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Tothe.. <<�' �!. nt'.» »».................».... »».... »................... ».».... ..... »....... ........ ..».... <br />C' <br />Of the L:.:.�v ».»....».»»» ........»....of_. !...»......»»...� w....�c n �..»».`�' .».......».... <br />County of-RCL Y`'1 Se..».»......».. »..... .�.»........, State of Minnesota: <br />7j�j <br />whose name and address is subscribed hereto, hereby make application for an " e' ale" <br />(oN, on) <br />license to sell non -intoxicating malt liquors on those certain premises in the Cof <br />County of» '�'� S t ................�....»»-.._» State of Minnesota knou-n <br />and described as follows: a� o 0Yv%S L:! �U 4`..�..»..»»»......_......... ...........» .» <br />».»»»».._»._.».»».......»........»»»»»...»».»....».....» .»..» .......... .»»..».in connection with the <br />._.».........»...»............... .....»»...»..........._......»»..........»....._..»....»».»..»...business there now and heretofore conducted <br />by said applicant since . vN ° ..., 19. <br />.4pplicant states and represents: <br />(a —if an individual or partnership) That......he»»» - citizen —of the United <br />(he is a, they ere) <br />States of .4meriea, who ... »»........ »....... of good moral character and repute and has attained the age of <br />(is, are) <br />twenty-one years and ic•ho........................ proprietor ...... of the establishment for which this license is applied. <br />(is, arc) <br />(b—i f a corporation) That it is a corporation organized under the laws o Srt- ' °'- h1i n� <br />That said corporation is ...... !1 dt......x..........an affiliate or Subsidiary of ................................................. ............. »»... ...... ....... <br />... <br />That the application is made on behalf of said corporation by the understenedT.!.�. Y!� Q10001 _. <br />(officer or manaoer) <br />of said corporation. <br />(c—if a club) That it is a bona fi& club and is an organization for social or business purposes — <br />or for intellectual improveM ent- or for the promotion, of sports —where the serving of such non -i n toxi- <br />(delete inapplicable reference) <br />cating malt liquor is incidental and not the major purpose of the club. <br />The applicant represents that no nzan.ufaeturer or wholesaler of non -intoxicating malt liquor <br />has any ownership, in whole or in part, in the business of applicant. <br />.4pplicant herein agrees to abide by and be. governed by all rules and regulations of the nzunici- <br />polity and all laws of the.state pertaining to the sale of non -intoxicating malt liquors. <br />CLERK'S EXHIBIT NO . 0 1 1 <br />MEETING-5-10-78 <br />LEM <br />"-),- - a , &_Z­G­Y� <br />.odd ess. S �- <br />.........................................................................»...................................._............................... <br />.4d d ress..................... ».»............. »....»»------------------------ »-------- .................. ------ »............... <br />6tate o f Ainnr�jota' ss. <br />Cozc my of --•-- :...�.kx.... .. »....---»........ <br />»... <br />