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*tate of Mnezota, <br />COUNTY' OF <br />VERIFICATION <br />}as. <br />E.E.gzet 73Q-16.6S , being duly sworn, on oath say ; that <br />T x►.i -' NX.Ea-s NI (f. f-r CL-vs 5 v7- a-k i-.ou <br />the within named applicant • that he ha. .full, knowledge of the business of said applicant.. <br />of the location thereof, and of thee/ contents of the within application; and that the statements made in <br />said application are true of lLLS own knowledge. <br />Subscribed and Sworn to Before Me <br />this .ZN I7 day of -.)NE , .190 2-- <br />(74 <br />P. FlOONHOVEN <br />VOTARY Naun.W,TnpTA <br />MUM <br />M Celia LOW ks Qpq <br />*tate Of <br />County of <br />�' <br />lrinei‘ota, 1 <br />The undersigned, county attorney and sheriff of said county, hereby recommend the within applies, <br />tion, it appearing to the best of our knowledge that said applicant has not, within a period of five years <br />prior to the date of this application, violated any law relating to the sate of non - intoxicating malt liquor <br />or intoxicating liquor, and that in our judgment the applicant will comply with the laws and regula- <br />tions relating to the conduct of said business. <br />Dated at , Minn., 19 <br />*tate of flitinnessota, <br />COUNTY OF <br />County Attorney. <br />Sheriff. <br />FTOWN OF <br />It is hereby certified that the Town Board of the Town of in <br />said County and State, by resolution on the day of 19 <br />did consent to the issuance of the license applied /or in the within application. <br />Dated _. 19.. THE TOWN BOARD OF THE TOWN OF <br />.fittest <br />Town, Clerk. <br />By Chairman. <br />Note: No County Board shall issue license for sale in any Town without the consent of the Town Board <br />of suck Town, and no Town Board shall consent to the issuance of any license without the written reo- <br />om,mendation of the County Attorney and the Sheriff. <br />APPLICATION OF <br />r Retail "0n Sale" License <br />4 <br />7 <br />ti <br />