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chainth}nthoy guis e <br />p/kâ–¡Temporary Liquor License application is required for the sale of alcoholic beverages. MN <br />State Statute 340A.404 (10) The governing body of a municipality may issue to (1) a club or <br />charitable, religious, or other nonprofit organization in existence for at least three years, (2) a <br />political committee registered under section 10A.14, or (3) a state university, a temporary <br />license for the on-sale of intoxicating liquor in connection with a social event within the <br />municipality sponsored by the licensee. <br />[y' If the organization is a registered non-profit, a copy of the IRS determination letter. <br />Signature of Event Applicant <br />I understand that I am required to obtain insurance coverage as outlined herein before the City will <br />approve my use of City property or right-of way. I hereby agree to obtain such coverage as the City may <br />deem necessary and to provide City all necessary documentation of such insurance coverage. I further <br />certify under the penalty of perjury that I am authorized to execute contracts and other instruments and <br />legally bind the Applicant. , <br />Signature of Event Applicantp~~ Date 3/;;.r/ 2/ <br />Printed Name and Title of Event Applj <br />sh .. ve , > <br />For City Use Only <br />Please return this page with your signature and comments to the City Clerk as soon as possible <br />Department <br />Public Works <br />Fire Department <br />Police Department <br />Signature of Approval Date Staff Comments <br />Administration ----------- <br />PAGE [4 OF 4 <br />112