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' .' - STATE OF MINNESOTA <br /> I- · DEPARTMENT OF PUULIC SAFETY <br /> LIQUOR CONTROL DIVISION <br /> ~',-APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE <br /> I, This application and the bond shall be submitted in duplicate <br /> Whoever shall knowingly end wllfully falsity (he answer~ to the tallowing questionnaire shall be <br /> :mad guilty o[ perjury and shall be punbhed accordingly. <br /> In snswerlng the tallowing queGllona "APPLICANTS" shaU be governed aa follows: For a Corpora- <br />le a one officer shall execute tills application for ail officers, directors and stockholders. For a partnership <br /> of the "APPLICANTS" shall execute this application for all members of the partnership. <br /> <br /> EVERY QUESTION MUST BE ANSWERED. <br /> BUSINESS APPLICANT'S HOME -. <br /> <br /> .. (Indioidua! owner, o~¢tt, or partnt[) <br /> <br /> land In behalf o'f /Y1 ~k ]. ]- }'i~ ~'o,,'-~ -,~J ¢ . ' ...... , hereby apply' for an Off Sale <br /> <br /> : ..... . :... ,' ,(,Street Addtta~ and/or Lol and ~[~k <br />unicipall ~ ~.~ of ~a~ ' '' <br /> Of <br /> County <br /> <br />~te of Minnesota,. In accordanco with the provi~iona of Minnesota Statutes, Chapter 340, commencing <br /> <br /> ' / (D~) · (Month) (Y~arJ <br /> (DaV) (Month) <br /> Or <br /> <br /> iff leers of Corporation <br /> {Day) · . {Month) <br /> <br />' The residence/or each of the applicants ~amed herein for the pazt five year~ h a~ ~ollow~: <br /> <br />4. Is the applicant a citizen of t~he United States? · <br />Inaturalized state date and place of naturalization-- <br /> <br />'IT a corporation, or partnership, state citizenship status of all officers or partners.. <br /> <br />IThe person wh.o executes thfs application shall g~ve wife's or husband's full name and~ address <br /> <br /> What occupations have applicant and associates in this application followed for the past five. years?~ <br /> ~/ <br /> <br />If a partnership, state name and address of each member of partnership <br /> <br /> <br />