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STATE OF MINNESOTA <br />Combination Application for Retailer's (On-Sale) (Off-sale) <br />Non-Intoxicating Malt Liquor License <br /> <br />To the City of Ramse¥ County of Anoka <br /> Name of license authority (County) (City) (Village) <br />I, ,~,,zq-"rv,$P,4 ~/,,~)J C$(o/~,.oftheCity, Village, orTownof /4~r4'/~_.17~'. _ ,County <br />of./0 30 ~/~ff-/0- /State. of Minnesota, hereby make application for a Retailer's (On-sale) (Off-sate) Non-intoxicating Malt <br />Liquor License to sell such Malt liquor under and pursuant to an ordinance (resolution) passed by City/Village Council, County <br />Board of f~/r%S ~ g ; and Chapter 340, Minnesota Statutes 1945, as amended, providing for licensing and regulating <br /> <br /> · ~' 'St{ ~t" uor <br />tile sa e OlrlOn-llltOXlCa lng manq . <br /> <br />During the past five years, my residence has been as follows: <br />I was bom <br /> <br />at <br /> <br /> FEB 2 4 2000 <br /> <br />BY:_ I <br /> ! <br /> <br />Month Day Year City Village <br /> <br /> Burrough Town State or Country <br /> <br />I am a (native) (naturalized) citizen of the United States... <br /> <br />I am married. My (wilds) (husband's) name and address is <br /> <br />I am (proprietor) (manage0 _ . <br /> <br />Firm was incorporated in State of <br />Corporation is authorized to do business in Minnesota. <br /> <br />follows: <br /> <br />~e license will be in connection with ff~¢ ~ Pq ~{¢¢~ ~0,/?¢ //¢~ f~ ' <br /> <br />which h~ been in operation .... . . .:. <br /> Monks Yem <br /> <br />The establishment is located on the floor. The business premises are owned by <br /> <br />The laxcs on the property aro not delinquent. '~~* B) ~~ <br />I am engaged in the retail sale of intoxicating liquor. · ,~~ <br />I have had ~ application for license rejected ~ follows: <br />I have never been convicted of a felony nor of violating ~y National or state liquor law or local ordinance relating to the <br />manufacture, sale or transpoflation, or possession for sale or W~spo~ation of intoxicating liquor. <br /> <br />Gambling or gambling devices will not be permitted on the licensed premises. <br /> <br />I am the owner of the leaseholdj furniture fixtures, and equipment in the premises for which the license is applied, except. <br /> <br /> I <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br /> <br /> <br />