Agenda - Council - 07/09/1996 - Laserfiche WebLink

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I I I I I I I 13. State name and address of owner of building in which the premises is located Has ow~nef~f building any relationship, directly or indirectly, with applicant? Yes /K No If yes, state relationship 14. Are the real estate taxes on the real property on which the licensed premises are located delinquent? Yes No,X~ If no, attach memorandum statement from County Auditor showing proof of payment of mai estate taxes for the first half of the current year and ail previous years. 15. Has any one of the officers/shareholders ever had an application for a liquor license rejected by any municipality or state authority? Yes No )q~' If yes, give date and details. I I 16. Has any one of the officers/shareholders, during the five years mediately preced/ng this application, ever had a liquor license revoked or suspended for any violation of such laws or local ordinances? Yes No ~ If yes, give date and details ! I I7. Has any One of the officers/shareholders, during the past five years, been convicted of any liquor laW violations, grp. ~s misdemeanor or felony, or any Federal laws. Yes No/X~ If yes, give date and details 18. Has any one of the officers/shareholders any interest whatsoever, directly or ihdirectly, in any other liquor establishment in the State of Minnesota? Yes ~ No ~ If yes, state name and address of each establishment(s). 19. 20. Furnish the name and reference. Name Name / - Name address of at least three business references, including one bank Address Address Address Do any of the officers/shareholders possess an unexpired retail dealer's identification card issued by be Liquor Control Commissioner? Yes No ){ If yes, give number Circle~4i~.nse classification the application is being applied for: Exclusive liquor store,~otel, or club. Page 3 of 5