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City of MOUNDS VIEW Business License Application Date: 02/28/2026 Business License COUNCIL Approval Date: 02/09/2026 ® NEW APPLICATION 2401 Mounds View Boulevard'Mounds View MN 55112-1499 ❑ RENEWAL APPLICATION (763)717-4000'Fax(763)717-4019 ❑ TRANSFER info moundsviewmn.orq'www.moundsview.mn.org LIQUOR LICENSE APPLICATION Business Information Business Name: License Address: Z 535 M ,� \evJ �� Phone Number: City:Kk--*3y) \Q-1.) I State: Zip: 11051,25 1 Z Fax Number: Email: DBA(Doing Business As): ❑ Individual ❑ Corporation ❑ Partnership LLC Owners/Corporate Officers/Partners/Directors (name and title): 1. 2. 3. 4. Applicant/Licensee Full Name: Country/City/Province/State of Birth: Date of Birth: f1SU �Se 4coro M Za�\uYN %',Y)NWCA <x\co Applicant/LicenseeAddress: 813 Wo tuwh Phon Z 43--e ll City: ,�\t-w State: MA Zip: Z Fax: Email: lcob(ku,5 GY\(!�cl VAd\ 1 com Are you a MN resident? ❑ No �0 Yes If not, where do you reside: From: to: Have you ever been convicted of violating federal, state or local liquor laws or regulations? ❑No ❑Yes If yes, please explain on separate piece of paper. Property • . . Property Owner ckS\ r o e r 1 \ Address 6 b% , kcw✓� Phone: City: NK\'(\Yle State: M Zlp. ( Fax: Email: UDC �4 b,YIC d vsO •(-owl . Intoxicating 3.2 Beer/Malt Liquor Brewery Microdistillery ❑ On Sale (sq.ft.of bar area /restaurant area ) On Sale ❑ On Sale ❑ Off Sale Off Sale ❑ On Sale Wine ❑ Temp. 3.2 Beer Special Event (taproom) ❑ On Sale ❑ Sunday Sales ❑ Temp. On Sale 3.2 Beer/ ❑ Off Sale ❑ Off Sale ❑ Bottle Club Malt Liquor ❑ Sunday Growler Sales ❑ Temp. Intoxicating Special Event ❑ Festival in the Park(Temp.) ❑ Temp. Intoxicating Liquor Banquet List four business references that are familiar with you and your business (not required for renewals): Business Name Address/City/State/Zip Phone Contact Name cwOt � 3. OG c c' -Z c C to 4. ' v G\ �,\In O Date(s)of License: 1. I ,1.�,�1,\�..� tt^e5 , �� ►� St -�, �� ,7( 2 z z-f{�� 2.