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~.a Lis: below the names, addresses and business addresses of each .oerson who is enga]ed in ·
<br />Mir-':.esota in the 'ousi..',.ess of selling, manufactur,lng, or distributing intoxicating liquor and
<br />who is related to the applicant or his spouse closer than second cousin, whether whole or half,
<br />blood, or who is a brother-in-law or sister-in-law to the applicant or spouse. I
<br /> ·
<br />
<br />10, On what floor is ~he licensed premises located, orto be located? ,,--/>~ 'C
<br />
<br />i ~. rn what zonm~ d:smct ts the orem~ses located? ,~,~zk.)~L~,/ ,~,/~d.,/'"d'/'~'/
<br /> , ~, . , '~. ,~ / . / ' ,
<br /> is the building located within ,,he prescnoed area f-e'f' such l~,ense? Yes
<br />
<br /> Is the premises located c!os,,r than 1,000 feet ~:o a church, sr:de or high school? --
<br /> Yes__ No ?"' . If, yes, 6ire approximate discs.ace of the .premises from such
<br /> school and/or church .//'Z.z'V. .
<br />
<br /> :e name and address of owner of'building in which the premises is located I
<br />
<br /> Has owner ofbuildln~ any relationship, directly or indirectly, with apslicant? ' 4-
<br /> Yes .~'"" No ' If yes, state relationship 69~3D /._.~o_/
<br /> _
<br /> Are the real es~a~e* taxes on the real proper'ry on which the licensed premises are located ·
<br />
<br /> current year
<br />
<br /> Has any one a
<br /> rejected by any I
<br /> date and details.
<br />
<br /> ?',: *' o'
<br /> Has any one of the orSce, s/shareholders, dur/n~ the five y~ars immediately preceding this ·
<br /> application, ever had a liquor license revoked or suspended for any violation of, such laws
<br /> or local ordinances? , /
<br /> Yes No .~'/ []
<br /> If yes, give date and details
<br />
<br />12. Is the premises located ~ o.
<br /> ~,os,., than 1,000 feet to a church, grade or high school?
<br /> Yes No ~
<br />
<br />13. Stare name and address of owner of building in which the premises is located
<br />
<br />i4.
<br />
<br />15.
<br />
<br />-70-
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