04/24/1995 Council Packet - Laserfiche WebLink

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No. 2341—State Form 109. BUSINESS RECORDS CORPORATION, MINNESOTA STATE OF MINNESOTA Combination Application for Retailer's (On -sale) (Off -sale) Non -Intoxicating Malt Liquor License To the CITY OF LINO LAKES Name of licensing authority (county/ (city/ Count// of_ ANOKA // ,, /tet ) , CSAW/V TiZ- of the city, or town of Lino Lakes county of Anoka State , , of .41innesota, hereby make application for a Retailer's (On -sale) (Off -sale) Xon-intoxicating Malt Liquor License to sell .such Malt liquor under anal pursuant to an ordinance (resolution) passed by city course)(, counhl /)card of Lakes and Chapter 340, Minnesota Statutes 1945, as amended, providin0 for licensing and regulating the ;ale of non -intoxicating malt liquor. During the past five years, my residence has been as follows• .7(er - �Arit DkiVC- LLik.)�l > AK FT.-Rb_,__4 0/ f — 1 was born --14--C. ' a� %x5 at EH+ Df 1 M••r� Day Year City %1N. Borough Town State or County 1 ant a (native) (naturalized) citizen of the United States. 1 ane married. My (wife's) (husband's) nam -e and address is I am Commander of the VF1e1_Pnst 716583 i;c4xxxxx Firm was incorporated in the state of Corporation is authorized to do business in Minnesota. License is for 7868 Lake Drive (strwbt) (highway) located as follows: Circle -Lex VFW Post #6583 _ 7868 Lake Drive, Lino Lakes, Mn. 55014 The liccrose will be in connection with Loyalty Day Parade Drug Store. Cafe. Restaurant, Hotel. Club which has been in operation Months Years The establishment is located on the 1st floor. The business premises are owned by Circle -Lex VFW Post 116583 The taxes on the property are not delinquent. 1 am engaged in the retail sale of intoxicating liquor. I have not had an application for license rejected as follows: I 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 intoxicating liquor. Gambling or gambling devices will not be permitted on the licensed premises. 1 am the owner of the leasehold, furniture, fixtures, and equipment in the premises for which the license is applied, except-J--t-C- V ) L,.j L s8l' h y 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: S -Z -r V FL -1# (p C 2-/ r 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. Subscribed and sworn to before me this �y 1 t day of 19 . i. .. .�' ) ./ , NOTE: Licenses may be issued only to persons who are citizens of the United States and who a of good moral character and repute, who have attained the age of 21 years and who are proprietors of the establishments for which the licenses are isauedr Laws 1949, e. 700.