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CITY OF R.adVISEY <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 />1. I, "'~'~¢ DL,~-,5 (" do hereby apply for an off-sale intoxicating liquor/ <br />license on the premises which has the following address: . / ?Cr~(_') ,4r.,~.C'~C ~?¢~/'-/ <br /> <br />and which is legally described as follows: }c,,{'- <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 /> <br />2. Applicant's date of birth: / ~ ,~C~ /~ . <br /> Month Day Year <br /> <br />Applicant's address for the past five years is as follows: <br />Current Address: "~0'{ <br />Previous five years' addresses: <br /> <br />Is the applicant a citizen of the United States? Yes <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 />I <br /> <br />-102- <br /> <br />Is applicant married? Yes ~/ No <br /> <br />If yes, give spouse's full name and address: <br /> <br />Page 1 of 4 <br /> <br /> <br />