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pui_nn:.'hy, Tx�s,% Minnesota Department Alcohol and Gambling of Public Safety Enforcement Division St —Suite 133 MN 55101 -5133 TDD (651)282 -6555 AND PERMIT ON -SALE LIQUOR LICENSE Fpoi �� '� *sr �a _0*-- 444 Cedar St. Paul, Ay *.'..x.* 10�� , 85.0.,Y (651)296 -6439 APPLICATION FOR A TEMPORARY TYPE OR PRINT INFORMATION 9 OFFlNMES�P NAME OF ORGANIZATION Saint John's Church of Little Canada DATE ORGANIZED 1851 TAX EXEMPT NUMBER ES 23330 STREET ADDRESS 380 Little Canada Road CITY St. Paul STATE Minnesota ZIP CODE 55117 NAME OF PERSON MAKING APPLICATION Robert Fitzpatrick BUSINESS PHONE (651) 484 -2708 HOME PHONE (651) 484 -2708 DAI ES LIQUOR WILL BE SOLD Sunday_ Spptemher 96 1999 TYPE OF ORGANIZATION ❑ CLUB ❑ CHARITABLE }7RELIGIOUS ❑OTHERNONPROFIT ORGANIZATION OFFICER'S NAME Rev. Robert Fitzpatrick ADDRESS 380 Little Canada Road ORGANIZATION OFFICER'S NAME ADDRESS ORGANIZATION OFFICER'S NAME ADDRESS Location where license will be used. If an outdoor area, describe school building and parking lot Will the applicant contract for intoxicating liquor services? If so, give the name and address of the liquor licensee 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 Ins. /Archdiocese of St. Paul /Mpls. APPROVAL APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL & GAMBLING ENFORCEMENT CITY /COUNTY DATE APPROVED CITY FEE AMOUNT LICENSE DATES DATE FEE PAID SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED Alcohol & Gambling Enforcement Director Note: Do not separate these two parts, send both 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 feast 30 days before the event. PS -09079 (6/98)