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I <br /> · one of the "APPLICANTS" shall execute this application for all members of the partnership., <br /> <br /> EVERY QUESTION blUST BE ANSWERED. <br />IBUSINESS APPLICANT'S HOME " <br /> <br /> PttONE NUMBER filP-~;:~. -/~'17:~ PIIONE NUMBER <br /> <br /> (Individual Owner, o~ttr, or patlntt) <br /> <br /> STATE OF MINNESOTA <br /> DEPARTMENT OF PUBLIC SAFETY <br /> LIQUOR CONTROL DIVISION <br /> APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE' This application and the bond shall he submitted in duplicate <br /> Whoever ihaiI knowingly and wilfully falsify the answer~ to the foBowlng questionnaire ohall he <br />d~cmed guilty o! perjury and ~h~Jl be punished accordingly. <br /> In answering the following questions "APPLICANTS" shall be governed a~ follows: For a Corpora. <br />lion one officer shall execute this appll~tion for ali officers, directors and stockholders. For a partnership <br /> <br />I for ~nd in behalf of P&B C~r~awat'.ic~: the. d~ ~mt. ~ T.{q,~n.~ , hereby apply for an Off Sale <br /> <br />unlclpalt~ of 9o~ , County vt ~ok~ <br /> S~te of Minnesota, in accordance with ~he provhions of Minnesota S~tutes, Chapter 340, commencing <br /> July ~ , 19 82~ ~d ending ~lm~ ~ 19~ <br /> <br /> ~lw ~ppllea~t~' ~ato of b~h 30 -J'~e <br /> (Day) (Month) { y~) <br /> Bi~hd~les vi Partners f ' ' ~ Nay: <br /> <br /> Office~s of Co~por~ion <br /> <br /> The resldenco for each of ~he appll~nts named herein for the past five years Is as follows: <br /> <br /> 4. Is the appllcant a cttlzen of the United States? Yen <br />Ilf naturalized state date and place of naturalization ~/A <br /> Ii a corporation, or partnersh{p, seato citizenship status of all officers or partners. <br /> <br />5. The person who executes this appllc~t{on shall glve wife's or husband's full name and address <br /> <br /> Fvan T. Have!e, .12~ Barnett Drive, Cedar Fa!ls~ To~ra <br /> <br />What occupations have applicant and associates in this application followed for the past five years? <br /> Restaurant Owners <br /> <br />7. If a partnership, state name and address of each member of partnership ~/A <br /> <br /> <br />