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11, If this is a transfer application ,i.. i.E , address, of per•suns, parinersiiil: o <br />corporation holding I Kri:•e for (hc ; .:. 1 ; or, <br />-776 . ti(C. 1_0wvil:ctl_(.rlr<<"' <br />12. Who'bwos (lie tavern fixtures? LA,,�.z ,1y;; /1 , �:lG1�c' �r Fr.lr <br />i&!{l�s:=_ lJ,:t:/C s.L+GiI.'sisL.:?'../;�_c'� c.✓_fGi'.1�. a <br />13. What vending or mechanical amusement device company has m• will have machines on <br />the licensed premise? <br />Daza" Y'F�tb%r� SF ✓'�rJL l{rliryrtC.Ndf _ <br />14. Are you a Minnesuta resident? C�'Y0, lJ Ilu _ l `1(,6 _ i''�%rL <br />from to <br />If not, where resident: <br />dates of residency <br />r <br />15. Have you ever been conviclod of violating federal, State or local liquor laws I <br />and/or regulations? LJ Yes S/ No <br />If yes explain fully on separate sheet of paper. <br />16. Applicant, and his associates in this application, will strictly comply with all <br />the Laws of the State of Minnesota governing the taxation and the sale of intox- <br />icating liquor; rules and regulations promulgated by the Liquor Control Commis- <br />sioner; and all ordinances of the municipality; and 1 hereby certify that I have <br />read the foregoing questions and that the answers to said questions are true of <br />my own knowledge. I further understand that an investigation fee not to exceed <br />$500.00 shall be charged an applicant by the city or county if the investigation <br />Is conducted within the state, or the cost not to exceed $10,000.00 if the inves- <br />tigation is required outside the state. <br />c')nature of Applicant <br />Subscribed and sworn to before me this <br />tt' <br />day of /`l{ c l <br />. <br />ri <br />notar pub is , <br />..............:. ar{ <br />My commission expires <br />