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I <br />I <br /> <br />I <br /> <br /> CITY OF RAMSEY <br />APPLICATION FOR ON-SALE INTOXICATING LIQUOR LICENSE <br />(Corporate Application) <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 />1. I,._S&-~' ~ ~--f~,;'e,,"~',t._./t.~ , as an officer of the Minnesota corporation known <br />as ~ ~ F Q,, "~KJ (q. , do hereby apply for an on-sale intoxicating liquor license <br /> <br />and special Sunday license to sell intoxicating liquors as defined by law at retail only for <br />consumption on the premises which has the following address: <br /> <br />and which is legally described as follows: <br /> <br />I <br />I <br />I <br />I <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 />Also attach floor plan of dining room, or dining rooms, which will be open to the public, and <br />show dimensions and indicate the number of persons intended to be served in each of said rooms. <br /> <br />2. State full name, birthdate and address of each shareholder and officer of the corporation: <br /> <br />Address ~%areho~ld--~Officer- Circle One) <br /> <br />Birthdate Address <br /> <br />(Attach additional sheet if necessary) <br /> <br />Address S~areh~fficer - Circle one) <br />Address - ~_?-'~-~hold~.er~fficer-Circle One) <br /> <br /> (Shareholder/Officer- Circle One) <br /> <br />Page I of 6 <br /> <br />-175- <br /> <br /> <br />