11-28-1988 Council Packet - Laserfiche WebLink

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Part 1 - General Information (off Sale Intoxication) 6.(c) The full names, residence addresses, and telephone numbers of all persons who singly or together with their spouse and his or her par- ents, brothers, sisters or children, who own or control any interest in said corporation or association. Full Name Interest Residence Address Phone _ street (City State) zip) (area code & No Full Name Interest Residence Address Phone (street) (city) (State) zip (area code 6 No.) Full Name Interest Residence Address (SPhone street) (City) tate (zip) (area code s No.' Full Name Interest Residence Phone (street) (City) (State) (zip) area code b No.) (d) The full name, residence addresses and telephcne :l:,.bers of the mana- ger, and any other individual with management respDnsibilities. Full Name Residence A.:dress (street) .City) State) (zzp) Full Name Residence Address (street) (City) (State) (zip) Full %&ne Residence Address street (City) State) zip Phone area code & No.) Phone (area code 6 No. Phone (area code & No.) (A Part II - Personal History form must be filled out and attached for individuals listed in 6b, 6c, and 6d.) ATTACH : P\\ 0rr C J 1 ATTACH: %s 0 r k Vt) . O CJ44q_'1 1. Two copies of the Dr Association A Certificate of Incorporation 2. Three cc. ies cf the Article. of Inccrpor3tior. g- reement. 3. Three copies of the By -Laws to the application. 4. Foriegn Corporations shall attach two Certificate cf Authority, ar •iescribed in M.S.A. Chapter 303. S. Three copies of the Lease Agreement. 7. Do You hold an interest of ten percent or more in any other liquor establishment it the State of Minnesota? �• To �• K e „a-,ac' e.►a~_. ~er.t and Iccat.cn. No-__ �. i, ..