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.~~i ai>ua<O"~ <br />~~~~~ <br />r~e Mxx~~ <br />Minnesota Department of Public Safety <br />ALCOI101, AND OAMI3LING ENFORCEMENT' DIVISION <br />444 Cedar Street Suite ] 33, St. Paul MN 55101.5133 <br />(G51) 207-7507 Fax (651) 297-5259 TTY (G51) 282-6555 <br />W W W.DI'S.STATE.MN.US <br />APPLICATION AND PERMIT' <br />POR A t T'O 4 DAY TEMPORARY ON-SALE LIQUOR LK;ENSI <br />'fYl'ti Oli PRIN'P INP012MAT[ON <br />oj5~j?•o-'* <br />.~_ ~~ <br />ip,^ ; . <br />r~: '~~~~;: <br />J: .:- I. <br />f•! \°' s <br />NAME 01= ORGANI%A'17ON DA'hE ORGANS%Ell TAX EXEMPT NUMBER <br />Little Canada Canadian Days, loc. 12/17/1978 <br />S'fRl'ii?:P ADD12ES5 CITY S'fATTs ZIP CODL' <br />515 E Little Canada Rd Little Canada MN 5511'7 <br />NAME OP PL't2SON MAKING APPI,ICA'f10N Bl1S1N1:SS PAON1> hIOME PbIONIi <br />Susan Nelson (61").)'793-3203 (G51}983-9591 <br />llATESLIQUORWILLI3ESOLD 7/31/2009-n/z/z ao9 '1'YPI?OP012GANI%AT'ION <br /> ' 11 ~[ 1" 1= 1 ). :1;1I1;Rj~.ON4'ROFIT <br />012GANI%A1'lON' OFFICER'S NAML' ADllRli5S <br />Susan Nelson, President 762 Labore Rd, LiCCle Canada, MN 551'17 <br />012GANI%A"1'ION OFFIC[iIt'S NAME ADDR1iSS <br />Joseph Gilles, Vice President 2538 McMenemy Rd, Little Canada, MN 557.17 <br />OR(iANILAT'lON OFFICER'S NAM[; ADDRI>SS <br />Lynda Beaudoin, Treasurer 2442 Rice SC 71165, Little Canada, MN 55113 <br />Location license will be used. If an outdoor area, describe <br />Spooner Park, 350 Eli Rd, Little Canada, MN 55117 <br /> <br /> <br />~~/ili the applicant contract for intoxicating liquor service? [i'so, give the name and address oPlhe liquor licensee providing the service. <br /> <br />Will the applicant carry liquw~ liability insurance? If sa, please provide the carrier's name and amount of coverage. <br />Minnesota Joint UiIdEY{JYlting As$ociation <br /> <br /> APROVAL <br />APPLICATION MUST BE API'ROYGD BY CITY OR COUN9'Y R131:ORG SUBMITTING TO ALCOHOL 8c GAMBLING <br /> ENFORCEMENT <br />CI"PY/COUNTY DATE APPROVED <br />CITY PEE AMOUNT LICENSE DATES <br />DATE PEE PAID <br />su;nnruuecrrvct,muconcot;ra'rvot=rtcfnt, nrrlaor~rpnlRrcroanLCOHOLnnvcnMnuncr:nroncu:Mrn'r <br />NOTI's: Submit this i'mm to the city a• county 30 days prim• to event. 17otwmd applicatimt signed by city and/m• county to the ad<h•ess <br />above. If t11e applicatimt is approved the Alcohol and Gambling Rnforcement Divislmt will rchirn Uds application to be used as the Licauc for the even <br />Pti-09079 (OS/O6) <br />Z <br />