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STATE OF MINNESOT~ / <br />Combination Application for Retailer's (,Olf~e) (Off-sale) <br /> Non-Intoxicating Malt Liquor License <br /> <br />To the G[[Y of Ramsay County of Anoka <br /> Name of license authority (County) (City) (Village) <br /> <br />I, JOHN G. HARHON , of the City, Village, orTown of ANKENY , County <br /> IOWA <br />of POLK , State of l~l;tb~)(~( hereby make application for a Retailers [O~ (Off-sale) Non-intoxicating Malt <br /> <br />Liquor License to sell such Malt liquor under and pursuant to an ordinance (resolution) passed by City/Village Council, County <br /> <br />Board of..r ; and Chapter 340, Minnesota Statutes 1945, as amended, providing for licensing and regulating <br /> <br />the sale of non-intoxicating malt liquor. <br /> <br />During the past fiveyears, my residence has been ~ follows:. 607 W 6TH ST - SLATER, IA 50244 <br /> <br />I <br />I <br />I; <br /> <br /> I <br />I: <br /> ! <br /> <br />I was born 02103/54 at JEFFERSON. IOWA <br /> Month Day Year City Village <br /> <br /> Burrough Town State or Country <br /> <br />I am a (native) (X~)fl)l~')Ycitizen of thc United States. <br /> <br />I am married. My (wife's) (husband's) name and address is SUSAN <br /> SLATER, IA 50244 <br /> <br />HARMON - 607 W STH ST - <br /> <br />I <br /> <br />i am~l~[~z.X~)~~ CORPORATE SECRETARY FOR <br /> <br />Firm wasin~orated 12/67 <br /> <br />Co~omtionisauthori~dtodobusincssin Minncso~ <br /> <br />Licenseis~r 14131 SUNFISH LAKE BOULEVARD <br /> <br />CASEY'S GENERAL STORES, INC. <br /> <br />in State of <br /> <br />IOWA <br /> <br />(street) (highway) located as <br /> <br />follows: <br /> CASEY'S GENERAL STORE - LOT 1, BLK 4, SUNFISH SQUARE, ANOKA COUNTY, HN <br /> <br />I <br />I <br />I <br /> <br />The license will be in connection with A CONVENIENCE STORE <br /> Drug Store, Cafe, Restaurant, Hotel, Club <br />which has been in operation WE ARE A NEW STORE <br /> Months Years <br /> <br />The establishment is located on the GROUND floor. The business premises are owned by CASEY ' S <br /> <br /> GENERAL STORES, INC. <br /> <br />The taxes on the property are not delinquent. <br /> <br />I am NOT engaged in the retail sale of intoxicating liquor. <br /> <br />I have had an application for license rejh~ed 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 />I <br />I <br />I <br />I <br /> <br /> <br />