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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 Ci.ty of Ramsay County of Anoka <br /> Name of license authority (County) (City) (Village)_ <br /> <br />of. ?v,~ t/l/,&. State of Minnesota, hereby make application for a Retailer's (On-sale) (Off-sale) ~ ' ' <br /> Non4ntoxmatmg Malt <br /> <br />Liquor License to sell such Malt liquor under and pursuant to an ordinance (resolution) passed by City/Village Council, County <br />Board of .~,O,,6~ S .x.,)/ ; and Chapter 340, Minnesota Statutes 1945, as amended, providing for licensing and regulating <br />the sale of non-intoxicating malt liquor. <br /> <br />During the past five years, my residence has been as follows: _ <br /> <br /> was bom ~ .,~./? at <br />I <br /> Month Day Year City Village <br /> <br /> Burrough Town State or Count~ <br /> <br />I am a (native) (naturalized) citizen of the United States. <br /> i. <br /> <br />I am married. My (wife's) ('husband's) name and address is <br /> <br />I am (proprietor) (manager) <br /> <br />Firm was incorporated <br /> <br />Corporation is authorized to do business in Minnesota. <br /> <br />License is for <br /> <br />in State of. <br /> <br />follows: <br /> <br />(street) (highway) located as <br /> <br />The license will be in connection with <br />which has been in operation _ <br /> <br />The establishment is located on the <br /> <br /> Drug (2afe,"Restaurant, Hotel, Club - <br /> <br />Months Years <br /> /b'///'~ floor, The business premises are owned by <br /> <br />The taxes on th~ p~operty are not delinquent. <br />I am //Sb//& engaged in the retail sale of <br /> intoxicating <br /> liquor. <br /> <br />I have had an application for license rejected as follows: <br />I have never been convicted of a felony nor of violating any National or state liquor law or local ordinance relating to the <br />manufacture, sale or transportation, or possession for sale or transportation 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 leasehold, furniture fixtures, and equipment in the premises for which the license is applied, except <br /> <br /> <br />