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CITY OF RAMSEY <br /> <br />APPLICATION FOR OFF-SALE INTOXICATING LIQUOR LICENSE <br /> <br />Whoever shall knowingly 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: . \ ~O 50 <br /> <br />and which is legally described as follows: }-~o q'" :~. ~ \'V,, <br /> <br />I, ~-7.grP-$% ~,~ ~ C,..\~.¢¢,,6~,,r"'_ydo hereby apply for an off-sale intoxicating liquor <br /> <br />This application is made in accordance with provisions of Minnesota 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 />Te...ce-M ~' a. '~ to 3 <br />2. Applicant's date of birth: r"q,xr'¢,, ,5' ~-~{ ~.{ <br />Month Day Year <br /> <br />Applicant's address for the past five years is as follows: <br /> <br />Previous five years' addresses: . 'TdL~O ~ 8 I se 0r9 E.. tO v0 ¢o, ra...~J e,'x,,o <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br />I <br />I <br /> <br />4.' Is the applicant a citizen of the United States? Yes <br /> <br />No <br /> <br />If naturalized, state date and place of naturalization <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 />I <br /> <br />-144- <br /> <br />Is applicant married? Yes w"" No <br /> i'"~¢o~, C_o.\\-e_.q4e_,-- /oft z_\ <br /> <br /> If yes, give spouse's £ull name and address: <br />5-r. N. t,o '('~,~,.a se,) c.q'.W <br /> <br />Page 1 of 4 <br /> <br />I <br />I <br />I <br /> <br /> <br />