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CITY OF RAMSEY <br />APPLICATION FOR ON-SALE INTOXICATING LIQUOR LICENSE <br />(Corporate Application) <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, Gary Lee Gruber , as an officer of the Minnesota corporation known <br />asDiamonds Sports Bar &Gri,lc~o' ~reCb'y apply for an on-sale intoxicating liquor license <br />and special Sunday license to sell intoxicating liquors as defined by law at retail only for <br />consumption on the premises which has the following address: <br /> <br />and which is legally described as follows: <br /> <br />This application is made in accordance with provisions of Minnesota Statutes and ordinances of <br />the City of Ramsey. <br /> <br />Attac] plat plan of area showing dimensions, location of buildings, street address, parking <br />facilities and the locations of and dimensions to the nearest church building and school grounds. <br />Also attach floor plan of dining room, or dining rooms, which will be open to the public, and <br />show dimensions and indicate the number of persons intended to be served in each of said rooms. <br /> <br />2. State full name, birthdate and address of each shareholder and officer of the corporation: <br /> <br />Gary Lee Gruber 5-22-63 <br /> Name Birthdate <br /> <br /> (Sharehol~er~- Circle One) <br />Address <br /> <br />Garry Moreau 3-31-59 3700 Roseberry Place Anoka, MN 55303 <br /> <br /> Name Birthdate Address (Shareholder~- Circle <br /> One) <br /> <br />Richard Boushek 9-20-58 15566 Kiowa St. NW. Andover, MN 55304 <br /> <br />Name Birthdate Address <br /> <br />(Shareholder~- Circle One) <br /> <br />Name Birthdate Address <br /> <br />(Shareholder/Officer - Circle One) <br /> <br />(Attach additional sheet if necessary) <br /> <br />3. Are each of the officers and/or shareholders citizens of the United States? <br /> Yes X No <br /> <br />Page 1 of 5 <br /> <br /> <br />