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STATE OF MINNESOTA <br />Combination Application for Retailer's (On-Sale) (Off-sale) <br />Non-Iuto×icat[ng Malt Liquor License <br /> <br />To the Ci_ly of Ram~y County of Anoka <br /> Name of license authority (County) (City) (Village) <br /> ..':'D <br />I, , of the City, Village, or Town of /~X O.. v'~ ~.N/ ., County <br /> / <br />of ,~ ~'~/<C',--~, State of Minnesota, hereby make application for a Retailer's (On-sale) (Off-sale) 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 .~ ,., .., c:e',7 ; 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 />Month Day Year City Village <br /> <br /> I <br /> I <br /> <br />I <br />I <br />I <br /> <br /> Burrough Town State or Country <br /> <br />I am a (native) (naturalized) citizen of the United States, <br />Iam , _.-- married,~ly (wife's) (husband's) narne and address is (~. <br /> <br />i am (proprietof('f~manager) /t~ <br />F,rm was incorporated ~ f~..~¢' in State of .. <br />Corporation is author/zed to do business in Minnesota. <br /> <br />follows: . <br /> <br />The license w~fbe in connection with .~ ~~o,_~: ~ <br /> Drug S~r.~ Cafe, Restaurant, Hotel, Club <br />which has been in operation ~:.C t.~- ' I I · <br />Months Years <br /> <br />The establishment is located on the ~ floor. The business premises are owned by <br /> <br />(street) (highway) located as <br /> <br />The taxes on the property are not delinquent. <br /> <br />I am. ~ (~-~- engaged in the retail sale of intoxicating 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 />I <br /> <br /> <br />