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(TEMPORARY WINE AUCTION - OFF-SALE ) <br />PS- 0907901 (8/85) MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br />PHONE612- 2966159 LIQUOR CONTROL DIVISION <br />333 SIBLEY • ST. PAUL, MN 55101 <br />APPLICATION AND PERMIT <br />FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE <br />TYPE OR PRINT INFORMATION <br />NAME OF ORGANIZATION <br />C-- �yfJ /a/ie)PSf Soo/'/ Fde,i 7/' <br />DATE ORGANIZED <br />.fan V, / 99/ <br />NO. OF MEMBERS <br />TAX EXEMPT NUMBER <br />STREET DDRESS <br />/�2 /% /2r/ - <br />CITY <br />Ze/0 / 77 <br />STATE <br />�, 13---6 <br />ZIP CODE <br />7c9 <br />/ <br />NA Ivj� /Za E,ERSON <br />55 <br />fg.MAKING,APL-I /.lnar <br />/7p`e/N�% <br />BRA.%/ IS!✓J.7 E O <br />? <br />( PH, <br />DATES LII/QUOR //WILL BE OLD? (1 TTOQO//3JJDAYS) <br />/'TIJ, , C r/6 //T..2 <br />DOES ORGANIZATION HAVE A CHARTER <br />❑ Yes 0 No <br />GENERAL PURPOSE OF ORGANIZATION <br />`� <br />ORGAN ZATION FFICER'S NAME// <br />Aa, J LG4 // /-C /� <br />/0 <br />ADDRESS events in OGn/ mbt e s <br />/f` %/ /Er,/ //!,e , 2/7.at <br />ORGANIZATION OFFICER'S NAME <br />Z 76/77e r <br />ADDRESS ®� / S3ty <br />a 6 .dill /r /i74 ago' //WA. ( di ziti <br />(/l/,l <br />ORGANIZATION OFFICER'S NAME <br />,/. <br />ADDRESS SS/% <br />Location where license will be used. If an outdoor area, describe. 441,74=7,97P/724- <br />/a f o 6etvw /c ec� /, 77/".a_, — 5..� -4a // o'i /La <br />Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing <br />the services. <br />_ <br />Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage. <br />(Note: Insurance is not mandatory) <br />d' /de 61"/ a6lC.. atzlii <br />/D/0"4-1/4 <br />, <br />APPROVAL <br />CITY OF <br />DATE APPROVED <br />CITY FEE AMOUNT <br />LICENSE DATES <br />DATE FEE PAID <br />APPROVED LIQUOR CONTROL DIRECTOR <br />SIGNATURE CITY CLERK <br />Do not separate these two parts, send both parts to the address above and the original signed by this division <br />NOTE: will be returned as the license. Submit to the City Clerk at least 30 days before the event. <br />Page 3 <br />