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1*� <br />STATE OF MINNESOTA DPS 913611e•751 <br />DEPARTMENT OF PUBLIC SAFETY <br />LIQUOR CONTROL DIVISION <br />APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE <br />This application and the bond shall be submitted in duplicate <br />Whoever shall knowingly and wilfully falsify the answers to the following questionnaire shall be <br />deemed guilty of perjury and shall be punished accordingly. <br />In answering the following questions "APPLICANTS" shall be governed as follows: For a Corpora- <br />tion one officer shall execute this application for all officers, directors and stockholders. For a partnership <br />one of the "APPLICANTS" shall execute this application for all members of the partnership. <br />EVERY QUESTION MUST BE ANSWERED. <br />BUSINESSPHONE NUMBER / T ' `� 7? 7 - PHONE NUMBER ME Y y' yL 61 <br />[e• l t' h Ile V nrr � ►^e � 'Cie- e. J <br />(Individual onmer. oAftrr. of partner) <br />for and in behalf of ! t i -d= 4, C , hereby apply for an OS Sale <br />Intoxicating Liquor License to be located at 7G r� /) r't / C 4-- <br />(Street Addrm aced/or Lot and Biota Number) <br />Municipality of 1 k e } n d' , County of `� A A I C l�• <br />State of Minnesota, in accordance with the provisions of Minnesota Statutes, Chapter 340. commencing <br />192--4 and ending TLl I t c �? Ig -% % <br />2. Give applicants' date of birth <br />(Day) (Month) fYoarl <br />Birthdales of Partners / <br />DaV) _ RR (Month) (Year) <br />or K/r_'c P2.4kC d ] i <br />(DWO (Month) (riot) <br />Officers of Corporation T/C AA1f v J ,-t it <br />(Month) frier) <br />8. The residence for each of the applicants named herein for the al. past live yea is as r1lows: N,. <br />_ 1� <br />4. Is the applicant a citizen of the United States? S <br />If naturalized state date and place of naturalization <br />If a corporation, or partnership, state citizenship status of all officers or partners. <br />f1 2rn1 <br />5. The person who executes this application shall give wl.W6 or husband's full name and address <br />h /i• / i^ /)C' a �! !�'f /i V� r /e• t - ice. <br />6. What occupations have applicant and associates in We applicationfollowed for the past five years! <br />N eV 1 e rAI, — ST. Lit Lilt j,Jr-Cb <br />,o hr rN T c*i"/raV /c' I y1 y / 1 �• /I �7 /, 1./1 <br />7. If a partnership, state name and address of each member of partners)-t^ <br />CLERK'S EXHIBIT Ho. 1089 <br />Fbet t►1q-S-1 t _77 <br />