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g. Applicant and his associates in this application will 8Wod y comply with al the laws of the state of <br />Minnesota governing the Wmtion and the sale of intoxicating liquor, wine, or 3.2 percent malt liquor or <br />beer and the Orono My Code, and i hereby Y that I have reed the fi waWng questions and that the <br />answers to said questions are true of my own knowledge. <br />10. As the person executing this application for this license, I acknowledge that an Invendgaft wig be <br />omxWcbd for use In determining my quaiilloations. I hereby expressly auduAze release of any and all <br />information which any organization, company or person may have, Including information of a contldentla[ <br />or privileged mature. I hereby release the City and any organon, company or person fumkftg <br />Information th the City, Be expressly suth dwd above, from acrry IiabllitY for damage which may result <br />from fumishirig the information requested. <br />11. In accordance with M.S.13.0+4. the Information requested an this form will be used by the CHy of Orono In <br />the issuance of your license or proceaing of your renewal application. Per Chapter 30 of the Orono <br />Minrowle City Cade, a comptrNctmd wirninal history inquiry arWor a drrNWs license higmy inquiry an <br />the applicant may be conducted to verify the Information provided with the epplicattlon. The 1, ffiarn stlon <br />VW you supply on this corm will become public Infomm&n when received by the City of Orono. Under <br />Minnesota law (MA 270.72 , the Clay may be required to provide tiro busirreas tax iderrtlfln-AW n number <br />and social security number of each applicant to the Mlnnesata Commiselatw of Revenue. <br />� ll -.I�.r: � � 1 •1 = 1_ Li,il. �• � - '_ i�•1,� ! - -1:!:i" - l • - 1 - •� il-�c r • �' r <br />by AdmitilkhOpm <br />Iii Noted NA . . <br />POFAW tV i no=13 <br />NA <br />Cam"**: <br />Page 4 <br />