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r — 7Application <br />7. <br />Email pplication <br />Itsw1w <br />2401 Mounds View Boulevard * Mounds View MN 55112-1499 <br />(763) 717-4000 * Fax (763)'717-4019 <br />Barb. benesgL)@ ffnqnd svie\,vrT!1j. cxg * vt L)t iLicjsvir�vvmn.o <br />Business License Application Date. - 0412/ - 13/202 <br />Business License COUNCIL Approval Date: 01/08/2024 <br />NEW APPLICATION <br />L] RENEWAL APPLICATION <br />BUSINESS LICENSE APPLICATION <br />Mounds View License Address: 2577 Mounds View Blvd, Mounds View, MN 55112 <br />tornpany <br />information <br />Corporation Name: RASSEL WINE & SPIRITS INC <br />Corporation Address: <br />18087 66TH PL N <br />Phone Number: <br />5623225069 <br />city: MAPLE GROVE State: MN zip' 55311 <br />Fax Number: <br />Email address <br />BEVERAGEGROUP.ZAHID@GMAIL.COM <br />DBA (Doing Business As): <br />MERWIN LIQUORS MOUND VIEW <br />Owners/Corporate Officers/Partners (name and title): <br />1. KM RASSEL ZAHID/PRESIDEN'T <br />2. <br />3. <br />4. <br />5. <br />kIpplitant Information.(reriewal forms will be sent to this address) <br />Applicant Name: KIVIRassel zahid <br />Applicant Address: <br />18087 66TH PL N, maple grove mn 55311 <br />Phone Number.- <br />5623225069 <br />City: <br />grove rove <br />State: zip: <br />MN 55311 <br />Fax Number: <br />.Email address Beveragegroup.zahid@gmail.com <br />hereby certify that the information provided I this application is true and correct and <br />I understand that any misrepresentation] <br />made herein may be In I grounds for denial of this application for a business license. <br />*Applicant Signature. - <br />TYPE OF LICENSE APPLYING FOR: DIFFERENT <br />FORM RSQ IRSD FOR: <br />Adult Establishment Gasoline Station <br />Intoxicating Liquor — <br />Automobile Sales # of Pumps_____, <br />3.2 Percent Malt Liquor— <br />❑ Bowling Alley ft of Gas Storage Tank, <br />Amusement Devices/Center <br />Number of Lanes Recuperative Homes/lIa'IfWay <br />Peddler/Solicitor/Transient Merchant <br />Cigarette and Tobacco-' House <br />Tattoo/Piercing/Painting <br />Over the Counter Sales --- Pawn Shop <br />Therapeutic Massage <br />#of Vending Machines_ Lawful Gambling— <br />Christmas Tree Sales <br />El Circus/Carnivals/Rides Restaurant* 'Require <br />R Donation/Collection Bin Occupancy I-oad__._____ <br />copy of Ramsey County license. <br />171 Garbage/Recycling* # of Hour Open Per Day________.._ —State of MN Requirements must be met. <br />ClassA------ ClassB--- <br />Have you ever had a license revoked? Yes/No tf yes, please attach <br />explanation. <br />OFFICE USE ONLY. <br />R-ceipt # Police Chief: Approvedt�r k%kXX* <br />Notes: <br />Fee $__. (check/cash/cc Comments: <br />Date of Payment <br />