11-26-1986 Council Agenda - Laserfiche WebLink

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State of Minnesota Department of Public Safety Liquor Control Division 480 Cedar Street St. Paul, MN 55101 Information: (612) 296 -6159 Certification of Sunday on Sale Liquor License Municipality: County: Dare: In compliance with Minnesota Statutes, Section 340.14, Subd. 5, we herewith submit the following information relat- ing to Sunday "On Sale" Liquor Licenses issued by this municipality. It is understood that this information shall be submitted to you for each licensee at the time of issuance, and for each year thereafter. Any change of address, transfer of ownership, suspension, cancellation or revocation of Sunday "On Sale" Liquor Licenses during the license period will be submitted to the office of Liquor Control Director within 10 days as pro- vided by law. This Form to be Executed by the City Clerk /Licensee (full name) Peter Theodorakakos Corporate Address: 1446 Rice Street,— St. Corporate Name Cimos, Inc. Paul, MN 55117 Names of Corporate Officers Titles Peter Theodorakakos Pres. /Treasurer /Sec. 2. 3. 4. Names of Directors Names of Stockholders 1. Peter Theodorakakos 1. Peter Theodorakakos z. • 3. 3. q, • Classification of license being applied for: Seating Capacity: IN Restaurant ❑ Hotel ( Effective Date of License: July 1, 1986 Date Licens Expires: June 30, 1987 Trade Name: Dick & Mary's Bar License Number: 2 License Fee: $200.00 Renewal: Name of Bonding Company: Amount: ® Complete only those items that are applicable in the following section. /Ownership Transferred Frorn: Dick & Mary's, Inc. Change of Address: Date of Revocation /Cancellation Date and From Period of Suspension To Municipal Seal 09001 03 Given Under My Hand and the Municipal Corporate Seal this day of 19 Signature lsl nl Clerk and /or Recorder 51