07-26-1995 Council Agenda - Laserfiche WebLink

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PS-09079 (5/93) Minnesota Department of Public Safety LIQUOR CONTROL DIVISION 190 5th St. E., St. Paul, MN 55101 J., (612) 296 -6430 TDD (612) 297 -2100 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, Inc. DATE ORGANIZED 12/17/78 NO. OF MEMBERS 24 TAX EXEMPT NUMBER N/A STREET ADDRESS 515 East Little Canada Road CITY Little Canada STATE MN ZIP CODE 55117 NAME OF PERSON MAKING APPLICATION Julie Manville -Camp BUSINESS PHONE (612 )484 -2177 HOME PHONE (612 )481 -0581 DATES LIQUOR WILL BE SOLD? (1 TO 3 DAYS) August 11,12,13, 1995 DOES ORGANIZATION HAVE A CHARTER OYes ❑Nc GENERAL PURPOSE OF ORGANIZATION City's Annual Celebration ORGANIZATION OFFICER'S NAME Mary Jo Farrell, President ADDRESS 2850 Rice Street, Little Canada, MN 55113 ORGANIZATION OFFICER'S NAME Julie Manville -Camp, Vice President ADDRESS 515 East Little Canada Rd., Little Canada,MN ORGANIZATION OFFICER'S NAME Sue and Carl Nelson, Treasurers ADDRESS 215 Burke Lane, Little Canada, MN 55117 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 DATE APPROVED CITY FEE AMOUNT 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 38