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9. Applicant and his associates in this application will strictly comply with all the laws of the State of <br />Minnesota governing the taxation and the sale of intoxicating liquor, wine, or 3.2 percent malt liquor or <br />beer and the Orono City Code, and I hereby cerlffy that I have read the foregoing 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 Investigation will be <br />conducted for use in Gish mining my qual'd'ications. I hereby expressly authorize release of any and all <br />information which any organization, company or person may have, including information of a confidential <br />or privileged nature. I hereby release the City and any organization, company or person fumishing <br />information to the City, as expressly authorized above, from any liability for damage which may result <br />from furnishing the information requested. <br />11. In accordance with M.S. 13.04, the information requested on this form will be used by the City of Orono in <br />the issuance of your license or processing of your renewal application. Per Chapter 30 of the Orono <br />Minnesota City Code, a computerized criminal history Inquiry andlor a driver's license history inquiry on <br />the applicant may be conducted to verify the Information provided with the application. The information <br />that you supply on this form will become public information when received by the City of Orono. Under <br />Minnesota law (M.S. 270.72), the City may be required to provide the business tax identification number <br />and social security number of each applicant to the Minnesota Commissioner of Revenue. <br />. f / 1 <br />to/ (f Ne <br />Date <br />.11417 by A Iiibt4uo' n'. ,•...0MY. • . �. ;,, T <br />APpvjsd ❑ Denied ❑ MA By: <br />-Review by Police DeRyftent. <br />❑ Approved ❑ Denied ❑ NA Sy: <br />Comments: <br />Page 4 <br />