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ONE DAY SETUP PERMIT'
<br />PATE OF EVENT: December 3, 1985
<br />0�11
<br />L-,1uOr Cnnuul Division
<br />P� "CO rp;
<br />N ;,n Ov., U,.�w�,,U
<br />400 cad., STATE OF MINNESOTA
<br />SL foul, ,10otn 55101
<br />t?9G.61•G1L9 DEPARTMENT OF PUBLIC SAFETY
<br />1GI ?
<br />APPLICATION FOk PERMIT TO ONLY ALLOW CONSUMPTION & DISPLAY OF INTOXICATING LIQUOR
<br />{Thii Application Shall Be Typewritten and Submitted Before June 1st of each Year)
<br />In answering the following questions "APPLICANT" shall be governed as fullovn.
<br />For a r1urinerstup, one of the partners shall execute this application for all members of the partnership.
<br />For a Corporation, one officer shall execute this application for all officers, directors, and stockholders.
<br />For a Club, one of the club officers shall execute this at.+phcat!on for all the members- If additional
<br />space is ruo 1,1110l, use it separate sheet of pa{ter, indicating by number the question answered
<br />(FEE FOR PERMIT —>MOM) S25.00
<br />EVERY OUESTION MUST BE ANSWERED
<br />1. I, Sue Bilger , as Administrative Assistant
<br />INa* ul poison rnak,nj appl,calion) � i!nd,v,duel own... Oarin.,, off,(yr, (rub off,C.rl
<br />I
<br />or t:nd in behalf of ThP _ARt C-enteraf_ Mi r n ao a _
<br />IMVseil, nainrs OI •Path.,., name of Coronrsi�on, or name of [lwbl
<br />herehy opply for a permit allowing consumption and display ` intoxicating liquor to be located at
<br />2240_112rth Shore DRiv@__ ___ , Municipality of Orono
<br />IStreet A,tar,ess rote., I.a) a„A mock number)
<br />Pos: Cifice of _-_Wayya,ta_ _ , County of _
<br />ITo..nsb,o and Sect,oni
<br />Mate of Minnesota, in accordance with the provisions of M.S. 340.119.
<br />2. Will business be operated as a private club or public place —pttht i c
<br />3. State tyfte of Easiness Fine_ and Performin_a _Ar.LS_ Fd111r, 1t i 1 S,:Bt tOr .-
<br />4. FOR A PUHI_IC HUSINE.SS: If a partnership, state nan c and address of each member of partnership; if
<br />a corporation, state name and address of officers and directors.
<br />17945 Breezy Point Road, Wayrzata1 553�i
<br />SSusan Fnriaht._ElLSt_y1_ .'&L�sident �Qi�Bayside�t�ad.-._ oc-wi Los;% 5_�,
<br />I Name) (Add,efsl
<br />Mari Radiagqn Inn RoaA E,ccritd_ 5533]
<br />, NA•nrl I Altdr n,$)
<br />5. FOR A PRIVATE CLUB: Date club was organized
<br />number of members length of time in present location
<br />rented _ what is the membership dues
<br />membership
<br />is club incorporated
<br />_ , is club building owned or
<br />what are the requirements for
<br />Does club maintain lockers to be used by mwmtiers for storing intoxicating liquor Names of all
<br />officers and/of directors of the club.
<br />ihi,wal I Ad- -1)
<br />r Ni,+y) f A,etlr Ns 1
<br />Enclose with this application a copy of the Constitution , fid By Laws of the club and current list of bons
<br />Lde memt ery
<br />6 It appliCdnt or any sar.ner, corporation officer or due(:lor, club offi,_er or director, is not a citizen of the
<br />United collates, 1!`• such non citizens
<br />]. Stare nonic .:1 person vo cs will operate or manage business
<br />tt-r 1 A_ AcGra a _.FiLgitiGi1LlYAL. I1ILr L__ ... 23 U-,L-ll—i ::iI"- ..'r �411L'. ML) I ('--' - _S A 5
<br />I.s-- 'An. •.N!
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