Laserfiche WebLink
f <br />MINNESOTA JOINT <br />ER ER ITI 760 OPTION <br />ST- PAUL, MN 55101 <br />1- 800 -552 -0013. OR (6yi%j' 222-0484 <br />APPLICATION FOR LIQUOR LABILITY COVEBAOE <br />Coverage will not be bound if the correct premium payment, written rejection, current license, and <br />required documentation of liquor receipts are not attached. Coverage cannot be bound prior to 12:01 <br />a.m. the day following receipt of the above by the Administrator. <br />Legal Name of Applicant <br />Trade Name <br />Mailing Address <br />Individual .._.gyp <br />If Applicant is Individual: <br />Applicant Name <br />If Applicant is a Partnership or Corporation: <br />Name of Each Partner or Owner <br />Virginia Smith, President <br />Carl Nelson, Vire Pr- ti.a..,i- I <br />Sue Nelson, Treasurer <br />Dobx1 Sinna, Secretary <br />Operating Location(s) — List all Locations•. <br />L S1S T "'1e Canaria Roan <br />cmigaleaCanada, MN 55117 <br />Organized to plan <br />Little Canada <br />Canadi <br />,... .. 1. <br />515 East Litltle C <br />Corporation <br />Little <br />Non - Profit <br />a, MN 55117 <br />Other <br />Spouse Name <br />Percentage of Ownership <br />N/A <br />N/A <br />N/A <br />N/A <br />2. Spooner Park, Eli Road <br />and oversee City's annual celebration. <br />Primary Nature of Business <br />Check all applicable. <br />1. Restaurant <br />4. _Bowling Alley <br />7. g_Spccial Event <br />y _nub 3. Bar <br />5, y�On/®fficSaies 6. Off Sale Only <br />1998 - Gambling - <br />1998 - Festival/ lant Sale - <br />Total Gross Receipts of Entire Establsahment <br />Gross Receipts from Liquor Sales Included Above <br />Seating Capacity, Total <br />License in Effect? Yes <br />Licensing Authority <br />Address <br />License Number <br />Effective Date August 6, 1999 Expiration Date <br />License Ever Revoked/Suspended? _Yes X No If yes, date <br />If yes, explain <br />1998 - <br />Bar Only <br />�No <br />City of Little Canada <br />515 Little Canada Road, Little Canada, MN 55117 <br />August 8, 1999 <br />Page 138 <br />