12-30-1987 Council Agenda - Laserfiche WebLink

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PS- 09079 -01 l8 /85) MINNESOTA DEPARTMENT OF PUBLIC SAFETY PHONE 612-296-6159 LIQUOR CONTROL DIVISION 333 SIBLEY • ST. PAUL, MN 55101 APPLICATION AND PERMIT FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE � DEC 12 I.� 4 � � � 231987 CITY OF ► LITTLE CANADA ca TYPE OR PRINT INFORMATION fl NAME OF ORGANIZATION Little Canada Recreation Association, Inc. DATE ORGANIZED 12 -17 -62 NO. OF MEMBERS 35 TA PT NUMBER 29426 STREET ADDRESS 515 E. Little Canada Road CITY Little Canada STATE MN ZIP CODE 55117 NAME OF PERSON MAKING APPLICATION Edward A. Nadeau BUSINESS PHONE I I HOME PHONE 1612) 483 -1337 DATES LIQUOR WILL BE SOLD? It TO 3 DAYS) January 16 -17, 1988 DOES ORGANIZATION HAVE A CHARTER gYes DNo GENERAL PURPOSE OF ORGANIZATION To promote youth athletic ORGANIZATION OFFICER'S NAME M. Steven Morelan, President ADDRESS 109 Bluwood E., Little Canada ORGANIZATION OFFICER'S NAME James Cronick, Secretary ADDRESS 869 County Road D, Vadnais Heights ORGANIZATION OFFICER'S NAME Edward Nadeau, Treasurer ADDRESS 961 Beam Ave., Little Canada Location where license will be used. If an outdoor area, describe. Little Canada Fire Dept. 440 Little Canada Road Little Canada, MN 55117 Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing the services. No Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage. (Note: Insurance is not mandatory) No APPROVAL CITY OF Little Canada DATE APPROVED CITY FEE AMOUNT —0 LICENSE DATES DATE FEE PAID / ii/ Ai -I/ APPROVED LIQUOR CONTROL DIRECTOR / SIGN• U'EC YCLE• NOTE: Do not separate these two parts, send both parts to the address above and the original signed by this division will be returned as the license. Submit to the City Clerk at least 30 days before the event. Page 41