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PS- 09079 -01 (8/85) MINNESOTA DEPARTMENT OF PUBLIC SAFETY PHONE 612- 296 -6159 LIQUOR CONTROL DIVISION 333 SIBLEY • ST. PAUL, MN 55101 APPLICATION AND PERMIT FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE TYPE OR PRINT INFORMATION NAME OF ORGANIZATION Little Canada Canadian Days DATE ORGANIZED 12/17/78 NO. OF MEMBERS 28 TAX EXEMPT NUMBER 8034325 STREET ADDRESS 515 Little Canada Road CITY Little Canada STATE MN ZIP CODE 55117 NAME OF PERSON MAKING APPLICATION Julie Manville BUSINESS PHONE 1612 1484 -2177 HOME PHONE 1612) 481 -0581 DATES LIQUOR WILL BE SOLD? (1 TO 3 DAYS) August 12 -14, 1994 DOES ORGANIZATION HAVE A CHARTER ❑ Yes ❑ No GENERAL PURPOSE OF ORGANIZATION City's Annual Celebration ORGANIZATION OFFICER'S NAME Mary Jo Farrell ADDRESS 2850 Rice Street, Little Canada, MN 55113 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 Company, 1330 Highway 96, St. Paul, MN 55110 50 /100/10 APPROVAL CITY OF Little Canada DATE APPROVED CITY FEE AMOUNT Waived LICENSE DATES DATE FEE PAID APPROVED LIQUOR CONTROL DIRECTOR SIGNATURE CITY CLERK 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. Page 14