Agenda - Council - 05/31/1983 - Laserfiche WebLink

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I.H~ other than appiic~nl] any right, title or intere$~ In pcnon Yes - %he bus~nes~ ~s suO~eo~ ~o se~urx~y ~ · lor which Ii.nsc Is a~li~, ned If ~, give name and details ! ' ~ntereets Sn ~r. & ~re. George DoZ~e~ the ~ma~Z n& :he tat ~at~o~ ~ of Anoka ii. lies the applicant, or any of his .s&oclates In this nppltmUon, ''ny [nter~! whatsoever, dircctly or lndivecdy, In .,ny ,,ny other liquor cstablhhment in the State of Mlnnesot,*? 1'[o Clve name ''nd .ddreas et such establishment 20, Furaish the nam0 and address of at least thrc~ business referonce~ including one bank rderenco IBob Dahls Woe Pres~dent~ Pranklin ~at'lonal ~nk, M~nneapolis, Mn. 5~40/4 (Name) ' (^ddress) . q~erry O3~r~n~__CPA, ~n Min~etonk~ Boulevard. Minneapolis, Mn. 55416 (Name) (Address) Larry S. 3everson, Esq., 7574 We~t 147th S~reet, Apple Valley, Mn. 55124 (Name) (Address) IDoes the applicant imssess an nuexpired retail dealer*s identification card issued by the Liquor Control Commissioner? ~ ..... C. ivv Nnnd.~ur ' Supper Club Wl,.,t classification ,~ thc lice',sv !~pplied for: uxch,sivc liquor store, r~taurant, hotnl or club If th~ applk..atlon is :dso for a special Sunday ]iecpse, state the number of guesL~ that may be served with food on the pmnises itl one lime .... LO:O,~-: 200 Df_hi n~ ~tanm! 150 Lower Level I l SO Are tile premises now ewer,pled, or Io be occupied, I~y the applicant entirely separate and exclusive from any, other b,siuess eslablishment? State whether applicant has applied for an on.sale liquor license in conjunction with any off-sale liquor license and NO for the same premises 21}. Cive Federal Betail Liquor Dealer's Tax Stamp Number, ii any__29411-313-40107-1 I. If this application Is for a transfer, give name of former lleensee and slate whether any consideration, money or property has. been paid, or will ba paid, given or exchanged by any one, and by whom and to whom for the purchase or transfer of thc license; also state the amount of oonsideration N/A ' i I I hereby verify the above statement I I I (SR~natu. re ol former licensee,) Applicant, and his associates in this application, will strictly comply with all the laws of the State of Minnesota govern- ing the taxation and the sale of inloxlcating liquor; rules and regulations promulgated by the Liquor Control Com- missioner; and all ordinances of the municipality; and I hereby certify that I have read the foregoing questions and that the answers to said questions are true of my own knowledge. /"- (Signature of Applicant) .