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BCA-04-045 (8-1-76) <br />CITY OF MOUNDS VIEW <br />APPLICATION FOR ON -SALE INTOXICATING LIQUOR LICENSE <br />This form was prepared by the Minnesota Bureau of Criminal Ap- <br />prehension, Department of Public Safety, pursuant to Minnesota <br />Statutes, 1916. Section 340.13, for purposes of background in- <br />vestigation. It does not 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 />N IU <br />Dg,,fc,+;I� P,J�rrzar.t p{ <br />t✓ /JA/K IJlrw [eMilJlRo,1 f7✓ l�"� <br />trade name date ot application <br />Spin. P ,r-,eL 12- r fL ' w'r'L <br />L-Y P.,i.�Trc a <br />tensing period' phone, business <br />1. Type of Application: New Renewal ® Transfer <br />2. c A_4cs A. Loascfy 475 y G° 70 <br />name of applicant phone, home <br />3. 22,5 4rr0.4 u16 <br />ome a ress <br />4. Z7 3u <br />ate o i rt i <br />5. <br />GFI w_1 TEN <br />ss loc <br />L✓A j Z ,ATJl <br />city state <br />sS3 <br />fib{ jP L•S A4 r//u <br />place of birth <br />Vi<W JAIN// SS,N <br />6. legal description See P,AGIa$r- PI <br />ENet eSeN Henn wriN F,2 L beSc-A, 0ii�., <br />7. Sunday liquor sales: yes_t no Seating capacity: <br />8. List owners of building or premise to be licensed: <br />,,A's A L,,,,c,.., C2 jAres 4 AP/ <br />RLt.//e_ U /., do,/ <br />9. C01ZP:1zk7`,,'W `�`"� -ru _{3 rr.�.2�^-�� <br />corporate or partnership tit e <br />u, try., 7 t vrr <br />corporate or partnership address / <br />10. List all partners, officers or directors, if corporation: <br />name address date of birth <br /><TAXCS A If L.,iQ,/ Zz5 2-7Ile <br />e� /. S, 7 3L <br />err rL /3 e Tn'? x <br />T <br />