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license on the premises which has the following address: <br /> ._. <br /> <br /> 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 /> I, . ~,~"T'~'" ,~,ff~..~"f~'~.~'] Jdo hereby apply for an off-sale intoxicating liquor <br /> <br />and which is legally described as follows: <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 pounds. <br />2. Applicant's date of birth: '~c.,~, ,~ ( ~"~.~ ~ . <br /> /~ lX~lonth Day Y~ar <br /> <br />Applicant's address for the past five years .is as follows: <br />Current Address: .. ']q¢/'-./) ,~' /J'f ~2~/[,/,d~__. <br />Previous five Years' addresses: ff~')~ <br /> <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 />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 />6. Es applicant married? Yes -~-'7 No <br /> <br />If yes, give spouse's full name and address: <br /> <br />-106- <br /> <br />Page 1 of 4 <br /> <br />I <br /> <br /> <br />