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�. CITY OF MOUNDS VIEW <br />APPLICATION FOR ON -SALE INTOXICATING Li OOR LICENSE <br />This form was prepared by the iiinnesota Bureau of Criminal Ap- <br />prehension, Department of Public Safety, pursuant to idinnesota <br />Statutes, 1976, Secti;,n 340.13, for purposes of background in- <br />vesLiyalion. I dues noL supercede any laws, rules or regula- <br />tions of the Division of Liquor Control regarding the issuance <br />.of liquor licenses. failure to provide information requested <br />may result in denial of the application. <br />Po v Ir fix, <br />trade nacre -- — - —`— dJLe of application <br />(�Gfc�iF,QJFl9};z - i7Cc.C,�1 ci( 31, �'l;;1- 7�N•5'�s�.� _ <br />1Icensin9 period fihene, business <br />1. Type of Application: ❑ Flew � Renewal II Transfer <br />name o appTicant phone, home'' <br />/Y1"'mc' <br />home a3dless city state <br />4. 6 - s - f <br />ate of tiir th '—� place 6M' tfi <br />5. Z37r 40,1Of f4dV l� /10 n`/ou,fas Vie �l /Y/, <br />address of buss en ss location <br />f,, legal description TF�r E4Zgd, V4. 6 a r o>r fi �(E 1/ <br />Tj&Sif,r 30 ONge. 2-3 IV,d9 J <br />7, Sunday liquor sales: yen ✓ urv, r�� .1r&ALx 91,1 4voy rip, lid, <br />no_ Seating capacity: y&O <br />0. List owners of building or premise to be licensed: <br />-(4;.&Ak"'L" 1.7.,a, (Yl12rzc-gc_ Y=*)'vl; fjjC.' <br />9. GoPfk44'fun4r;✓cL' <br />corporate or partnership title <br />n <br />2375- do(V'If• 40 v io <br />corporate or partnership addre <br />10. List all partners, officers or directors, if corporation: <br />name <br />address <br />date of birth <br />,%i�(ard (s� f�iiK(� _ 32�rg I� d4tcs ,¢y_Wgl 10 - L7 <br />61011. r 5'W 4vc. 1:� <br />2 L `id C4es Sr, 56, iN L <br />2 <br />6-7�i-�3• <br />E <br />