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as <br />Verizon ^ 6:06 PM <br />Done 7 of 9 <br />M0UN3S VIEW <br />2401 Mounds View Boulevard' A1owx1,eu V,PAN 55112-1499 <br />(7G34 717-4L" Fax (7E3) 717•.1019 <br />1_ ..�•amnarn' <br />Apphcal,on Dalo 7'—co Q d a <br />COUNCIL Approval Dote' ? - ac as <br />Public. Hearing Dato -i — 17 - .A o � I <br />Pu!,f'Catia, DMO ! J <br />TEMPORARY LIQUOR LICENSE APPLICATION <br />LOCATION OF EVENT: �� r�r TYPE OF EVENT: DATE OF EVENT: <br />Temporary On -Sale Intoxicating Liquor Temporary On -Sale 3.2% Malt Liquor <br />.Non -Profit Oicjanization: <br />Event SponsorlOrganizationllacensee: t�if <br />ContactIMrAddres'- <br />Cit` Email - <br />St4u7 r Licensee <br />• <br />Person ResponSlble: %3 r u Ge `` 1�' • r' nrnr...... rmnnres•. p n n 1 1r <br />.� <br />Doing Business As- k &-1 I1 Phone: <br />Business Address. ✓^[t,L //� Fax - <br />slate LA State Zip: �- Email , y <br />LHyou <br />ou a MN resident? yes It not, where do you reside: From �f" t�+ <br />ever been convicted of violating federal, state or local liquor laws or regulations? j & ❑yes <br />, please explain on separate piece of paper. kkCCtt <br />PropprTy • Different <br />Properly Owner <br />Addtess Phone• <br />Cily State. Zip. Fax. T <br />Email, <br />Etuslnes_s awe: Addrassj_Citt iStatWZt _ Phone Contact Name <br />2: Al J. ^.. <br />3. B-ir_ • '�!�+�6�',�•+. ;<^_1�f 11�Jp 8Q�7Z. A PC,.r'" .�_.- <br />4. ► �S � � � d � D c! <br />Dasn[s> car iKenSn <br />2. I <br />What is the maximum occupancy for the premises? <br />Have you ever had a license revoked? o l Yes If yes, please explain; <br />I and my associates in this application will strictly comply with all the laws of the Slate of Minnesota <br />governing taxation and the sale of alcohol; rules and regulations promulgated by the Alcohol and <br />Gambling Enforcement Division the Department of Public Safety; and all ordinances of the <br />C, con' <br />0 <br />