10-08-1986 Council Agenda - Laserfiche WebLink

Home Browse Search

If this restaurant is in conjunction with a other business (resort, etc.), describe the business. OTHER INFORMATION 1. Have the applicant or associates been granted anon -sale non - intoxicating in conjunction with this wine license? ❑ Yes O No 2. Is the applicant or any of the a sociates in this application a member of the issue this license? ❑ Yes the If yes, in what capacity? . (If the applicant is the malt beverage (3.2) and /or a "set -up" license county board or the city council which will spouse of a member of the governing body, or civil liability law (Dram Shop) (MS. 340A 802). during the past five years of any violation of 121.10 If yes, give date and details. another family relationship exists, the 3. During the past license year has a summons member shall not vote on this application.) been issued under the liquor summons. in this application been convicted state or any other state? ❑ Yes • Yes Eallo If yes attach a copy of the 4. Has the applicant or any of the associates federal, state or local liquor laws in this 5. Does any person other than the„applicants, licensed premises? ❑ Yes (P No If yes have any right, title or interest in the furniture, fixtures or equipment in the give names and details v.. .. . . 6. Have the applicants any interests, directly or indirectly, in any other liquor establishment in Minnesota? ❑ Yes L�3 No If yes, give name and address of the establishment. I CERTIFY THAT I HAVE READ THE ABOVE QUESTIONS AND THAT THE ANSWERS ARE TRUE AND CORRECT OF MY OWN KNOWLEDGE �-l--t -6-f ./ /J . C/J/' 9/ --aVe Signatur of Applicant Date • REPORT This is to certify that the applicant, and years for any violation of Laws of the State Ordinances relating to Intoxicating Liquor, BY POLICE OR SHERIFF'S DEPARTMENT the associates, named herein have not been convicted within the past five of Minnesota, Municipal or County. except as follows Police, Sheriff Department Name Title Signature