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L ~(i~JOR IX)HTRO. <br />444 ~ ST-SOiTE 100 L ~ Sal'ety <br />ST. PAUL I'~ 55101-2156 <br /> ..... ViN 55101 <br /> (612)296-6430 TT~(612)282-6555 <br /> <br />RENEWAL OF LIQUOR, WI[NE, OR CLUB LICENSE <br /> <br /> Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City <br />Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new <br />license period. City Cierk/County Auditor are also required by M.S. 3403,.404 S. 3 to report any license <br />cancellation. <br /> <br />License Code. OFSL .License Period Ending 06/30/96 <br />City/County where lio6ns¢ approved E am s e y <br /> <br />6318 <br /> <br />Licensee Name F. N.C. Co r p. <br /> <br />TradeName Ramsey Warehouse Liquor <br /> <br />Liconsed Location address 14107 St. Francis <br /> <br />City, State, ZipCode Ramsey, MN 55303 <br /> <br />Business Phone ( 61 2 ) 4 2 1 - 71 3 1 <br /> <br /> LICENSE]FEES: Offsale$ 200.00 OaSale$ Sundays <br />By signing this renewal application, applicant certifies that there has been no change in ownership, corporate officers, <br />partners, home addresses, or telephone ambers. If changes have occurred during the past 12 months, please give details <br />on the back of this renewal, then sign below. <br /> <br />Applicant's slenature on this renewal confirms ihe following: Failure to report any of the following will result in · <br /> <br /> l. Licensee coafmns that it has never had a liquor license rejected by'any city/township/county in the state of <br /> Minnesota..II'ever rejected, please give details on the back of this renewal, then sign below. <br />2. Licensee coitfirms that for the past five years it has not had a liquor lic..cmsc revoked for any liquor law violation <br /> (state or looal). Ifa revocation has occurred, pleasegive details on the back of this renewal, then sign below. <br />3. Licensee cqafirms that during the past five years it or its employees have not been aired for any civil or crimbal <br /> liquor law ~violatioas. If violations have occurred, please give details on back of this renewal, then sign below. <br />4. Licensee _canfirms that during the past license year, a sa~mmons has not becn issued under the Liquor Liability Law <br /> (Dram Shop) MS 340A.802. If yes, attach a copy of the smmmons, then sign below. <br />5. Licensee coat'mas that Workers Compensation insurance is in effect for the full license period. <br /> <br />Licensee has attac~ed a liquor liability insurance certificate that corresponds with the license period in city/county <br />where license is issued. $100,000 in cash or securities or $100,000 surety bond may be submitted in lieu of liquor <br />liability. <br /> <br />Licensee Signature Date <br />(Signature certifies aH above information to be correct &nd license has been approved by city/county. <br /> <br />~Ci _ty Cler~Coun _ty Audilor Sioenature Date <br />(Signature certifies that aa on-sale intoxicating liquor license has been approved by the city/county as stated above). <br /> <br />County Attorney Sitnatu~e <br />County Board issued licenses only (Signature certifies licensee is eligible for license) <br /> <br />Date <br /> <br />Police/$1~cr/ff S.ign~ture <br /> <br />Date <br /> <br />(Signature certifies ~eensee or associates have not been cited during the past five years for any state/local liquor law <br />violatious (criminal/cMl). Report violations on back, then sign here. PS 9093-94 <br /> <br />,I <br /> <br /> <br />