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CITY OF RAMSEY <br /> <br />APPLICATION FOR OFF-SALE INTOXICATING LIQUOR LICENSE <br /> <br />Whoever shall lanowingly falsify any answer to the following questions shall be deemed guilty of <br />perjury and shall be punished accordingly. <br /> <br />EVERY QUESTION MUST BE ANSWERED <br /> <br />license on the premises which has the following address: <br /> <br />and which is legally deschbed as follows: ~ o "~ <br /> <br />I, ..~.X'~.5% ~& 1'~¢~ r,_ ~t_,,,, &. ¢., · do for off-sale intoxicating liquor <br /> ~..~.,~'.~ ,.'& 2._::" hereby apply an <br /> <br />Tiffs application is made in accordance with provisions of Mim-~esota Statutes and ordinances of <br />the City of Ramsey. <br /> <br />Attach plat plan of area showing dimensions, location of buildings, street address, parking <br />facilities and the locations of and dimensions to the nearest church building and school grounds. <br /> <br />2. Applicant's date of birth: c~o,,--,~, ..5" ~W ~ [ <br />Month Day Year <br /> <br />Applicant's address for the past five years is as follows: <br />current Address: /~2_\ ,t, de.o,q 5'T .~.t,kJ. <br />Previous five years' addresses: 7c,L~O ~ g I s+' Orr <br /> <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Is the applicant a citizen of the United States? Yes <br />If naturalized, state date and place of naturalization <br /> <br />w/'" No <br /> <br />Has applicant ever used or been known by a name other than his trUe name? Yes __ No ~ <br />If yes, state what was such name or names, and information concerning dates and placed <br />where used: <br /> <br />-152- <br /> <br />applicant married? Yes __ <br /> <br />W/ No If yes, give spouse's full name and address: <br /> <br />Page 1 of 4. <br /> <br /> <br />