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•• <br />I,I. <br />• V ! <br />f 'V <br />r<- <br />V ■‘^■ <br />. ti'.' ■■■■' ■ <br />v•.*^ <br />ti^ <br />••■‘•i • <br />.• •-:• <br />-t. <br />. • •. <br />■: r. <br />; ; <br />. . *• ' <br />■ <br />?»; ■. •.’. ■ <br />• <br />V.■,r,;; v. . <br />>;» * .'.Iv- ;. ■ <br />PHONE 612-296 6IS9 <br />MINNESOTA DEPARTMENT OF PUBLIC SAFE! <br />LIQUOR CONTROL DIVISION <br />333 SIBLEY • ST. PAUL. MN 55101 <br />APPLICATION FOR CONSUMPTION AND DISPLAY (SET UP| PERMIT <br />^ IS'C .c oPERMIT FEE ^4^4-50 <br />IF NAME AND ADDRESS SHOMN ARE <br />NOT CORRECT. MAKE CHANCES IN <br />SPACES BELOW <br />NOTE: ALL ON-SAL-* INTOXICATING LIOUOR LICENSEE’S ARE EXEMPT FROM APPLYING. <br />Ap0HC«nu Nim* pjnw>*winA r <br />f)o A/ S'/- _______ <br />Butinoi SliMI AM<«U o« Hui Numom_____A <br />ri«d« Of oaA <br />LAjh£S <br />'a X S < <br />pC hmit tvpc <br />(Z]p>tir«l« Clue ^Ipue <br />County <br />/-//- Ay 4/ <br />M z' a/ <br />Typool 6u»in*ti (iiMUuxni, 0*nc* m«m, tie.) <br />___ Soto Lt /V <br />Butmoti pnon* <br />210 Coo* <br />£y'37-L. <br />Nemo oi Suitneu o> C uo Meneye. <br />N«m# of Vwilptof Qmf^t <br />Ki(< <br />CLUB C <br />SEa/Ti7 U <br />ARE Tk E CLuVon BOSiPfESS RRCMISLS SEPARATE TROM < <br />OTHCH B*JSINiSS cstabusmmcntf <br />IS apblicatiom <br />original O RCNENAl^t^.-transfer I <br />Aaoieti oi Meneew <br />A/fy <br />Add««u of Dwpdf <br />NON*iNf6i«tCATlNG MAcV <br />At ^yy^y <br />mAS oh >Vill A NON-iNrOKICATINC malt liquor license BCCN issued <br />TO THIS BUSINESS FOR THIS LOCATIONS rW f-T0v»« LJno <br />IF transfer , former licensees name anu Business thaoc name <br />FOR A PUBLIC BUSINESS: <br />II » PofineMhip. Sieit me Nome en<i ArttiiMt pi Eetn PiMnei II e Coiooieiion. Sitt* the Nome end Addin* ol Eeci< 0Hice« <br />Dutineti Pennef.Oiiicei <br />a/ Sc/fE/(y£ /L <br />BuMn«»l Ptstntf/0MK«» <br />^PS 4S£rJiPEEj/ /%io lla/£> <br />FOR A PRIVATE CLUB <br />ueie Clue O'teniiM Numoei Rl Memeei*Amount ol Duet Merneeiimp Reouiiemeni* <br />Clue OiiKei/Oiietlof Nemo <br />LtnfIFi of Tim« CIwO <br />Al Betioni LO««llOfli <br />U Ciwtt Biiiidif^ <br />0«en«d O* Atoitdf <br />Clue Ciliicat/bldciot Nam#AdOiaii <br />CluO Oiru««/OlFdcl0P N«m«. .aiffcti <br />Ooei Clue Meiniein Locueit <br />*■ T» Memee<* To Sioie Liaueei Ove» On <br />Has applicant: if partnership, any partner; if corporation, any officer or director; if club, any club officer or director, ever <br />had a license under the Minnesota Liquor Control Act revoked or suspended or been convicted for any violation of State <br />Laws or local ordinances; if so. give date and details O_____________________________ <br />I eettby ceriily mat iRa aniNOi* ait l>ua ol my own EnoMtadea and undaiHand iRai lira tiving ol lalia inloimaiion o> the lailuia to t»* oarnnani inleTmelioa <br />conililuittceuM lo> (allocation ol livioa<mii ANV PERMIT ISSUEO HEREUNDER DOES NOT Al ^ <br />NO CONSIDERATION WILL BE GIVEN TO THIS APPLICATION <br />UNLESS APPROVED AS PROVIDED BELOW <br />IF THE BUSINESS IS LOCATED IN A COUNTY; <br />AeeMtvao - cnauea«»an county bowo o# Rao(*»aniaii»a Data <br />IF THE BUSINESS IS LOCATED IN A MUNICIPALITY <br />AoptODOd - CowncR Pittidani at Raii(a«antaii«a Data <br />P« VOQ? 13/BSI <br />the sale of INTOXICATING LIQUOR. <br />4^ <br />: CLUB ATTACH A COPY OF THE CONSTITUTION AND <br />BYLAWS OF THE CLUB AND A CURRENT LIST OF <br />MEMBERS. <br />CASH <br />CHECK <br />MM <br />fmmi; <br />ills <br />; 1 <br />Mm <br />mmMM'W&WWB I' H: i mmm