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MinnesotaDeparbamt ofPabHe Sobty <br />Alcohol sad GambIft Ea meat <br />445 Mhmo to Shve% Site 222 <br />St: Paul, MN 55101 <br />651-201-7500 <br />WAS,, OF UQU VANX, CLUB OR 3.2% LICMICS <br />• ' •.re�uva�wa��ro+ar��s1[aer]i��1��dt<gAk�al.�d ;- <br />Licetxsae; Please verify yon iii informa ion mnk� below. Nike cOuwfioms Ue mwzy end dgm City <br />CJmWCloumiy Audebor &mind solemn im std mmd with con4otod license and liceasco liquor habghy for to <br />now lbmw parlod. City CION0othety Auditor we also htejWred by NLS. 340A.404 83 Io mpart any Iicem cane iMcn. <br />flame Code QFSL license Period Ending 1713112016 ID# 21903 <br />ISSUDiG AUTHOMTY Oho <br />Liaeahsee Name Wood Entmpizos Inc. <br />Trade Name 'Navwe Liquor <br />City, State, 2Zp Code 3421 Shareiiue. Dr/PC Bare 50 <br />Nam MN 55392 <br />Basluem Phone 9524718880 . <br />IAc me Fear: • Off" (. $150.00 .On Sale $0.00 Sunday $0.00 <br />By signing tkk renewal appHan oa, app leant certifies that there, hes been no change in ownership an the above na <br />Hcenn% For changes In ownership, the Hamm aasned above, or Ibr now Rome% f a applications ehoRM be anal <br />back of this application for fhr&w inlbrmatim needed to eomplete this renewal. <br />Jr i_�a! _..tip i i li _ - ,7 - 7i i y},174 <br />1, Uccasm ccm&ms it bas mo iia burst whabmm, y cr indinec* in u othaliqUorestabUdnmb im hftnmotL <br />Ifs% give details on back of*b< appl mdom. <br />2. Llom ae aanfirans that it bas ntcver had a Hquar Remo *ectod by viY dWft vnddpl =j* in the gusto Of 11llhQ mta. <br />If ever rqjoch4 please give devils on the back ofNs ronewsl. then dp below. <br />3. Licamm canffirns Sat for the past five years it has not had a 1#gum Hcmisc mvdwd far arty Ugciar law of Qw& m <br />(stag at Ictal). Ifa revoca ica has oomvrod, plem Shur deiaiis on the lam oft b vmvw 1, then sign below. <br />Iacensee 000ffima Snot dmk g for past Svc yea ze it rm its amployees have not boo died for aW civil m aimiwal <br />livor lawviolahoas. Zviol dams have ocati=4 please give dates an back ofthis roawW, then sign below. <br />5. I.iCC m con$nms that dmft tie past lime year, a summons baa mot been ism and undar the UquorLebft <br />14v (Dram Shap) bG 34MIM. If yes. aUS& a copy tithe summms, thm sip below. <br />6. Liacosee confirms that Worlceer Compawion ince will be leapt in gftd dm* be Hoeaso period. <br />Ihmme has a# wlwed a 8gaor lish8ity fasumnee cerdfiade that CmTespoada with &e fioema period in df ►Ice mty what <br />kenos is laamd. $100,000 in emb or aendtka or $10Q,000 merely bond my be sabm*W IR ft of liquor liabfty. <br />(3 2dc Iquor l' ', 1 are mmpt i1f 48than at on =I% or at offsa�e). <br />f <br />I.icc�ae $ignatixt+d I W �Oak <br />(Sigmtiae mxhtties all above t be coaect cad Hume h&b@WWpzvvvd by city/ate ) <br />Chy C[ork/Omety Auditor Sig Ddum Dale <br />(8i9natWB CUM= that renewal ria lupaor, wine or dub ficam has bm approved by the ft/cvantr as atatad above <br />County Attmw BMus — <br />Courdy Board immd licomms <br />is cligible fbr limm). <br />Polioe/SheriffSigaatme aft -IYA* <br />Sig, our certWm ii amore or as dkaked for any SMA00d ligaor law viDIM Tans {aimmalfdvM duB F 7eara Report <br />the ante <br />violations on back, thea sign hem <br />