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LI(;tJOR CONTROL DIVl~l~,-~x <br />444 CEDAR ST-SUITE 100 L <br />ST. PAUL ~ 55101-2156 ~Sa_fcty <br /> MON <br /> .vfN $5101 <br /> (612)296]-6430 TT~(612)2~2~6555 <br /> <br />RENEWAL OF LIQUOI~ WINE, OR CLUB LICENSE <br /> <br /> Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City <br />Clerk/County Auditor sihould submit this signed renewal with completed licens~ and licensee liquor liability for the new <br />license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license <br />cancellation. <br /> <br />License Code OFSL License Period Ending 06/30/96 <br />City/County where lic.~s~ approved R am s e y <br /> <br />ID# 8884 <br /> <br />Licensee Name J.N.T. En'cerprises Inc. <br /> <br />TradcNamc M & L Country Liquors <br /> <br />LiccnsedLocationad&ess 5900 167t. h Ave NW <br /> <br />City, Statc, ZipCodc Anoka, MN 55303 <br /> <br />Business Phoae ( 6 1 2 ) 7 5 3- 2 5 4 4 <br /> <br /> I,,ICENSEFI~ES: OffSale$ 200,00 OnSale$ Sundays <br /> <br />By signing this renew.al application, applicant certifies that there has been no change in ownership, corporate officers, <br />partners, home addreskses, or telephone numbers. 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 signatuee on this renewal confirms the following: 'Failure to re_myrt any of the following will result }n <br /> <br />1. Licensee eom'n-ms that it has never had a liquor license rejected by'a;uy city/township/county in the state of <br /> Minnesota. ~ever rejected, please give details on the back of this renewal, then sign below. <br />2. Licensee coatrnmas that for thc past five years it has not had a liquor license revoked for any liquor law violation <br /> (state or local). Ifa revocation has occurred, please give dcthls on thc back of this renewal, then sign below. <br />3. Licensee coitfirms that during the past five years it or its employees liave not beea cited for any civil or criminal <br /> hqnor law violations. If violations ha~c occurr~ please give details on back of this renewal, then sign below. <br />4. Licensee coafirms that during the past license year, a summons has not been issued under the Liquor Liability Law <br /> (Dram Shop) MS 340A.802. Il'yes, attach a copy of the summons, then sign below. <br />5. Licensee confirms that Workers Compensation insurance is in effect for the full license period. <br /> <br />Licensee has attaehgd a liquor liability insurance certificate that corresponds with the license period in cRy/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 /> <br />(Signature certifies all above information to be correct and license has been approved by city/county. <br /> <br />..Ci~ Clerk/Court .W Aladitor Signature Date <br />(Signature certifies that an on-sale intoxicating liquor license has been approved by the city/county as stated above). <br /> <br />Coun _ty Attorney Si~ature Date <br />County Board issued licenses only (Signature certifies licensee is eligible for license) <br /> <br />police/Sheriff Sigr~a[ure Date <br /> <br />(Signature certifies licensee or associates have not been cited during the past five years for any state/local liquor law <br />violations (criminal/civil). Report violations on back, then sign here. PS 9093-94 <br /> <br /> <br />