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11. If this is a transfer application give name, address, of persons, partnership or <br />corporation holding license for the east year. <br />12. Who owns the tavern fixtures? <br />13. What vending or mechanical amusement device company has or will have machines on <br />the licensed premise? <br />14. Are you a Minnesota resident? Yes No <br />from m — to <br />If not, where resident: dates of residency <br />15. Have you ever been convicted of violating Federal, State or Local liquor laws <br />and/or regulations? El Yes El No <br />If yes explain fully on separate sheet of paper. <br />16. Applicant, and his associates in this application, will strictly comply with all <br />the Laws of the State of Minnesota governing the taxation and the sale of intox- <br />icating liquor; rules and regulations promulgated by the Liquor Control Commis- <br />sioner; and all ordinances of the municipality; and I hereby certify that I have <br />read the foregoing questions and that the answers to said questions are true of <br />my own knowledge. I further understand that an investigation fee not to exceed <br />$500.00 shall be charged an applicant by the city or county if the investigation <br />is conducted within the state, or tht .ost not to exceed $10,000.00 if the inves- <br />tigation 's required outside the state. <br />STgnirture o pp iica <br />Subscribed and sworn tto� before me this <br />/� day >of }_ A Y 199S'— <br />A1Nno0 NInmam <br />o to r y public) Nn ivMN N1o11o0 <br />My commission expires 6 e <br />