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FOR OFFICE USE <br />Case No. <br />Date Received <br />By <br />CITY OF LINO LAKES <br />APPLICATION FOR OFF -SALE INTOXICATING <br />LIQUOR LICENSE <br />PART 1 - General Information <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: This form must be filled out with typewriter or by printing in ink. <br />If the application is by a natural person, by such person; if by a <br />corporation, by an officer thereof; if by a partnership, by one of <br />the partners; if by an unincorporated association, by the manager or <br />managing office thereof. <br />Name of Applicant (Name of individual, partnership, corporation or <br />association: <br />/( f-\/ (1) <br />2 Business Name: /Li 1LLC_ fK S Cis' /1' ) Ail� <br />Business Address: �tkr). I hAKL ( . <br />(Street) <br />(City, State, Zip) <br />Telephone: <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 />1l Corporation <br />Partnership <br />Association <br />Individual <br />4(a). If applicant is a natural person (individual), state full name, residence <br />PAGE 1 <br />