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STATE OF .MINNESOTA <br /> Combination Appaicatio~ for Retailer's (On-Sale1 (Oil-sale) <br /> Non-Intoxicating Malt Liquor License <br /> <br />of /-'. Z-~, S~ of Mi~ ~reby m~e ~pplicafion for ~ R~l~'s (~-~tl~) (Off-s~e) Non-~xica~g <br /> <br />Co~ Bo~ of ~ ~ : ~d ~ ~. M~ S~ 1945, ~ ~nd~ ~oviding for ii~mg ~d <br /> <br />regulating the sale of non-intoxicath'~g melt tiquor. <br /> <br />~g ~ p~t five y~, my residen~ h~ ~ ~ follows: <br /> <br /> Month Dry Y~ <br /> <br />Burrou~h Town <br /> <br />State or Country <br /> <br />Village <br /> <br /> a~ · (native)~nsturalized) citize:~ of the Urdt~l <br /> <br /> arn .,, married. My {wife's) (hush·scl's) ntme a.nd <br /> <br /> rm wa~ i.ncorpo~ <br /> <br />Co~porafion is authoriZ~t bo do b~sm~s ~ <br /> <br /> follows: <br /> <br />in S',,' of., <br /> <br /> (street) (highway) located <br /> <br />wEchh~n~r~ion ~/ ~d · <br /> Mon~ha Ye~s <br /> <br />~e ~es on ~e ~o~ ~e no~ de~quenL <br /> ~ ~ ~gag~ ~ me re~l s~e of ~oxica~g fiquor. <br /> h~ve h~d ~ ~c~fion for lie~ ~jg~ ~ fo~ow~: ff~. <br /> have nev~ ~ ~nviet~ of a felony nor of viol~g ~y N~fionfl or sm~ liquor hw or <br />m~ufg~e, s~¢ or ~s~fiom or ~ss~sion for sfle or ~s~fion of ~mxiea~g liquor, <br /> <br />G~blmg or g~bl~g devic~ will not ~ ~itz~ on ~ lic~ <br /> <br /> ~ ~ o~ of ~e l~ol~ ~mre fix~, ~d ~uipment ~ ~ ~m~ for w~ch <br /> <br /> sub~t ~ follow~g n~es of ~r~ns, including a b~, for rcf~en~, wi~ whom <br /> <br />I do not possess ~d wilt not purch~e a $2~.00 Federal Rcu~l Liquor D~Jers Special Suunp. <br />I~ intend to engnge m the s,,le of intoxicating liquor anci will have s l:e~cr~l (3e. eu. padon Tax R~eipt in <br />accordance with the ordi. n~nee ~ovenfing th~ lie~xse. My Federal T~ Stump Receipt is No,~,,. <br />] will comply smelly with me ptovisiom of the ordth~,nce rehfing bo the st!e of soft drink$ for "mLxmg" purpo~s and will <br />se~e paa'ons in ~u'll view of public. <br />] a~ee to waive my Constitutional Rights against semch a.nd seizure and will freely permit pc·ex: officers bo in.spe, ct my <br />Wen'uses ~a~d agree to the [orfeirm'c of my license if l'oun6 to here vioiau:d thc provisions of the ordinance (resolution) <br />providing for the g~,anfing of this ]ice~se. <br />] hereby solemnly swear thai thc foregoing statemenL$ ate true and cone. ct w the b~-st of my knowledge s. nd that I agree IO <br />comply with all the provisions of the ordinance under which this lic~':se is granted. <br /> <br />Note- Laws l~ag, Chzpter 700. ~'ovides that applicant must hive a~t.t~n~ the age of 21 years and m~st b~ the propri~bor of <br />thc establish, mere where such business is IO be conducted. <br /> <br /> <br />