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Minnesota Department of Public Safety <br />Alcohol and Gambling Enforcement Division <br />445 Minnesota Street, Suite 1600, St. Paul, MN 55101 <br />651-201-7507 TTY 651-282-6555 <br />APPLICATION AND PERMIT FOR A 1 DAY <br />TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE <br />Name of organization Date of organization Tax exempt number <br />Organization Address (No PO Boxes)City State Zip Code <br />Name of person making application Business phone Home phone <br />Date(s) of event <br />Club Charitable Religious Other non-profit <br />Type of organization <br />Organization officer's name City State Zip Code <br />Organization officer's name City State Zip Code <br />Organization officer's name City State Zip Code <br />Location where permit will be used. If an outdoor area, describe. <br />If the applicant will contract for intoxicating liquor service give the name and address of the liquor license providing the service. <br />If the applicant will carry liquor liability insurance please provide the carrier's name and amount of coverage. <br />City or County approving the license Date Approved <br />Fee Amount Permit Date <br />Signature City Clerk or County Official <br />APPROVAL <br />APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL AND GAMBLING ENFORCEMENT <br />City or County E-mail Address <br />CLERKS NOTICE: Submit this form to Alcohol and Gambling Enforcement Division 30 days prior to event <br />No Temp Applications faxed or mailed. Only emailed. <br />ONE SUBMISSION PER EMAIL, APPLICATION ONLY. <br />PLEASE PROVIDE A VALID E-MAIL ADDRESS FOR THE CITY/COUNTY AS ALL TEMPORARY <br />PERMIT APPROVALS WILL BE SENT BACK VIA EMAIL. E-MAIL THE APPLICATION SIGNED BY <br />CITY/COUNTY TO AGE.TEMPORARYAPPLICATION@STATE.MN.US <br />Microdistillery Small Brewer <br />Please Print Name of City Clerk or County Official <br />Event in conjunction with a community festival Yes No <br />Current population of city <br />Festival in the Park of Mounds View 05/15/2021 03-0508257 <br />2401 Mounds View Blvd.Mounds View Minnesota 55112 <br />Bethany Dickert info@festivalinthepark.org <br />08/16/2025 <br />Kathryn Smith, President Mounds View Minnesota 55112 <br />Bethany Dickert, Vice President Mounds View Minnesota 55112 <br />Presten Schmidt, Treasurer Mounds View Minnesota 55112 <br />Festival in the Park held at Silver View Park within a fenced in area. <br />Moe's American Grill, 2400 Mounds View Blvd., Mounds View, MN 55112 <br />City of Mounds View June 9, 2025 <br />120.00 August 16, 2025 <br />barb.benesch@moundsviewmn.org <br />13,240 <br />Nyle Zikmund, City Administrator