08/26/1996 Council Packet - Laserfiche WebLink

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No. 2344—State Norm 109. 0USINESS RECORDS CORPORATION. MINNESOTA STATE OF MINNESOTA Combination Application for Retailer's (On -sale) (Off -sale) Non -Intoxicating Malt Liquor License 7'o the C f y O ic C/ A,0 / 4/f r Name of licensing authority (county) (city) County of Ux4i I, it iv k/4 /N / of the city, or _ , town of C1 i2 fp P/N c( county of firw1‘ /4 State , , of .Minnesota, hereby make application for a Retailer's (On -sale) (Off -sale) Non -intoxicating .Malt Liquor Licenseto sell such, .ifalt liquor u7uler and pursuant to an ordinance (resolution) passed by city Corineil, rymy+ty'h xrtif Cil) 0/ LL/t'o L..1* ,/a_ antl Chapter 840, Minnesota Statutes 1945, as amended, providing for licensing and regulating the sate of non -intoxicating malt liquor. During the five my residence has been as follows. past years, CIRca P/NLr I was born 0 3 Z,(- y 7 at fc.1//1/E Z7) i' Nor Day Year City Alts., 'id ilk Borough Town State or County I ant a(native) (naturalized) citizen of the United States. I am married. My (wife's) (.h -'"s) name and address is I- ',./ ? . kg-ell-Intik,/ e2 t 4, ritu(,)/J II. N• e . Cl/ttee f//1.C& I / I am proprietor. Firm was incorporated / — 2/ - 6 , , in the state of //1,/-t1t/)4 Corporation is authorized to do business in .Minnesota. License is for L-,(/V"f fA, J44/ XA /%1!i_(street) (highway) located as follows: f u .v /tit e" "Ave The licetnse will be in, connection with f/51r41 AGf /LA Df'i ' , Drug Store, Cafe, Restaurant. Hotel, Club which has been in operation_ / 7 Months Years The establishment is located -mss- Sr/^' /=/Ii'' PSK floor. The business premises are owned by CI 2"Y OF / (ott.' C. %-7G 4'7 The taxes on the property are not delinquent. I am NO T engaged in the retail sale of intoxicating liquor. I have r 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 4ntoxicating liquor. Gambling or gambling devices will not be permitted on the licensed premises. I am the owner of the leasehold, furniture, fixtures, and equipment in the premises for which the license is applied, except • 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 tr//} 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 provision, 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 poace 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 anted. Subscribed and sworn to before me thi. day of 19- , ,T19>tl. t,.,. /e/Ltriy/tile-. NOTE: Licenses may be issued only to persons who are Citi ns of the United States and who are 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 issued. Laws 1949, c. 700.