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PS-09079-0118/851 PHONE 612- 296 -6159 TYPE OR PRINT INFORMATION MINNESOTA DEPARTMENT OF PUBLIC SAFETY LIQUOR CONTROL DIVISION 333 SIBLEY • ST. PAUL, MN 55101 APPLICATION AND PERMIT FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE NAME OF ORGANIZATION Little Canada Canadian Days DATE ORGANIZED 12/17/78 NO. OF MEMBERS 25 TAX EXEMPT NUMBER 8034325 STREET ADDRESS 515 Little Canada Road CITY Little Canada STATE MN ZIP CODE 55117 NAME OF PERSON MAKING APPLICATION Bill Bruce BUSINESS PHONE ( 612) 484 -2177 HOME PHONE ( 612) 483 -8665 DATES LIQUOR WILL BE SOLD? (1 TO 3 DAYS) August 13 -15, 1993 DOES ORGANIZATION HAVE A CHARTER O Yes ❑ No GENERAL PURPOSE OF ORGANIZATION City's Annual Celebratio ORGANIZATION OFFICER'S NAME Bill Bruce, President ADDRESS 2604 Jackson Street, Little Canada, MN ORGANIZATION OFFICER'S NAME ADDRESS ORGANIZATION OFFICER'S NAME ADDRESS Location where license will be used. If an outdoor area, describe. Spooner Park, Eli Road, Little Canada 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) McNamara Co., 1330 Highway 96, St. Paul, MN 55110 50/100/10 APPROVAL CITY OF CITY FEE AMOUNT DATE FEE PAID SIGNATURE CITY CLERK Pa DATE APPROVED LICENSE DATES APPROVED LIQUOR CONTROL DIRECTOR ge 6 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.