Laserfiche WebLink
Minnesota Department of Public Safety <br />680r LIQUOR CONTROL DIVISION <br />°� 444 Cedar St. /Suite 100L <br />o;� St. Paul, MN 55101 -2156 <br />%, (612)296 -6439 TDD (612)282 - 6555 <br />APPLICATION AND PERMIT <br />FOR A 1 TO 4 DAY TEMPORARY ON -SALE LIQUOR <br />(Organization or location limited to 3 permits in a 12 month period <br />TYPE OR PRINT INFORMATION <br />LICENSE <br /># <br />t„.., <br />4= <br />or <br />MBI# <br />NAME OF ORGANIZATION <br />Little Canada Canadian Days, Inc. <br />DATE ORGANIZED <br />12/17/78 <br />TAX EXEMPT NUMBER <br />N/A <br />STREET ADDRESS <br />515 Little Canada Road - <br />CITY <br />Little Canada <br />STATE <br />MN <br />ZIP CODE <br />55117 <br />NAME OF PERSON MAKING APPLICATION <br />Ray Hanson <br />BUSINESS PHONE <br />( ) <br />HOME PHONE <br />(612) 484 -8846 <br />DATES LIQUOR WILL BE SOLD (I to 4 days) <br />August 7, 8, 9, 1998 <br />TYPE OF ORGANIZATION <br />❑ CLUB ❑ CHARITABLE ❑ RELIGIOUS 111 OTHER NONPROFIT <br />ORGANIZATION OFFICER'S NAME <br />Ray Hanson, President <br />ADDRESS <br />699 LaBore Road, Little Canada, MN 55117 <br />� <br />OR Bet yAStOrohheenER Ne President <br />ADDRESS <br />465 Little Canada Raod, Little Canada, MN 55117 <br />ORGANIZATION OFFICERS NAME <br />Carl & Sue Nelson, Treasurers <br />ADDRESS <br />215 Burke Lane, Little Canada, MN 55117 <br />Location where license will be used. If an outdoor area, describe <br />Spooner Park, Eli Road, Little Canada, MN <br />Will the applicant contract for intoxicating liquor services'? If so, give the name and address of the Liquor license 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) McNamara Company, 1 930 Highway 96, St Paul. MN 55110 50/100/10 <br />APPROVAL <br />APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO LIQUOR CONTROL <br />CITY /COUNTY Tittle Canaria/Ramsey <br />DATE APPROVED <br />LICENSE DATES <br />CITY FEE AMOUNT Waived <br />DATE FEE PAID <br />SIGNATURE CITY CLERK OR COUNTY OFFICIAL <br />APPROVED LIQUOR CONTROL 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(8/95) <br />Page 125 <br />