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r . <br /> PS-09079-01 (8 851 MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br /> PHONE 612-296-6159 LIQUOR CONTROL DIVISION <br /> 333 SIBLEY • ST. PAUL, MN 55101 <br /> ' x APPLICATION AND PERMIT <br /> FOR A 1 to 3 DAY TEMPORARY ON-SALE LIQUOR LICENSE <br /> TYPE OR PRINT INFORMATION <br /> NAME OF ORGANIZATION DATE ORGANIZED N0.OF MEMBERS TAX EXEMPT NUMBER <br /> St . Anthony Chamber of Commerce, Inc. 10/19/87 <br /> STREET ADDRESS I CITY STATE ZIP CODE <br /> 13301 Silver Lake Road N.E. iSt. Anthony, M 55418 <br /> NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE <br /> Edward J. Hance, President (612) 781-4858 (612) 788-7484 <br /> DATES LIQUOR WILL BE SOLD?0 TO 3 DAYS) DOES ORGANIZATION HAVE A CHARTER GENERAL tUeRP$$ OSgR(:��IWJATIQN d <br /> Jul 20 21 , 22 1990 XYes _ No elOOare b cmmunyt <br /> ORGANIZATION OFFICER'S NAME ADDRESS 2401 Lowry Avenue N.E. , Suite 2 0 0 <br /> Edward J. Hance Minneapolis, Minnesota 55418 <br /> ORGANIZATION OFFICER'S NAME ADDRESS <br /> ORGANIZATION OFFICER'S NAME ADDRESS 2828 Anthony Lane South <br /> Dennis Hoskin St. Anthony, Minnesota 55418 <br /> Location where license will be used. If an outdoor area,describe. <br /> Central Park, City of. St. Anthony <br /> Will the applicant contract for intoxicating liquor services? If so,give the name and address of the Liquor licensee providing <br /> the services. <br /> SAV Liquor Warehouse <br /> 2700 Highway <br /> St. Anthony, Minnesota 55418 <br /> Will the applicant carry liquor liability insurance? If so,the carrier's name and amount of coverage. <br /> (Note: Insurance is not mandatory) <br /> Jim Nesser Agency, Inc . <br /> $500 , 000/500 ,000 <br /> APPROVAL <br /> CITY OF DATE APPROVED <br /> CITY FEE AMOUNT A114 LICENSE DATES <br /> DATE FEE PAID <br /> APPROVED LIQUOR CONTROL DIRECTOR <br /> I <br /> SIGNATURE CITY LERK <br /> Do not separate these two parts, send both parts to the address above and the original signed by this division <br /> NOTE: will be returned as the license.Submit to the City Clerk at least 30 days before the event. <br />