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11. If this is a transfer application give name, address, of persons, partnership or. <br />corporation holding license for the past year. <br />P <br />o t/ L t l z k l S O N l G d t. �i..h /) •y <br />/ C ` <br />17�r'rc ,,,,n wl.rRL.,,q P,vc�r2kr\/\ <br />12. Who owns the <br />tavern <br />fixtures? Z� <br />A O& P r10 S1„[ <br />4 «— <br />E'4vlpwei•i <br />F}•FTvne3� <br />�,,n✓rs►ltr�sf' <br />13. What vending or mechanical amusement device company has or will have machines on <br />the licensed premise? <br />w-e yr re eh . ,t v-- 1, AS r- F. 2 7RL< 4 /L, J o.,� 7v <br />�rP 77ti (?PSrtNj M.10 ;L%S . 774y .tJLa ua,ieA <br />/d )L.k CARTCJt C-M04P •, <br />14. Are you a Minnesota resident? ® Yes No /yt.srw t o a r FL _ <br />rf om to <br />If not, where resident: <br />dates of residency <br />W <br />15. Have you ever been convicted of violating Federal, State or Local liquor laws <br />and/or regulations? 11 Yes 9 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 Contra] Commis- <br />sioner; and all ordinances of the municipality; and I 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. - n' <br />Si ature of Applicant <br />Subscribed and sworn to before me this <br />_L day of N ; : 19 <br />notary public <br />My commission expires <br />CAL E V. NAUIi^AiN �. <br />1�1] NUTALiY PUo.:C • St tJ�:FSUT.::. _ . _ .. _._... _. <br />0 ANNA CUUNly <br />My Cnmmistcn Dgireo Atcy i:, L•'3' ;• <br />rrrrrrrrvrrl �n u,.:r,tiv:\ ., r,R <br />W <br />