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�. Minnesota Department of Public Safety }�� ` Alcohol & Gambling Enforcement Division a' 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2021 Iden: 75064 Issuing Authority: Mounds View Licensee Name: American Multi -Cinema Inc Trade Name: AMC Mounds View 15 Address: 2430 Co Hwy 10 Mounds View, MN 55112 Business Phone: 9132132000 License Fees: Off Sale: $0.00 On Sale: $4,500.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below, 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A,802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license perlod,Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submit d i of nses are exempt if sales are Jos -fan $25,000 at on sale, or $50,000 at off sale). Licensee Signature ate (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature County Board issued licenses only(Signature certifies licensee is eligible for license). Date Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here,