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MINNESOTA DEPARTMENT OF PUBLIC SAFETY PS9114(2 -861 <br />PHONE (612) 296 -6159 LIQUOR CONTROL DIVISION <br />333 SIBLEY • ST. PAUL, MN 55101 <br />APPLICATION FOR COUNTY OR CITY ON SALE WINE LICENSE <br />NOT TO EXCEED 14% OF ALCOHOL BY VOLUME <br />EVERY QUESTION MUST BE ANSWERED. If a corporation, an officer shall execute this application. If a partnership, a <br />partner shall execute this application. If this is a first application attach a copy of the articles of incorporation and <br />by -laws. <br />Applic is Name (Business, Partnership, C9 ration) <br />I e_ L r � t,1 U S <br />Trade Name or DBA <br />/0 C( -14110 �S i G- <br />Business Address <br />( £ L� <L921- 120191D, <br />Business Pho <br />Applicants Home Phone <br />( t o t ? <br />City <br />1 j �� CegiiO'AO <br />County <br />(-\' e„., <br />State <br />lM✓1 . <br />Zip Code <br />S5 (t 1 <br />Is this application <br />NiNew ❑ Renewal ❑ Transfer <br />If a transfer, give name of former owner <br />License period <br />From To <br />If a corporation, give name, title, address and date of birth of each officer. If a partnership, give name, address and date of birth of each partner. <br />G—*/G L40V C,(/y,2St�- -t7 PP L- , 2100 U )a 2 C (n9'I 97 . S i (' 1_ <br />Partner /Officer Name and Title a ,0.,..„4 <br />Address <br />"^� i.W <br />DOB <br />Partner /Officer Name and Titl: 'Q-- /i�CL 14::).—A 'QAddress <br />if► tuiC 0-re ..Y1 i eS. <br />Partner/Officer Name and Title e�� n, �._. /' ..� y� <br />)... nala% ,...\;a;4f`' 1!1...<.:.,, .,.d. „,,.�„Ake.cu.a:..,.,,� .,::.._o�0 <br />}�-1,1 <br />X05 n1'tUr`z-ZJJ r . U DD1 <br />AD&' <br />Address C \ f �. <br />^S�s-: -in. slid. -Yia Pc\ey"F".' . -.-. ----- <br />Address <br />DOB <br />DOB <br />Partner /Officer Name and Title <br />CORPORATIONS <br />State of ' n�����01-0 Date of <br />Incorporation Y 1 Incorporation <br />5 P ()s3 <br />� 1b' Certificate li GIP 9 10 <br />Number <br />t <br />Is corporation authorizedto do business in Minnesota? EtAs ❑ No <br />If a subsidiary of another corporation, give name and address of parent corporation <br />THE BUILDING <br />Name of ��% <br />Building Owner t <br />Owners <br />UUN 0 `Ott% u ut0-7 Address <br />Has the building owner any connection <br />Are the property taxes deliquent? ❑ Yes ❑ No direct or indirect, with the applicant? ❑ Yes k2.11C, <br />Describe the premises to be licensed <br />THE RESTAURANT <br />What is the / C� During what hours will Ir (7 r ovl Number of people ( -� <br />Seating capacity? 1(/ food be available? ( restaurant will employ? <br />How many months per year . Will food service be the principal. will the restaurant be open ?_1 2 business of the restaurant? KT Yes ❑ No <br />ti <br />