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July 19, 1985 ' <br />' 5:00 - 9:00 P.M. <br />N. y n.00m oa <br />r:.a <br />:ix,cis ,.c n... Palo STATE OF MINNESOTA <br />c z.xzo a�¢o° DEPARTMENT OF PUBLIC SAFETY <br />APPLICATION FOR PERMIT TO ONLY ALLOW CONSUMPTION d DISPLAY OF INTOXICATING LIQUOR <br />This Application Shall Oe Typaw/itun mail Submbual Bcou Jura In of each Yud <br />In amwelin0 I, lollowrn9 nuritiom "APPLICANT" Shall Be Ooramee as Whim: <br />Far i PillnlAM1in, O al the Ifannnr{ Intl) Paf[Wa uia ApVliCaliOn 1., all memb¢I{ cl tam Par hiald.la. <br />Fix a C.arpiroUpn, ov .1Gee, Shah .• neom mis apnhh i apnliuhon 11. <br />Ilorm 11 ahm etar4L ^a sl aaaaienal <br />F., a Club, one ul tnv club olliearl`Mal: ax Wi I a r" S <br />{Pico IS w.uirc., u e a s,,.ou Niel of Papa' aceicalina by n.mM/ the aueu,on m wwea. <br />(FEE FOR PERMIT--V1K1,14) $15.00 <br />EVERY OUF.STION MUST BE ANSWERED <br />Sally Perlich ,as Lau-+1+t- +.ssic <br />for and in behalf of•.•The <br />°Art, Ctill r^u1'D' <br />hereby apI, Y for n V"anit allowing cnnN,mpul, Municipalitynnof intoxicating °li9uor to be located el <br />22an y.. n <br />..., .n.,Ilennonin <br />Poll OIOc,mof _Wayzata° T°County of Irawa.ale •^m c«n.a <br />State of MinnasoW, in accordance with the Provisions of M.S. 340.119 <br />2. Will business be npermcA as a Drivaa club or public place <br />3. Stale tYP. of h.,slness Visual and performing arts education <br />a, FOR A PUBLIC BUSINESS: If a partnership, slat, name and address of each member of partnership; it <br />a corporation, state name and address 11 officers and directors. <br />^ <br />h <br />Hard, — <br />Mn 5535 <br />la••Susan Enright 1st Vice Presider. ^°3700 IIays ide Rd Long Lake, <br />um.,., <br />Iw lifarilyn Armin Sec 208.85 Radissan Inn Rd Excelsior's, <br />fan...... <br />I"•'^•' , n club incorporated <br />5. FORA PRIVATE CLUB' Oato club was organized it club building owned or <br />th <br />number of members , length ns <br />eth a time in mlaership tluet present location what era the req-ilamems for <br />rented what is e <br />mamMRhip Namet 01 +R <br />Does club maintain Ochs, to be used by Inha-la s for storing ilnoxicaung li9uor <br />officers and/or drect0u 01 this club: <br />or Ne club .nil current list Of than.Enelow wilh this aplpleallon a copy 11 Inc Canslnuuon <br />(,do mcmbela. <br />8. II ...Helm, o• a"✓ pIrlmn. cO'Patatlen ulbr:o. of ........ cub Officer or tleecmq it not IS Glwen of She <br />Uniud Slatu; bst such on CMICAS <br />7. Stat: name al 1...aan who will ."mate or nL.nagu bubneia' <br />Katherine Ilarder I^.h'«45 H,eV., Puint NJ ha1cata,Mn5539 <br />51a i n <br />B.On wnet h.ar n Six eSraW ubmenl locn@d, ar tP be IOC-I-d <br />9. Mow arc l0u P/em,ws ident sal <br />Slasulitd Undel Ile aomn. orNnanca <br />Rcf <br />00 NOT USE <br />Al,o n.r Ln Vm ..nnm hr lr.v <br />Call.m <br />an'J <br />Il.,'J hi f•.L.r� <br />