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APPLICATION FOR <br /> <br /> CITY OF RAMSEY <br />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,-7;~o'7"-.~. ~.. /-~/""'X , as ~ omc= of ~ ~csom ~om6on kno~ <br />~/~ 's ~~ '~owZ ~,e. do h~by apply for ~ on-s~e ~to~ca~g liquor ~cense <br />~d ~ifl S~y ~cense ~ seH ~to~cafing ~quo~ ~ de~ by law at re~ o~y for <br />consumption on ~e pm~ses w~ch h~ ~e follo~g ~ess: <br /> <br />~d w~ch is leggy des~ as follows: ~/(/~x/~ ~ ~.~ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />t <br /> <br />This application is made in accordance with provisions of Minnesota Statutes and ordinances of the <br />City of Ramsey. <br /> <br />Attach 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 />Name Birthdate <br /> <br />State full name, birthdate and address of each shareholder and officer of the ~ff~omtion: <br /> <br /> Address ~h-arehol3~-er/fl)fficer - Cirg!e One) <br /> <br />/4amc ' 'Birthdate - ' / Address <br /> <br />~om/x/~'~ ~/r)tarZZ /z~./~.,r~ /~/,.~ <br /> ' Name Birthdate' / ' Address <br /> <br />Name Birthdate /Ad~'ess~ <br /> <br /> ~_.~gh~'~-I-d'~Officer - Circle One) <br />~ Circle One) <br /> <br /> (Shareholde~ Circle One) <br /> <br />(Attach additional sheet if necessary) <br /> <br />o <br /> <br />Are each of the officers and/or shareholders citizens of the United States? <br />Yes )q~ No <br /> <br />If naturalized, state date and place of naturalization <br /> <br />I <br /> <br />If no, state the circumstances for each partner who is not a citizen. <br /> <br />I <br />i <br /> <br />Page 1 of 5 <br /> <br /> <br />