Laserfiche WebLink
of rHES>� Minnesota Department of Public Safety <br />it �,'" ...- Alcohol and Gambling Enforcement Division <br />`.K,C , : 444 Cedar St —Suite 133 <br />- . <br />�, <br />,�� St. Paul, MN 55101 -5133 <br />\I � I 6SG <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 />j. O F g' <br />$ ,., <br />1i�r�ia <br />q <br />of <br />NAME OF ORGANIZATION <br />St. 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 />Si- Pahl <br />STATE <br />Mb <br />ZIP CODE <br />55117 <br />NAME OF PERSON MAKING APPLICATION <br />Robert Fitzpatrick <br />BUSINESS PHONE <br />(651) 484 -2708 <br />HOME PHONE <br />(s1) 4R4 -270R <br />DATES LIQUOR WILL BE SOLD <br />Sunday, September 27, 1998 <br />TYPE OF ORGANIZATION <br />❑CLUB ❑CHARITABLEPRELIGIOUS ❑OTHER NONPROFIT <br />ADDRESS <br />7 R Li*t1a Canada Re-td <br />ORGANIZATION OFFICER'S NAME <br />Reve. Robert- Fit7petri rk <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 />Church grounds 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 Insurance /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 Little Canada DATE APPROVED <br />CITY FEE AMOUNT Waived 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 (6/920 <br />Page 24 <br />