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License type code: <br />Licensee Name: <br />Trade Name: <br />Minnesota Department of Public Safety <br />Alcohol and Gambling Enforcement Division (AGED) <br />444 Cedar Street, Suite 133, St. Paul, MN 55101-5133 <br />Telephone 651-201-7507 Fax 651-297-5259 TTY 651-282-6555 <br />www.dps.state.mn.us <br />Application for Optional 2 AM Liquor License <br />2AM License Expiration Date 1D# <br />JJ's Hospitality LC <br />(FOTOffice Use n y <br />Fiesta Fetiz <br />Licensed Location Address: Market Place Center, 2900 Rice Street #380 <br />City, State, Zip Code: <br />Business Phone: <br />Little Canada, MN 55113 <br />651-998-9880 <br />If the above named licensee is a corporation, partnership, or LLC, complete the following for each partner/officer: <br />John Luther Sonnack 790 Millwood Ave Roseville MN 55113 <br />Panner/Officer Name (First Middle Last) DOBSocial Security #! Home Address <br />Chen Chen <br />Partner/Offieer Name <br />Jorge Arturo Flores <br />alling 790 Millwood Ave., Roseville, MN 55113 <br />(First Middle Last) DOB Social Security # Home Address <br />Partner/Officer Name (First Middle Last) DOB <br />1007 Minnehaha Ave. W., St. Paul, MN 55104 <br />Social Security 1! Home Address <br />Licensee must report previous 12 month on sale alcoholic beverage gross receipts by checking one of the boxes <br />below. Next to the box you check is your 2 AM license fee. Make check payable to: Alcohol and <br />Gambling Enforcement Division (AGED). Mail this application and check to : AGED, 444 Cedar St., Suite <br />133, St. Pau], MN 55101-5133, <br />❑ $300 2 AM license fee <br />❑ $750 2 AM license fee <br />O $1,000 2 AM license fee <br />❑ $200 2 AM license fee - <br />© $200 2 AM license fee - <br />- Up to $100,000 in on sale gross receipts for alcoholic beverages <br />- Over $100,000, but not over $500,000 in on sale gross receipts for alcoholic beverages <br />- Over $500,000 in on sale gross receipts for alcoholic beverages <br />3.2% On Sale Malt Liquor Licensees or Set Up license holders <br />Did not sell alcoholic beverages for a full 12 months prior to this application <br />CO Yes 0 No Does your city or county licensing official allow the sale of alcoholic beverages until 2 AM? <br />City Clerk/County Auditor Signature Date <br />(I certify that the city or county of Little Canada <br />approves the sale of alcoholic beverages until 2 AM) <br />Licensee Minnesota Tax ID Number (Required) 3856788 <br />Licensee Signature <br />(I certify that I have answered the above questions truthfully and correctly) <br />Date ��/q01�' <br />Licensee: Prior to submitting this application to the Alcohol and Gambling Enforcement Division, it must be <br />signed by your local city or county licensing official. <br />(2AM5/06) <br />11 <br />