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PS-09079. 01(8/85) MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br />PHONE 612- 296 -6159 LIQUOR CONTROL DIVISION <br />333 SIBLEY • ST. PAUL, MN 55101 <br />APPLICATION AND PERMIT <br />s✓ FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE <br />\ <br />TYPE OR PRINT INFORMATION <br />NAME OF ORGANIZATION <br />L:f,r,« cAN.AAA Rrc:n.c4szc,,/ 41(RC <br />DATE ORGANIZED <br />;2- 1) -( :)- <br />NO. OF MEMBERS <br />"iS <br />TAX EXEMPT NUMBER <br />991/426: <br />STREET ADDRESS <br />.r /S C. ,L'sTTl% CAn,Ad4 R!) <br />CITY <br />,L17 n? CA,..AA /) <br />STATE <br />/h A/ <br />ZIP CODE <br />S.Sii'7 <br />NAME OF PERSON MAKING APPLICATION <br />.TG' N,v ,— le ii :� S <br />BUSINESS PHONE <br />1 ) 6' 7, - „?S4 `/ <br />HOME PHONE <br />I 1 16.2- I7.2�/ <br />DATES LIQUOR WILL BE SOLD? 11 TO 3 DAYS) <br />.14/1/?, /02 c$ /3 / 9 6.) <br />DOES ORGANIZATION HAVE A CHARTER <br />GY es ❑ No <br />GENERAL PURPOSE OF ORGANIZATION <br />P)2 dine', ‘/co.77/ Ac rSvi % <br />