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H s f br Minnesota Department of Public Safety <br />� IlE VV �A'r�, <br />P�, O <br />a �\ Alcohol and Gambling Enforcement Division <br />N 444 Cedar St —Suite 133 <br /><l <br />St. Paul, MN 55101 -5133 <br />did ii i5 <br />(651)296 -6439 TDD (651)282 -6555 <br />APPLICATION AND PERMIT <br />FOR A TEMPORARY ON -SALE LIQUOR LICENSE <br />TYPE OR PRINT INFORMATION <br />!cNt <br />�° <br />�q? <br />O_FMMNE <br />OFVUB <br />0 <br />*oa <br />MIK <br />s°sP� <br />NAME OF ORGANIZATION <br />Saint John's Church of Little Canada <br />DATE ORGANIZED <br />1851 <br />TAX EXEMPT NUMBER <br />ES 23330 <br />STREET ADDRESS <br />380 Little Canada Road <br />CITY <br />St. Paul <br />STATE <br />lin. <br />ZIP CODE <br />55117 <br />NAME OF PERSON MAKING APPLICATION <br />Robert iitzpatricn <br />BUSINESS PHONE <br />(651) 484 -2709 <br />HOME PHONE <br />( ) same <br />DATES LIQUOR WILL BE SOLD <br />Sunday April 7S 1999 <br />TYPE OF ORGANIZATION <br />❑ CLUB I] CHARITABLEIIRELIGIOUS EOTHERNONPROFIT <br />ORGANIZATION OFFICER'S NAME <br />Rev. Robert Fitzpatrick <br />ADDRESS <br />380 Little Canada Road <br />ORGANIZATION OFFICER S NAME <br />ADDRESS <br />ORGANIZATION OFFICER'S NAME <br />ADDRESS <br />Location where license will be used. If an outdoor area, describe <br />grhnnl building and parking lot <br />Will the applicant contract for intoxicating liquor services? If so, give the name and address of the liquor licensee providing the service. <br />no <br />Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage. <br />(NOTE: Insurance is not mandatory.) yes Catholic Mutual Ins. /Archdiocese of St. Paul /Mpls <br />APPROVAL <br />APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE. SUBMITTING TO ALCOHOL & GAMBLING ENFORCEMENT <br />CITY /COUNTY DATE APPROVED <br />CITY FEE AMOUNT LICENSE DATES <br />DATE FEE PAID <br />SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED Alcohol & Gambling Enforcement Director <br />Note: Do not separate these two parts, send both parts to the address above and the original signed by this division <br />will be returned as the license. Submit to the city or County at least 30 days before the event. <br />PS-09079 (6/98) <br />Page 114 <br />