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IMINNESOTA DEPARTMENT OF PUBLIC SAFETY <br /> HONE 612-296.6159 LIQUOR CONTROL DIVISION <br /> 333SIBLEY · ST, PAUL, MN 55101 <br />I APPLICATION FOR CONSUMPTION AND DISPLAY (SET-UP) PERMIT <br />PERMIT FEE $150,00 <br />I IF NAME AND ADDRESS SHOWN ARE <br />5313 PUBLIC NOT CORRECT, MAKE CHANGES IN <br />SPACES BELOW. <br />I Party House Inc. <br />9539 Hwy 10 W <br />Anoka, MN 55303 <br />I <br />NOTE: ALL CLUB 'ON-SALE' INTOXICATING LIQUOR LICENSEE'S ARE EXEMPTFROM APPLYING. <br /> <br /> State Zip Co~e <br />m FOR A PUBLIC BUSINESS: <br />~usiness Partner/Officer AOaress <br /> <br />~ FOR A PRIVATE CLUB <br />late Club O,9 ...... J ........ M ...... JA tofDues JM iDRequi .... ........ ....... <br />~Has a~Olicant; if ~artnershi~, ang ~artner; if corporation, ang Officer or director; if club. any club officer or director, ever <br />had a license un,er the Minnesota Liquor Control Act revoked or suspended or been convicted for an~ violation of State <br />Lawsor local ordinances; if so, give date and details ,~ <br />constitule~ caute ~o~ revocation o~ th~s ~ermit. ANY PERMIT ISSUED HEREUNOER DOES NOT ALLOW THE SALE OF INTOXICATING LIQUOR. <br />NOCONSIDERATION WILL BE GIVEN TO THIS APPLICATION <br /> <br /> IF THE BUSINESS IS LOCATED IN A COUNTY: S,gneture - Author,zed Applicen~ <br /> IF A CLUB A~ACH A COPY OF THE CONSTITUTION AND <br /> BYLAWS OF THE CLUB AND A CURRENT LIST OF <br /> IF THE BUSINESS IS LOCATED IN A MUNICIPALITY <br />I CASH <br />I <br /> <br /> <br />