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To the <br />Of the._,. <br />County of ^ " " ' ' • y State of Minnesota: <br />whose name and address in xubxmibnl hrrelo, hereby ono ke application for 00 OFF .. .so L'• <br />loll. on, <br />license to sell non-intoxicating malt liquors on Moir remain prnnihes in ere of <br />.: ;......(e,: ._.__.., (ipr.nty Of ... .....:...._..•.... State of .Minnesota known <br />and d.urribrd as Ioifmre., _ / d "r .•. n <br />in rower .ctian with (7. r.._'' <br />business there rime and I rretofwe rondu rte I <br />hgmrirl applicant Hiroo. _- 1(1 <br />Applicant states and represents: <br />(a—i/ an i nliridual or partnership) Thal he.. eitinen..0/ (he United <br />Status of .i,nerira, who of good ».oral eh aoetr• and repute and has attained tete age of <br />Caen ty-on a years and who proprietor . of the establishment for which this license is applied. <br />(lam -if a corporation) That it is a corpora Gon organised under rho lams of <br />That said corporation is an. affiliorc or subsidiary of <br />That the application is made on behalf of said corporation by the mule sigaad <br />.,rn.., e...„<,o <br />of said corporation. <br />(e —if a club) That it is a bony fide club and is an organization for social or business purposes-. <br />far i it Ile etoo7. irnproronml t—or for the promotion of sports—where the saving of suck non in(ori- <br />eationg malt liquor is incidental and not the major purpave of the club, <br />The applicant represents that no manufacturer or wholesaler of non - intoxicating malt liquor <br />has any ownership, in idiot° or in part, it Ore 7.411788 of applicant. <br />Applicant herein agrees to abide. by and be /monied by rill ralrx end re 1, lotions of O.e nn<nirh- <br />polity and all lows of the stale pertaining to the sale of nwr-in losieating malt liquors. <br />.4d<7 <br />Address_ <br />state of 1+11111100M, )} xx. <br />County of... <br />/wing duly warn, on oath soli that 1w ...... __...._..__. the prrson reho made and signed the foregoing <br />application, that he 7m read maid application and knows the contents thereof, and that the same <br />is true of . _... own knowledge. <br />,S,, lrseribrd and scorn to lc fore rim Ode <br />My aR.... ID <br />01 <br />