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MINNESOTA DEPARTMENT OF PUBLIC SAFETY. PS 9114 12-8W <br /> PHONE 1612)296-6159 LIQUOR CONTROL DIVISION . <br /> 333 SIBLEY o ST.PAUL,MN 55101 <br /> APPLICATION FOR COUNTY OR CITY.ON SALE WINE LICENSE r <br /> NOT TO EXCEED 14%OF ALCOHOL BY VOLUME <br /> EVERY QUESTION MUST BE ANSWERED. If a corporation,an officer shall execute this application. If.a partnership,a <br /> partner shall execute this application. If this a first application attach a copy of the articles of incorporation and <br /> by=laws. 1 <br /> Applicants me(Business,Partners4ip,Corporation) Trade Name BA <br /> Business Ad ess Business Phone Applicants Home Phone <br /> X00A 0'C 49 ► -TEL ) �-osw <br /> City Court State Zip Code <br /> Is this application If airgiffer,give name of former owner License period , <br /> ❑ New Renewal ❑Transfe From To <br /> If a corporation,give name,title,arip5rand 43te of birth of each officer.If a partnership,give name,address and date of birth of each partner. <br /> Partner/Officer Name and Title Address DOB <br /> r <br /> Partner/Officer Name and Title Address DOB <br /> Partner/Officer Name and Title Address DOB <br /> Partner/Officer Name and Title Address DOB <br /> CORPORATIONS I <br /> State of /�j Date of Certificate I <br /> Incorporation i'�!4/ Incorporation Number ! <br /> Is corporation authorized to do business in Minnesota? Yes ❑ No <br /> If a subsidiary of another corporation, give name and address of parent corporation <br /> THE BUILDING. <br /> Name of / p Owners <br /> Building Owner v — �� Address <br /> Has the building owner any connection <br /> Are the property taxes deliquent? ❑ Yes. ONO director ingirect, with the applicant? ❑ Yes I-IQo <br /> Describe the premises to be licensed OV P h <br /> THE RESTAURANT <br /> • <br /> hat is the During what hours will Number of people <br /> eating capacity? G food be'available? �L �. restaurant will.employ? <br /> How many months per year Will food service be the principal <br /> will'the restaurant be open? L business of the,restaurant? Yes ❑ No .. <br />