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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 />1. I, ~ I~v~c. Lz>uD do hereby apply for an off-sale intoxicating liquor <br />license on the premises which has the following address:' Iq)o'] ~T ~d,0t~¢ 'lSt. oI~ <br /> <br />and which is legally described as follows: <br /> <br />I <br />I <br /> <br />I <br /> <br /> ?.,to z24o~oo r>r,. <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 dime/isions, location of buildings, street address, parking <br />facilities and the locations of and dimensions to the nearest church buildlng and school grounds. <br /> <br />2. Applicant's date of birth: <br /> <br />Month Day Year <br /> <br />3~ <br /> <br />Applicant's address for the past five years is as follows: <br />Current Address: r [Z~(o [07c.¢-~-'~'i' <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 />X No <br /> <br />Has applicant ever used or been known by a name other than his tree name? Yes ~ No.z~. <br />If yes, state what was such name or names, and information concerning dates and placed <br />where used: <br /> <br />6. Is applicant married? Yes X No If yes, give spouse's full name and address: <br /> 3To,~t~ /,ou-) Ig~"'t," ~yto~ ch-,A~c~e~ ~-~cc~. _~llz-- <br /> <br />Page 1 of 4 <br /> <br /> <br />