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No. 2941— ate Form 108. BUSINESS RECORDS CORPORATION. MINNESOTA STATE OF MINNESOTA Combination Application for Retailer's (On -sale) e) Non -Intoxicating Malt Liquor License To the City of Lino Lakes Name of licensing, authority teoun ty) (city) County of Anoka I, St. Joseph parish t,fIli,- tit y, or , town of Lino Lakes county of Anoka State , , of Minnesota, hereby make application for a Retailer's (0n -sale) (Off -sale) Yon -intoxicating Malt Liquor License to sell sue le .1lol1 liquor tinder and pursuant to tin. ordinance (resolution.) passed by city council, corn,-lq board of and Chapter 840, Minnesota Statutes 1945, as amended, providing for licensing and regulating the ,ale of non -intoxicating malt liquor. During the five my residence has been as follows • past years, I was born at M•r. Day Year City Borough lawn State or County I ami a (native) (naturalized) citizen of the United States. I am married. My (wife's) (husband's) name and address is I am — proprietor. T Firm was incorporated 1891 in the state of Minnesota Corporation is authorized to do business in Minnesota. License is for 161 Elm Street (street) (highway) located a8 follows: The licQnse will be in connection with August Festival Drug Store. Cafe. Restaurant. l4otal. Club which has been in operation 1 04 years Months Years The establishment is located on the 161, 171, 202 Elm Street floor. The business premises are owned by St. Joseph Pari sh The taxes on the property are not delinquent. I am not engaged in the retail sale of intoxicating liquor. I have_ not had an application for license rejected as follows: 1 have never been convicted of a felony nor of violating any National or state liquor law or local ordinance relating to the manufacture, sale or transportation, or possession for sale or transportation of detoxicating liquor. Gambling or gambling devices will not be permitted on the licensed premises. I ani the owner of the leasehold, furniture, fixtures, and equipment in the premises for which the license is applied, except Dl/ P. I have no intention or agreement to transfer the license to another person. I submit the following names of persons, including a bank, for reference, with whom I have had business relations as follows: I intend to engage in the sale of intoxicating liquor and will have a Federal Occupational Tax Receipt in accordance with the ordinance governing this license. My Federal Tax Stamp Receipt is No I will comply strictly with the provisions of the ordinance relating to the sale of soft drinks for "mixing" purposes and will serve patrons in full view of the public. I agree to waive my Constitutional Rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance (resolution) providing for the granting of this license. I hereby solemnly swear that the foregoing statements are true and correct to the beat of my knowledge and that I agree to comply with all the provisions of the ordinance under which this license is granted. -41— Subscri, nd sworn to before me this ..---- day �' _ 19 �jJ 0C k.,,, 1() . %,y,_, dayu,.?-u� 7 het <n 4�. ,,e e NOTE: Lice • be issued only to persons who a citizens of the United States and who s of good moral character and repute, who m attained the age of 21 years and who are proprietors of the establishments for which the licenses ere issued` Laws 1949, a 700.