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Minnesota Department of Public Safety ��°% <br />�,a -SST , LIQUOR CONTROL DIVISION t <br />. 444 Cedar St. /Suite 100E 1 (�/�, <br />�' St Paul, NIA 55101 -2156 L'�' <br />'� „r” <br />y l - -k, (612)296 -6439 fDD (612)282 -6555 cc <br />APPLICATION AND PERMIT <br />FOR A 1 TO 4 DAY TEMPORARY ON -SALE LIQUOR LICENSE <br />(Organization or location limited to 3 permits in a 12 month period <br />TYPE OR PRINT INFORMATION er <br />b1A lit <br />NAME OF ORGANIZATION <br />L.t ff-I� lt�ho,,�0. R.Q c-re „I,,,•v t 50Cc.i-io,1 <br />DATE ORGANIZED <br />Tuvl-el. I`i 6k <br />TAX EXEMPT NUMBER <br />qz /)C, <br />ISTREET ADDRESS <br />71S L, %"t/{ C'.'.r,_'.,:e. re2., <br />CITY <br />L jI / /C. do..,C5.,4 e■ <br />STALE <br />111, A) <br />ZIP CODE <br />,j 1%-7 <br />NAME OF PERSON MAKING APPLICATION <br />RtcK -15c5S <br />BUSINESS PHONE <br />(.65)) Ps:•Qo2.9 <br />HOME PHONE <br />(65I) clyv 31 ( a 5 <br />DATES LIQUOR WILL BE SOLD (1`Po 4 days) <br />0 C T . '3c ., ."., 2.co <i <br />TYPE OF ORGANIZATION <br />n CLUB ❑ CHARITABLE ❑ RELIGIOUS ❑ OTHER NON-PROFIT <br />ORGANIZATION OFFICERS NAME <br />i c f< <br />ADDRESS <br />7,2 6 )31'y<<.‘ ST Lr ff %r lti „,rl„ lII >c, 5-5-i1 7 <br />ORGANIZATION OFFICERS NAME <br />_4(ft +i.- 5c -c_kac ........ <br />, <br />ADDRESS ' <br />.z. 530 41/e, The ,,e ;,,.y , L, r{ /r. CA „v,dei fib., 5c Il'7 <br />ORGANIZATION OFFICER'S NAME <br />Ai rtv \e.Y IC,; <br />