06-10-1992 Council Agenda - Laserfiche WebLink

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Form No. 235— Application for Retail license In Sell Non.Ltloxicaiing Mall liquor "()N" Premises ter.. n,xvl Rosiness Records ems RETAIL "ON SALE" * COUNTY Y OF OF // Of ,, lit ...t J .. crl7y or Cry y (LC CAWA-1:91" To the ouma.l..r of the C-1 el of L-1 (l(c.e C* ' State of Minnesota: TTEFFIzcdi hereby appl for a license for the term of O.N.E. el( _ from the (--�/ day of ,..� C� , 19 I q ?--to Bell At Retail Only, Non - Intoxicating Malt Liquors, as the same are defined by law, for consumption "ON" those certain premises in the `rL( of described as follows, to-wit:. KK Ly -t-R. ... CAKIAPA EtA ROUN17 L4K6 ftA2-p- at which, place said applicant operate the business of T- oar.. . ! � rNvieE . -5 NILt er GW-E 7:t-7...-1.&14T -- LC() f�E and to that end represent gaud state -5 as follows: That said applicant i S % citizen of the United States; of good moral character and repute; and ha... attained the age of S1 years; that IVb proprietor of the establishment for which the license will be issued if this application is granted. That no manufacturer of such non - intoxicating malt liquors has any ownership, in whole or in part, in said buainese of said applicant.. or any interest therein; That said applicant make this application pursuant and subject to all the laws of the State of Minnesota and the ordinances and regulations of said applicable thereto, which are hereby made a part hereof, and hereby agree2to observe and obey the same; (Here state other nouiremente, If any, of local regWetlone) Each applicant further states that by the commencement of business and by July I of each succeeding year said applicant will have paid the Federal Special Occupational Tax to the Bureau of Alcohol, Tobacco and Firearms for a retail dealer. Dated UNer -, , 19...612 Page 3 jSj ` #j ' • � IC . t tiu 1 •.:t 140.i -1-f • Rpptieant F. 0. Address.. '110