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loan: 8-00• a.,d.. itlis. <br />STATE OF MINNESOTA <br />LIQUOR CONTROL COMMISSIONER <br />APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE <br />This application and the bond shill be submitted in duplicate <br />Whoever shall knowingly and wilfully falsify the answers to the following questionnaire <br />deemed guilty of perjury and shall be punished accordingly. <br />In answering the following questions "APPLICANTS" shall be governed as follows: For a Corpora- <br />tion one officer shall execute this application for all officers, directors and stockholders. For a partnership <br />one of the "APPLICANTS" shall execute this application for all members of the partnership. <br />EVERY QUESTION MUST BE ANSWERED. <br />shall be <br />1 i, Sidney Applebaum , €ta Plte6ident <br />(Individual owner, officer. or partner) <br />for and in behalf of Apptebauma' Food Idtvrhe t6 Inc. , hereby apply for an Off Sale <br />Mahket Babket Sitopp.ing Centex <br />Intoxicating Liquor License to be Located at Rice. Street and Lit-tZe Canada Road , <br />(Street Address and /or Lot and Block Number) <br />Municipality of LLUt Canada , County of Ram4ey <br />State of Minnesota, in accordance with the provisions of Minnesota Statutes, Chapter 340, commencing <br />19 and ending , 19_. <br />2. Give applicants' date of birth <br />(Day) (Month) (Year) <br />Birthdates of Partners <br />or <br />Officers of Corporation <br />(D& <br />(Month) (Year) <br />Mae) <br />(Month) (Year) <br />(Day) (Month) (Year) <br />3. The tor each of the applicants named herein for the past five years is as follows: <br />222 Plato Bowtevandz Saint Paul, M.inne4o.tn. 55101 <br />860 Vandal/a Staceyt, Saint Paul, Mihnnata SSLL4 <br />4. Is the applicant a citizen of the United States? <br />If naturalized state date and place of naturalization <br />If a corporation, or partnership, state citizenship status of all officers or partners. <br />ALt Un,itad State4s C.%#e.zenb <br />5. The person who executes this application shall give wife's or husband's full name and address( <br />LoRnaine Apptcbaum, 1828 Moya.tn2.at Avenge, Saint Pout. Minneao -ta 55116 <br />6. What occupations have applicant and associates in this application followed for the past five years ?_ <br />Grtocefui 5woelemaxt zete_. va&.QU6 tocans and_ 4i-sale X.iruog at A20 Noah ale6tettn <br />Avenue, Saint Pawt and 3900 Beane A Rue Dnive, Fagan, MinnPAata <br />7. If a partnership, state name and address of each member of partnership N/A <br />MAY 19 1975 <br />_:LITTLE CANADA <br />