2-8-78 Meeting Attachment - Laserfiche WebLink

Home Browse Search

11. If this is a transfer application give name, address, of persons, partnership or corporation holding license for the past year. Not applicable 12. Who owns the tavern fixtures? Applicant 13. What vending or mechanical amusemnent device company has or will have machines on the licensed premise? Jubilee Music; 251 N-W- Fifth Street New Brighton, Minnesota {Tom Suggs, owner} 14. Are you a Minnesota resident? NA YesEl No If not, where resident:-----r-- July 1971 Present from — to dates of residency 15. have you ever been convicted of violating Federal, State or Local liquor laws and/or regulations? ❑ Yes 0 No If yes explain fully on separate sheet of paper. 16. Applicant, and his associates in this application, will strictly comply with all the Laws of the State of Minnesota governing the taxation and the sale of intox- icating liquor; rules and regulations promulgated by the Liquor Control Commis- sioner; and all ordinances of the municipality; and I hereby certify that I have read the foregoing questions and that the answers to said questions are true of my own knowledge. I further understand that an investigation fee not to exceed $500.00 shall be charged an applicant by the city or county if the investigation is conducted within the state, or the cost not to exceed $10,000.00 if the inves- tigation is required outside the state. nD� 2A Sign✓ ure of Appli t Subscribed and sworn to before me thiiss day of -?�/,..y��f 19��• notary publicl - Y.APEN 10JIS_ HENKE h.y cor.-Assion expires t. P: c,,!). v' RV, : Ts FED g 19' 3 CITY OF LI1 fLE CArJADA Clerk's eyhibit no. Uo3.; "oPtinc-2-8-78