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MI—Application for License to 5.11 Non. Intoxicating Matt Liquor. Rev. 7-241 (340.01) <br />To the <br />Of the <br />County of <br />lAttior- <br />whose 71070e <br />y <br />LLLLL • •001. •011, .0114t••OLI• <br />o 4' 4 <br />of <br />'l <br />, State of Minnesota: <br />and address is subscribed hereto, hereby make application for on <br />\lag o") <br />license to .,”,11 von-intoxicating malt liquors 017 those certain 11/C01 i sec in the of <br />le Ca. 4 C,4_ C 0101 fy of A-)q in Se <br />I 00 s c <br />”nd deseribrd as follows: <br />in comedian with the <br />business 1.17 /Y( 710I1' and heretofore rondurted <br />State 01 ,in7Inerrlitrr k7107111 <br />19 <br />by said applicant <1(708 <br />, ppli rant states and represents; <br />(a—i I an ritrurirlual ar partnership) That he eitizen......of the United <br />;he 5 a. they or& <br />StitteS (17. (1117trica , 7,110 of 9004 71107017 eh 0 Ir 01(0' and reputi, and h's rittlfined the a ve of <br />,s, ,,,, <br />/79/77 /!/0771' IferlIS 0 MI all a proprietor al Ha' (Va'a li I i 'ill la en! for 7011 i rir /1, I s 7 leen se is applied. <br />:5, are . <br />(1)—i / a corpora Hon ) That it is a corpowlion or,,,;(1 ni zed model' HI r i 000; of S..1 "1 If ' j, 4 II fr; it - <br />,) 0 t <br />That 5.51157 co/TOT/it/Ott is <br />an affiliate or 0171 01 <br />Th 119 pp/ lett tiOn i” 01r018 07) be/w1 / 01 said C077107.0t010 1'10, 71724ci5i 03001 it <br />off Ger or noro.o.r) <br />07 said rorposition. <br />471111 That is a bona fide (dub and /54(77 iZedifin ['OP .rocieil or bit.:111e$s Mr 7' Vasco- <br />j0r intellectual improrement—or for the 7)77)070! 7017 of sports—where the serein,y of such non <br />(de e'e Inepo5ca01 e 5eference <br />rati775; nod/ liquor is 0(411000 I 071(1 770/ the 7/70(01' 701)710s( 0/ the elub. <br />The applicant represents that 770 manufacturer or wholesaler of 71011- to.uira ti7q,5 malt liquor <br />has any ownership, in lehole or in part, in the basin CN:i' of applicant. <br />.1pplieant herei 71 11 01Terr to abide by and be p:orerneii. by all eueeN ;not re,iztiotion, of the <br />polity 0101 1711 1070: of the s‘ate pertainin4) to the sale non-intoxicatind wait liquors. <br />, <br />I (/ . ) 1 <br />(Q. 1 2. At, A': it & u (:( _ <br />ddeli•es • <br />ikattat jfflinnSota, '( <br />it / ..44—g7:› .2-3;'' • Zrie:. 4 <br />A92 .. • .. <br />!min) duly sunrn, on oath Kay th E the person ---- who math. a nol 490 «9 the foredoing <br />application, that read a ppl ica (von 117111 lo 1(004< the errlitents thereof, and that the mg 771 e <br />is Han / own knowledde. <br />Sti bed a N worn to before Inc th is <br />day of .(1 Jra-kl 1576- <br />, <br />teetntrf: <br />ANNETTnneE FREEMAN <br />NOTARY moue NINNUOTA <br />NANNY COUNTY <br />CeNfica ETON Dot. 4, 198I <br />42 <br />