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MOUNDS VIEW Application Date ' `a d a <br />COUNCIL Approval Date <br />2401 Mounds View Boulevard' Mounds View MN 55112-1499 Public Hearing Date: 06 24 2024 <br />(763) 717-4004 ` Fax (763) 717-4019 Publication Date: 06/10/2024 <br />ltlfii slj tl]CS11 iClS'1�Y11ptt111 ur{l F L-r :''r.11' !LITICISI''::Tln 4]ft1 <br />TEMPORARY LIQUOR LICENSE APPLICATION <br />LOCATION OF EVENT: TYPE nF EVENT: DATE ❑F EVENT: <br />Mounds View Community Center, Mounds MCAAA National Cc 08/02/2024 - 08/03/; <br />F=_1 Temporary On -Sale Intoxicating Liquor ❑ Temporary On -Sale 3.2% Malt Liquor <br />RGMZR■ .. <br />Event Sponsor/Organization/Licensee: Monrovia College Alumni Association In the Americ Phone:6127034800 <br />Contact Person: Arying Smith Fax: T <br />Address: 301 76th Ave. N Brooklyn Park <br />City: Minnesota } State: MN Zip: 55444 j Email: arvingjallah@gmail.com <br />Signature of Licensee: f <br />Person Responsible: Arvin Smith Country City'Province,State of Binh <br />LibenaiPAnrovWold Raad!Monravia <br />ooing Business As: A none profit organization -Monrovia College Alumni Association In th Phone:6127034800 <br />Business Address:61 Stewart Ave Delran, NJ 08075 Fax: <br />City: Delran skate: NJ Zip:08075 Email: arvingjailah@gmail.com <br />Are you a MN resident. o ✓ 'Yes 1t not, where dO you reside: From: to: <br />Have you ever been convicted of violating federal, state or local liquor laws or regulations? `j No ❑ Yes <br />If yes, please explain on separate piece of }caper. <br />Property. Different Than Event Sponsor) <br />Property Owner Mounds View Community Center <br />Address 2401 Mounds View Boulevard Phone: 763-717-4040 <br />City: Mounds View i State: MN Zip: 55112 Fax: <br />Email: info@moundsviewmn-org <br />List four business references that are familiar <br />with you and your business (not required <br />for renewals): <br />Business Name <br />Address/CitylState/Zip <br />Phone <br />Contact !Name <br />1, I&nrovia College Aiuinni Association In !Ile Americas INC <br />10 GRAPEVINE ROAD LEVITTOWN PA 19057 <br />ERNEST JALLAH <br />609-670-D692 <br />2, Monrovia College Alumni Association In the Americas INC <br />21 HAPGOOD ROAD WORCESTER, MA 01605 <br />508.410-2964 <br />JoShUa N sing Jr <br />3. Monrovia Coilaagc AViimni Association In the Americas INC <br />100 MILL STREET CRANSTION RI 02905 <br />617-319.2422 <br />FRANUS A JONES <br />4. r lonrovia College Alumni Association In the Americas. INC <br />61 STEWART AVE DELRAN NJ 08015 <br />903-731.1453 <br />Ull;i A RO ERERT�-APE- pP <br />Please list the following information for other liquor licenses you hold or have held (not required for renewals): <br />Date(s) of License j <br />1. i,lonrovla College Alumni Association In the Americas INC <br />z <br />2. Monrovia College Alumni Association in 1ne Americas. INC: <br />What is the maximum occupancy for the premises? <br />Have you ever had a license revoked? RFD Ye_s If yes, please explain: <br />1 and my associates in this application will strictly comply with all the laws of the State 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 />