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Mbinesot>s Dgmwb owt of PabBc .Safely <br />Alcohol and Gambling Emin r c P mi ent <br />445 Mbwsota Sttw, %he <br />+arr+ae.. iaw�e St POL; ISN 55101 <br />651 -MI -7500 <br />REWWAL OF LIQUOR WIl1TF►, CLUB OR 3.2% LICMES <br />Ykemaee: Plmse vdt * your hoe= Adm awft=d blow. MaW=&d=1fw=svymdW Clay <br />CWWClotutiy Alidillor a (Algid subm1t1* ASNd mnewd "with mmnood lige and Ems= ligam liWft fm the <br />naw fiaamse paced. City C1aWC0u* Audit aro also required by MS. 341lA" S3 too rotart ary Ilam cWaellat = <br />UcemnCodc MCLONSS Lic aPeriodlndla$ 12/3112016 M# 2821 <br />ISSUNGAUMORM Orono <br />IAoeasee Nana Spring Hill Golf Club <br />Trade Name SPR M11 Coli Club <br />Cllr, Staley Tip Code 725 6th Ava N <br />Orono <br />Basiam Piam <br />Liiemse Feeet Off Sale <br />9524731500 <br />$4.00 On Sams <br />MN 55391 <br />$200.00 Saa ft $204.00 <br />By Aping lids Iran wal application, apldic mt oertiffes that then baa been no &2W la ovMffeh, on the abase armed <br />Beau e. Pro changes In drwnershfPt the Hessaee samd abov% or J it new lloewam6 t"afl appliaa>;ians sbonid bs steed. N <br />back of this, apron ibr for &W tnlbrmatlon ieedad to conVi ds tido renewal. <br />A M&mnt% dontama mn 2=AM%HMrkM A91M 6a raeamt of the ti'aii0 ie�► 6..� <br />1. Lioeneee aogf MB it has m faaeoreet whmboom. directly ar hxtmotbr in my other liquor eslabl dmunts m lMmeeots, <br />ffsn, give dbtails on hook efthls spp]icabm <br />2. l ee om5rms that it has never had a liquor llaemse njeawd by my 0- in y in on ab OfwffizwwtL <br />ifever tejeded, plane She deWh an the back aftbk gyral. 2=WPbdow. <br />3. I3oenee confirms that ftft Peet five years it bas not had a Hgwz Bmmse t wdod for air Hgnor law vlalatbn <br />NO ar local) If amwwWon has orated, please give ddafis ant he back offts mmma, then dgm Todaro. <br />4. Lica m ea ah= that daft the past fm yea® it or its eoaployms hove gat loam cited for ear dull or miminal <br />ft" law vioiatioma. If vieb oes have oc Pteaae Sive detetls e n back of this renewal, film sign bdda+e. <br />S. LJOMee confi = that dwk g the past ]krone year, a summons has not bem imaed umclettbe Ugttor Lisibl W <br />Law Q)nnn Shop) NO 340AAM. if ym attach a copy of tbv nm®satte, than sign below. <br />b. Menace =Mft s that Woda= CDMpeme dm ina ms= wfi1 be kept in effitd du ft the Beene pecied. <br />Iloasase Ius atodmd m Eptor lid MW hwurs= MWdMeaia &2t oorreapomds wkh the lieease Plod is dfl*o mMy where <br />Semm b ivasd. SHOW im *Wk er soca Mes or S10VW rarely band may be subn*W In ilea d qnw lbhffiip. <br />CU& Bgaor fiodaaea are apt Unlas my hag than =on a« W Mj% qr$Myppp st adtsoW <br />(( oet� n io be k sfld liamaa Ram ;SS# ,Dat �� <br />[Sly CSealr/GMMWAuditor Stnetam Date <br />(S Pater certifies ad wnewsl of a liquor. wince or club lige leas boas eppwvW bythe cat 7 u * as shed ab <br />CDU9 Anmncy S%p*m <br />COXMW Board issued liamsmis diPible%rlioeaae). <br />P01iaelSherl$Sigieit= Dd==. <br />SISurmcatdalacam or asamdm ahwkcd hr any etetoJlocal Ugaar hw violetia <br />Report <br />