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11. If this is a transfer application give mesa, address, of persons, partnersls'p or. <br />corporation holding license for the past year. <br />Loos[o, Inc. 2375 litghw.Ay iu MoutM11 view. MN 5�112 <br />i2. who otms CM tavern fixtu"sl Sane as III <br />13. Whit vending or Mechanical &%SI emt device company has or will have Hchines on <br />the licensed prmise? <br />Advaneo Carter <br />111a prese-t <br />la• Are you a Minnesota resident? ElYetr t0 <br />If rot, .here resident. _ dates of residency <br />15. have you ever been convicted of violating Federal, State or Local liquor laws <br />and/or regulations? yeS rx Ito <br />U <br />if yes explain fully on separate slheeeet of paper. <br />16. List four business references currently familiar <br />with you <br />and your Dual Mas interests. <br />Name Address <br />Phone <br />Colorbrite, Inc. 6010 Wayzata Blvd MOB <br />546-4419 <br />, <br />Intn'1 Packaging, Inc. 6030 Wayzata Blvd Mpis <br />5e6-5419 <br />S. T. Posen, Attny 7500 Boone Ave No BP <br />424-2486 <br />Ken Struve, CPA 603u Wayzata Blvd Mpls <br />546-1419 <br />17. Applicant, a.vd !AS [ssdCIS05 10 this appliCatlos, will strictly cosply with $1 <br />the Lan of the State of M1011e10C. governlnaqq the taxation and tIW sale of lntoz- <br />Icatlnq iqucr; rules and regulatiors pruM6194ted by the Liquor Lontrol COMII- <br />sioner; end all ordinances of the Municipality; Ana f hereby certify that I have <br />read the foregoing Juestimns and that the answers to saih questions art true of <br />*y own know edge. I further uneers AM C1at an Invest.gaaen fee hot to exceed <br />S500.00 shall be charged an arpliGnt by the city or county if the Investigation <br />I, cunducted within the state, or the cost not to exceed f10,0011.P: If the lnvn- <br />ligation it required outside the state. <br />Signature of Applicant <br />Subscribed and swrn to before Me this <br />Gig day of E`rtl//MrM 19�. <br />y-.ztLd� <br />ro ry pu C <br />My come fission expires <br />rv-1 wi��. NrKx 3 • <br />xS �utw h" Ml, <br />s Nla..vu lw+a +w+MiM� <br />