08-27-2003 Council Agenda - Laserfiche WebLink

Home Browse Search

Minnesota Department of Public Safety oyiv x STU LIQUOR CONTROL DIVISION ° 444 Cedar St. /Suite 100L ,_ s- St. Paul, NE 55101 -_2 156 (612)296 -6439 TDD (612)282-6555 APPLICATION AND PERMIT FOR A 1 TO 4 DAY TEMPORARY ON -SALE LIQUOR (Organization or location limited to 3 permits in a 12 month period TYPE OR PRINT INFORMATION LICENSE i1 TAr- At Ems' or NAME OF ORGANIZATION St. John's Church of Little Canada DATE ORGANIZED 10 -07 -1851 TAX EXEMPT NUMBER ES 23330 STREE F ADDRESS 380 Little Canada Road CITY Little Canada STATE MN ZIP CODE 55117 NAME OF PERSON MAKING APPLICATION Rev. Robert Fitzpatrick BUSINESS PHONE (651) 484 -2708 HOME PHONE (651) 330 -8286 DATES LIQUOR WILL BE. SOLD (1 to 1 days) September 28, 2003 TYPE OF ORGANIZATION ❑ CL,1.13 0 CHARITABLE 17.1 RELIGIOUS ❑ OTFIERNONPROFIT ORGANIZATION OFFICERS NAME Rev Robert Fitzpatrick ADDRESS 380 Little Canada Road ORGANIZATION OFFICERS NAME ADDRESS ORGANIZATION OFFICERS NAME ADDRESS Location where license will be used. If an outdoor area, describe Parish Buildings Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor license providing the service. No Will the applicant carry liquor liability insurance? If so, the carrier' s name and amount of coverage. (NOTE: Insurance is not mandatory) Yes, Catholic Mutual /Archdiocese of St. Paul /Mpls. APPROVAL APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO LIQUOR CONTROL CITY /COUNTY Little Canada DATE APPROVED LICENSE DATES CITY FEE AMOUNT DATE FEE PAID SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED LIQUOR CONTROL DIRECTOR NOTE: Do not separate these two parts, send hoth parts to the address above and the original signed by this division will be returned as the license. Submit to the City or County at least 30 days before the event. PS- 09079(8/95)