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Afianmft Department of Public Safety <br />Alcohol and Gambling Enforcement <br />445 eta Street, State 222 <br />St Paul, MN 55101 <br />651-201-7500 <br />RECEIVED <br />OCT L 17016 <br />RENEWAL Off' "QUOR I'�'VIi I CLUB OR 3.2°Jer' LICT'd ffi' i� ; �' RONO <br />Licensee: Please verify yoxu licensee infimnation contained below. Make coneetion if mcesnry acrd sign Qty <br />Clerk/County Auditor should submit this signed renewal with completed license and homsee liquor liability for the <br />new license period. City QerkiC.oundy Auditor are also rec�tared by M.S. 340A,404 S3 to report any► licenso_canccllation <br />- - <br />Ucewe Code MCL ONSL Llcenae ftlod Ending 12/3112016. W# 391 <br />L��'Ifj iCeYAM100:CC9Y�/ <br />Licensee Name Woodhill Country Club lnc. <br />Trade ]+tame Woodhill Country Club <br />Gly, State, tip Code 200 Woodhill Rd <br />Orono <br />Sassiness Phone <br />License Fees: Off Sale <br />9524737333 <br />$0.00 On Sale <br />MN 55391 <br />$200.00 Sunday $200.00 <br />By signing this renewal application, applicant awtilles that there has been no change m ownership on the above nam, <br />liege W& For manges in ownershilh the licensee maned above, or for new liamsees, fufl applications should be use& <br />back of this application for further information needed to complete this renewal. <br />is' re on a eontt the urs oft m result '. <br />1. Licensee confirms it bas no ingest whatsoever, directly cr indirectly in any other liquor establishments in Minnesota. <br />If so, give details on buck of this application. <br />2. Licensee can&= tbafit has never had a Hquar license rejected by wy cityfbownshipfco arty in the state of hfimewt& <br />If ever rejected, please give dclails on the back eftbls renewal, them ow below. <br />3. Licensee confirms that far the peat five years it has not had a lkl= Home revdwd for any liquor law violation <br />(staff or local). If a rrevocatim bas occurred, plww give details on the back of this renewal, them sign below. <br />4. Licensee confirms that during the past five years it or its employe= have not been abed for any civil or criminal <br />liquor law violaaans. If viobdom have occamd, please give details an back of this re umM, them sign below. <br />5. Licensee ecnfirtas tbat during the }past lioense year, a summons has riot been issued under the Liquor Lisabft <br />Law P= Shop) NE 340A.802. If yes, attuh a copy of the suromm s, then s p below. <br />6. Licensee cenfi= that Workawsa Compenastionfi mr mee will be ]Dept in effect ding the lie=n period. <br />Ucense a has attae ked a llgaor liablity bsumne a certificate that correspomb with the license poled in ft/county where <br />geenu b iasued. $100,1100 in cash or smWitift or $100,000 surety bond may be submitted In hen of liquor hate 0. <br />(3.2dc liquor li sem an Mempt if sales are los than $Z5W at on sale, or x,000 at off sale). <br />Licensee Signature 'Mt Al 4DOH_ „z S& „`Date LO t <br />(Sigmture certifies all aberve' to be a end license has been approvea toy citylcotaty) <br />City CleddCounty Auditor Signatm Daite <br />(%grannie aeriifres that renewal of a liquor, wine or club license has been appmved by the city/mmly as staled above.) <br />Caaxtnty Attorney Signature _ <br />County Hoard issued licenses <br />Is eligible fon' Heem). <br />Poliee/Sheriff ftnetare Date 1512 Ate <br />Signature certifies Romeo or moclaw hP Wen checked If ear ata onocal liquor law violations (aiM-7R' dvM during the peat &e years. Report <br />violations on back Wen alp hem V <br />