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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 ¢i.ty of Ramsey County of Anoka <br /> Name of license authority (County) (City) (Village) 6 <br /> American Oil Company d/b/a Amoco <br />I, 31atth~-w D. Dzaznowzdci _ , ofthe~zj..~Village, or Town of Ramsey ., County <br /> <br />of Anoka ~ State of Minnesota, hereby make application for a Retailer's (On-sale) ~ Non-intoxicating Malt <br />Liquor License to sell such Malt liquor under and pursuant to an ordinance (resolution) passed b~YVillage Couneil~ <br />Board of. Anoka/Ramse~and Chapter 340, Minnesota Statutes 1945, as amended, providing for licensing and regulating <br /> <br />the sale of non-intoxicating malt liquor. <br />During the past fiveyears, my residence has been as follows:. Please refer to the attached list of <br />. personal information for Matthew D. Dzarnowski <br /> <br />I <br />i <br />! <br />I <br />I <br />! <br /> <br />was bom 1/19/69 at Village of Winfield <br /> <br /> Month Day Year <br /> I~IA r <br /> <br /> Burrough Town <br /> <br />ava ~naturalized) citizen of the United States. <br /> <br />,. Ilt$nois <br /> State or Country <br /> <br />City Village <br /> <br /> 106)7 T.'lnd.~y .qevome; Joliet: TL <br /> <br />I am (proprietor) (manage0 v~ c.o Pro~:'q c/ont- nf <br /> <br />Firm was incorporated nn g / l 3 / 5 q <br /> <br />Corporation is authorized to do business in Minnesota. <br /> American Oil Company d/b/a Amoco #2367 <br />License is for <br /> <br />follows: <br /> <br />married. My Q~usband's)name andaddressis .Tulia Ann Dzarnow~ki, <br /> 60431 <br /> <br /> Amar{~n O~] Company d/b/a AMOCO #2367 <br /> <br /> inStateof_ Delaware <br /> <br />(street) (highway) located as <br /> <br />The license will be in connection with Convenience store and gasoline filling station <br /> Drug Store, Cafe, Restaurant, Hotel;:Club~ <br />which has been in operation approximately 7 yea. rs <br /> Months Years <br /> <br />The establishment is located on the ground <br />Company is wholly owned subsidiary <br />Chicago, IL 60601 <br /> <br />floor. The business premises are owned by Amorq oan 0_il___ <br />of Amoco Oil, located at 200 E. Randolph <br /> <br />The taxes on the property are not delinquent. <br /> <br />I am ~ WOT engaged in the retail sale of intoxicating liquor. <br /> <br />I have had an application for license rejected as follows: <br />t have never been convicted of a felony nor of violating an7 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 />I: <br /> I <br /> I <br /> I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />lOC) <br /> <br />i,i <br /> <br /> <br />