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PHONE 612-296.6159 <br /> <br />MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br /> LIQUOR CONTROL DIVISION <br /> 333SIBLEY · ST. PAUL, MN 55101 · <br /> <br />APPLICATION FOR CONSUMPTION AND DISPLAY (SET-UP) PERMIT <br /> <br /> PERMIT FEE $150.00 <br /> <br />5313 PUBLIC <br /> <br />Party House Inc. <br />9539 Hwy 10 W <br />Anoka, MN 55303 <br /> <br />IE NAME AND ADDRESS SHOWN ARE <br />NOT CORRECT. MAKE CHANGES IN <br />SPACESBELOW. <br /> <br />NOTE: ALL CLUB 'ON-SALE' INTOXICATING LIQUOR LICENSEE'S ARE EXEMPT FROM APPLYING,'- <br /> <br />f~-g ? //x,/,v /o <br /> <br />City <br /> <br />Name OI Bull(ting Owner <br /> <br />ARE THE CLUB OR BUSIN[S5 PREMISES SEPARATE FROM ANY <br />OTHE~ BUSINESS ESTABLISHMENT~ ~ ~No <br /> <br />~$o/ 5'~',4,~u.¢,4 /fl>. Z'-Z,~ /F,, <br /> <br />Aaa,ess of Owner <br />/£231 /~u5tl ~T, ~.~ Wi i,(,~ ~-s' ~ ~ '~ <br /> <br />TO THIS BUSINESS FOR ~HIS LOCATION?Ur'~ yes~-~.. Nora/ <br /> <br /> FOR A PUBLIC BUSINESS: <br /> <br />~/, ]'-,,~ l ~ /Z //. ~,'~ ~,~ d,~ .~. P ~,, / <br /> <br /> FOR A PRIVATE CLUB <br />D.I. Ciut) Or9 ...... J ............... A tofDue$l .... ........ r~ipR ........... <br /> <br />Has applicant; if partnership, any partner; if corporation, any officer or director; if club, any club officer or director, ever <br />had a license under the Minnesota Liquor Control Act revoked or suspended or been convicted for any violation of State <br />Laws or local ordinances; if so, give date and details /~/~ <br /> <br />consl,tutes cause to~ revocation ol lhis pi. mi! ANY PERMI'T ISSUED HEREUNDER DOES NOT ALLOWTHE SALE OF INTOXICATING LIOUOR. <br /> <br />NO CONSIDERATION WILL BE GIVEN TO THIS APPLICATION <br />UNLESS APPROVED AS PROVIDED BELOW: <br /> <br />IF THE BUSINESS IS LOCATED IN A COUNTY: <br /> <br />THE BUSINESS IS LOCATED IN A MUNICIPALITY <br /> <br />IF A CLUB A'FI'ACH A COPY OF THE CONSTITUTION AND <br />BYLAWS OF THE CLUB AND A CURRENT LIST OF <br />MEMBERS. <br /> <br /> CASH <br /> <br />CHECK <br /> <br /> <br />