Agenda - Council - 03/27/2001 - Laserfiche WebLink

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What occupations has applicant followed tbr the past five years'? Has the applicant ever been in the military service? Yes No ~ State trade name to be used for the licensed premises: 10. List below the names, addresses and business addresses of each person who is engaged in Minnesota in the business of selling, mandfacturing, or distributing intoxicating liquor and who is related to the applicant or his spouse closer than second cousin, whether whole or half blood, or who is a brother-in-law or sister-in-law to the applicant or spouse. I I I I I I I I I I I I 1. On what floor is the licensed premises located, or to be located? \ 12. In what zoning district is the premises located? Is the building located within the prescribed area for such license? Yes ~ No 13. Is the premises located closer than 1,000 feet to a church, grade or high school?- Yes No v'" if yes, give approximate distance of the premises from such school angor church 14. State name and address of owner of building in which the premises is located ~__~X~' h. '3-~kr~~ ~.t,~oc. [qOa. ~k &v~ S. Has owner of building any relationship, directly or indirectly, with applicant? Yes No v'" If yes, state relationship 15. Are the real estate taxes oki the real property on which the licensed premises are located delinquent? Yes 1~1~~ No/ If no, attach memorandum statement from County Auditor showing proof of payment of real estate taxes for the first half of the current year and all previous years. 16. Has applicant ever had an application for a liquor license rejected by any municipality or state attthority? Yes No v'"' ~f yes, give date and details Page 2 of 4 -145-