ii lalia .oimoiaiMio m ihf la.iu'f to a<»a paiimant in' ...mdlkm <br />COniMuIttcauttloi Itvocal.onul Ih., Pf.m.i AN<PERr/ll ISMIEO HtREUNOEn does NOI AIIOWTIIE SAl E OF INI OX ICAT INC LIQ'JOR. <br />NO CONSIDERATION V.'ILL BE GIVEN TO THIS AfPLICAIION <br />UNLESS APPROVED AS PROVIDED BELOW <br />IF THE BUSINESS IS LOCATED IN A COUNTY <br />Appm,ad - Cnai ’paiion Count, B l. d ni n#oi,i,r.i,i,,, Dali <br />IF THE BUSINESS IS LOCATED IN A MUNICIPALITY <br />Appeoutrl - Council Piaiidtni oi Rtpiaitniamt <br />PS nor iiiMi <br />Data <br />^UffTP»•f*'t Applr«a«f /Oaia <br />IF A CLUB ATTACH A COPY OF THE CONSTITUTION AND <br />BYLAWS OF ’HE CLUB AND A CURRENT LIST OF <br />MEMBERS <br />CASH <br />CHECK <br />LLLL ••rir- t • <br />A-hlk'i <br />iui® <br />r ■ <br />»!! <br />• 'S) fv '. e- t*’ 'r <br />■ rx- •< .* <br />■ <br />, : :1 <br />■iV