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I am the owner of the leasehold, furniture, fixtures, and equipment in the premises for which the <br />license is applied, <br />I have no intention or agreement to transfer the license to another person. <br />I submit the following names of persons, including a bankr reference, with whom I have had business relations <br />7 eh'; e90 7-intend to engage in the sale of intoxicating liquor and will have a Federal Occupational Tax Receipt <br />in accordance with the ordinance governing this license. My Federal Tax Stamp Receipt is No <br />I will comply strictly with the provisions of the ordinance relating to the sale of soft drinks for "mixing" purposes <br />and will serve patrons in full view of the public. <br />I airree to waive my Constitutional Rights against search and seizure and will freely permit peace officers to inspect <br />my premises and agree to the forfeiture of my license if found V, t -,a violated the provisions of the ordinance (resolution) <br />providing for the granting of this license. <br />I hereby solemnly swear that the foregoing statements are true and correct to the best of my knowledge and that I <br />agree to comply with all the provisions of the ordinanolf under which this license is granted. <br />Subscribed and o to a me thiq._"i/'' <br />MOTE, Llee. m,p be ued onb la pawae �b an'it"' of the United 9teW and aho are of so" nerd eAoee,er aid Male. the ben <br />auaind the eve of 01 sea sad iAo an pnVrbbn of the "tablle►create for wblcb the Iluow an W.W. I....IOtO, e. 700. <br />f1a►+ <br />DOROTHY MY. NALLN <br />NotY PUKXe�A <br />�e HENNEPIN COUNTY <br />fy m,ar,teebn ,iwW aaM <br />