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>Lu..4i..,. ro. <br />Off -Sale $25.00 <br />STAIc, rot' IMII'INR TA per year Jan. 1-Dec. 11 <br />Combination Application for Retailer's (Iftnub) (044ude) <br />�j Non -Intoxicating Malt Ielquor Ueenae <br />To the_ C-: I ry o t` <br />Nar .f ee.rtM.eraerar 1.0."1 Owl 4.01.1401 <br />/" it W of the eity, oillags, or <br />town of_ fn4'r./J'. eountV of ��Ee.'AI- PIAJ State <br />of Aftanowda, hereby melon nppltention for a Retailer. (Ow -sale) (Off -sale) Xowdwtaa{eatiw( ,licit <br />L4%w Liatw to ee11 sueA Malt liquor dodder and pursuant to an ordinance (resolution) passed by eity, <br />ciliage esunett, eouwl!yy hoord of[ e')'C"e% <br />SAW Chapkr 540, dfinnowta $tatulao 194J, as amonded, prooiddal for Udoni tnif and rogulattng thi <br />tale of ness4rte024reting MAU liquor. n <br />During the pawl Ale+ years, my residers hae been as follows: i_C' -7 !"qp r. L A <br />i CNe t A le t- M,t/ , 3 ti <br />I was bolt` f' 1: t. it I r 7.1 <br />r� <br />LAS.LY.t1 ..A'_rATertE/✓AeJ, <br />Yw.eA fr.. suo" eram"aw <br />tuali <br />I ans a (native) (naised) eitisew of the United States. /�_1 CA QE C.,srFtlrtc r✓ (} ( 'r <br />I a— married My (wi/o's) (husband's) name and address is OLIA A_ FAJ! <br />pia. __ iJAuAtCRE aL�t Pus rT TN r . 1 i�GYK' i r /Nt <br />►irm raw InoorfwraNd 5 - I O " ") _Lw the alato o/ <br />Corporation is authorised /o tlo business Is .Kdnwaoota. <br />L:os ao is for 4 _o �i; ti ra�� n a i? _ (drW) (highway) leeaisd ea foUs w: <br />- The liven" will be in eowwsshm r, ' �� �'i .,Cw✓.0 , re e'C _ <br />Ism saw am, so—eeek sold. glob <br />whielt has bseo -. opuation L ( !'t '41 t 7,4'V� 4, % l <br />iM.ar Tonto <br />rho eaw.'isA/rleni is !oratrd on theL_/ If�r <br />rho ln&4new premises an owned 6yJ4, / aest.t .(ter. a i (-&jV fAK t'nc <br />The taro on Cho property nre not delinquswl. <br />1 am_._r u1 swgah*ad In the ?WWI sale of lwk,eiealing llgwr. <br />I hate h .d an applteation for liesaw nested ere /ollows. <br />I hate never boon eont,iefed of a felony nor of riol.sting any )Natiawrtl or stab tiqua► last, or tonal <br />erdinanoo rotating to the manufacture, sale or transportation, or possession f r sale or transportali.gn of <br />ift6extoating liquor. <br />Oan►bling or gambling devices will not he pormMd on the Usaesed p►smasn. <br />I am the owner of the leasehold, furnitu", A Oures, and equipwswl in the pronado for whiA As <br />Awaes to appUad, a ttweli — <br />1 have ere hAmUss or agromost to treader the Mesas be as okhw Person. <br />I sahwk dw tallewlag twatea rot Perseus, ladadfy a hash, for refersaw, wwft whoen I have hail hadsw relations, <br />wtw1aw: float x,A1,c .e ,r,e L& s_ isftificy- Ai,v <br />L_Llj_ ryL^,__*%ad to as~ Is the rlo of lasodeatisq Clgwr and tW haw a 1dwa1 Ossupou set Tss lsestp <br />is sssordkon with the ordlaaaw gewwaing then llesess. *7 ►eder.l T.. wM wMslpt has No <br />-- <br />I will emply with tuMs yam. of W ordieeaa rotating to tha saM of soft dsialw ter Is{atar' yarpesaa <br />sad will serve Petrone In fall slew 4 as �PaaNN11ec <br />I o�rw to waive my Constitutional = sgaiast searrh sad soisvre end wUi trod�ZPwwii Poses sentere to <br />pto the Ias�set <br />aV promises and op" e fn orfeit*" of w/ Hessee if Id r hatl hove v4glyid o Psavlstaaa of the ordtaaase (reselsdoal <br />PVWrWb%g for the paetYr at this Ilewtso / <br />I kero// se{otaalg sneer that V4 foregoing stagarar aw r rs i,t at aP Lfowld/a sd 6" 1 <br />soon be amply with a the provisions of OW ordinsaea asdst Y wy(sd. <br />-lthsse- ' a. d swoon w Mrwa M wr <br />Yes....► lei- I..b...... .N ..... .r r.. <br />MaY.I err M .1� r� eau .r w ..q.Mw. d Ir tr a�a.� M .aY . tM <br />..r <br />