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Lin VT MUUNVa wlaw <br />APPLICATION FOR ON -SALE IMTOIICATINO LIW01 LICENSE <br />This form was prepared by the Minnesota Bureau of Crim1Ml AP - <br />prehension. Department of Public Safety, pursuant to Minnesots <br />Statutes. 1976. Section 1a0.11, for purposes of background In- <br />vestipatios. It does not supercede any laws, fulls or regula- <br />tions of the Olvtston of Liquor Control regarding ina Issuance <br />of liquor lie"%*%. Failure to provide Information requested <br />my result in denfil of the ApplicstiO0. <br />1'11118 nu 10 M..n 1. 1 1qR.. <br />tramd1M to 0 AN CA 00 <br />April L, 1916 lapproxl 7N4-SS',S <br />licensing Period phone, business <br />1. Type Ot Application: 0 New Renewal Transfer <br />1. 1 i_ Atone 7RI-ON40 <br />new of &PPlIc"t P home <br />]. .,n,re,1 Minneapolis MN <br />e a rest a 6TEt <br />1, uecenoer 1, 1951 Minneapolis, MN <br />of birtli 0 <br />S 2175 Highway 10 Mounds View, MN 55112 <br />Address of business location <br />6. legal description East 294.8 ft of HE 5 of NE 5 of SW N Section 8 <br />Townshto 10, Range 21, Iriuy NE of U. S. I11914way 10 <br />7, Sunday liquor 94106: yes x no_ seating capacity[- <br />B. List owners of building or premise to be licepsed: ,lames A. Loosen <br />9. fill�re Nest, Inc. <br />iornora or partner p t e <br />6010 koyzata B1''d. Mtneapnits, MN '541fi <br />corporate Or partnership address <br />10. List all partrers, officers or directors land tit/eel, if corporation: <br />name 6 title address date of birth <br />Steven M. Bauct Pres/S c 10849 Hollywood Blvd 10-14-48 <br />David E. Atone VP 1112 Highcrest 12-01-51 <br />t ' j <br />