Laserfiche WebLink
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.nm.us <br />Application for Optional 2 AM Liquor License <br />License type code: 2AM License Expiration Date IDi! <br />(For Office Use Only) <br />Licensee Name: <br />Trade Name: <br />JJ's Hospitality LC <br />Fiesta Feltz <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 gasess visamsa 790 Millwood Ave., Roseville, MN 55113 <br />Partner/Officer Name (First Middle Last). <br />ast DOB <br />Social Security if Home Address <br />Chen Chen ®d. 790 Millwood Ave., Roseville, MN 55113 <br />Partner/Officer Name (First Middle Last) DOB <br />Home Address <br />Jorge Arturo Flores 1007 Minnehaha Ave. W., St. Paul, MN 55104 <br />Partner/Officer Name (First Middle Last) DOB Social Security it 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. Paul, MN 55101-5133. <br />Social Security 1? <br />❑ $300 2 AM license fee - Up to $100,000 in on sale gross receipts for alcoholic beverages <br />0 $750 2 AM license fee - Over $100,000, but not over $500,000 in on sale gross receipts for alcoholic beverages <br />0 $1,000 2 AM license fee - Over $500,000 in on sale gross receipts for alcoholic beverages <br />❑ $200 2 AM license fee - 3.2% On Sale Malt Liquor licensees or Set Up license holders <br />© $200 2 AM license fee - Did not sell alcoholic beverages for a full 12 months prior to this application <br />© 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 />(1 certify that the city or county of Little Canada approves the sale of alcoholic beverages until 2 AM) <br />Licensee Minnesota Tax ID Number (Required) 3856788 <br />Licensee Signature <br />(1 certify that 1 have answered the above questions truthfully and correctly) <br />Date %M�26ti <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 />(2AM-5/061 <br />11 <br />