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y Tt/11s i)1 AwK�t o� Mfr\ & hof_ <br />61 fl ALS wE'2(-7J) /f /boo foq,?/))%H tro 3 s SHfYr�. <br />RECEIVED <br />Application Date: MAY 3 01996 <br />FOR OFFICE USE <br />Application No. <br />ate Received <br />rrrY nr II4F _By <br />CITY OF LINO LAKES <br />APPLICATION FOR OFF -SALE <br />NON -INTOXICATING MALT LIQUOR LICENSE <br />This application form requests information which may be classified <br />as private or confidential under the Minnesota Data Practices Act. <br />This information is required by State law or City ordinance. The <br />information will be used to determine your eligibility for issuance <br />of a license, permit,or identification card. Failure to provide <br />the information will result in a denial of the license, permit, or <br />identification card. <br />Directions: <br />10.4 <br />This form must be filled out with a typewriter or by <br />printing in ink. If the application is by a natural <br />person, by such person; if by a corporation, by an <br />officer thereof; if by a partnership, by one of the <br />partners; if by an unincorporated association, by <br />the manager or managing officer thereof. <br />1. Name of the Applicant (name of individual, partnership, <br />corporation or association): <br />`is�nr,"Tl�u,rnbt m? -KSS , Sn( <br />2. Business Name: <br />Trm Thu,Ib l l <br />Business Address: -WO L f. L.:%1,10 L..6*—s &4 <br />(Street, City, State, Zip) <br />Business Telephone: (o1- (po($ <br />IF BUSINESS IS TO BE CONDUCTED UNDER A DESIGNATION, NAME OR <br />STYLE OTHER THAN FULL INDIVIDUAL NAME OF THE APPLICANT, ATTACH <br />TWO COPIES OF THE TRADE NAME CERTIFICATE, AS REQUIRED BY <br />CHAPTER 333, MINNESOTA STATUTES, SECRETARY OF STATES OFFICE <br />3. Type of Applicant: <br />Natural Person (Individual) <br />1 Corporation <br />Partnership <br />Association <br />PAGE 1 <br />