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FOR OFFICE USE <br />Case No _ <br />Date Received <br />By I19 G <br />CITY OF LINO LAKES <br />APPLICATION FOR ON -SALE INTOXICATING LIQUOR <br />OR ON -SALE WINE LICENSE <br />PART 1 - General Information <br />This application for 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 />This form must be filled out with 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 Applicant (name of individual, partnership, corporation or <br />association): <br />s .tc H 1 te 1 L <br />2 BusinessName: <br />Business Address: <br />Business Phone: <br />C_C/ <br />K c .U/\. `. I K c- /1-; <br />(Street, City, State, Zip) <br />(Area Code & No.) <br />IF BUSINESS IS TO BE CONDUCTED UNDER A DESIGNATION, NAME OR STYLE OTHER <br />THAN FULL INDIVIDUAL NAME OF THE APPLICANT, ATTACH TWO COPIES OF THE TRADE <br />NAME CERTIFICATE, AS REQUIRED BY CHAPTER 333, MINNESOTA STATUTES, SECRETARY <br />OF STATES OFFICE. <br />3 Type of Applicant: Natural Person (Individual) <br />Partnership <br />V Corporation <br />Association or Other <br />9 Type of license applicant seeks: <br />V On -Sale Intoxicating Liquor <br />On -Sale "Special Sunday Sales" Liquor <br />On -Sale Wine <br />PAGE 1 <br />