10-14-1987 Council Agenda - Laserfiche WebLink

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PART III s State whether applicant, or any of his associates in this application, have ever had an application for a liquor license rejected by any city or State authority; if so, give date and details AI (2 i:. Has the applicant, or any of his associates in this application, during the five years immediately preceding this application ever had a license under the Minnesota Liquor Control Act revoked for any violation of such laws or local ordinances; if so, give date and details A/ State whether applicant, or any of his associates in this application, during the past five years were ever convicted of any Liquor Law violation or any crime in this state, or any other state, or under Federal Laws: if so, give date and details Nr 0 Applicant, and his associates in this application, will strictly comply with all the Laws of the State of Minnesota governing the taxation and the sale of intoxicating liquor; rules and regulations promulgated by the Liquor Control Director; and all ordinances cf the City; and I hereby certify that I have read the foregoing questions and that the answers to said questions are true of my own knowledge. (signature or apglantl Subscribed and sworn to before me this ------�� y�dayof��ld/ ,1g? 7 4C.D Tee ciA'tz1/I(er -giyi (Notary Pu blicl // My commission expires/ ,ea -- (1 —fg +, ANNETTE FREEMAN 1 1 :'4 11us NOTE-;' "U3UC- MINNESOTA L ( r(,, -Y COUNTY =` - 'pireo Duc. 4. 1C3.9 :. REPORT ON APPLICANT OR APPLICANTS BY POLICE DEPARTMENT This is to certify that the applicant, or his associates, named herein have not been convicted within the past five years for any violation of Laws of the State of Minnesota, or City Ordinances relating to Intoxicating Liquor, except as hereinafter stated Approved By: [MICCnc!c4 (name of ityl %. � es-- 1� I ��0 4 C POLICE DEPARTMENT TITLE (If you have no police department, either the or the Constable shall execute this report on the applicant.) Page 7