Agenda - Council - 11/25/1981 - Laserfiche WebLink

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I I I I ! I I I I I I I I I I I I I 10. State name and address of owner or owners of building wherein the business will be located: George Cowles 19731 Rush, hud: .~iver, ~, (Name) [Address) 11. Has applicant; if partnership, an,/ partner; if corporation, any officer or director; if club, any club officer or director, ever had a license under the Minnesota Liquor Control Act revoked or suspended or been convicted for any violation of State Laws or local ordinances; if so, give date and details I:o 12. Is applicant; if partnership, any partner; if corporation, any officer or director; if club, any club officer or director, a member of the governing body of the municipality or county in which this permit is to be issued; if so, in what capacity 'Ilo 13. Has applicant; if partnership, any partner; if corporation, any officer or director; if club, any club officer or director, any interest whatsoever, directly or indirectly, in any liquor establishment in the State of Minnesota )Jo . Give name and address of such establishment 14. Furnish the name and address of at least three business references, including one bank reference: First );ational 2015 3rd. (Address) Sears Roebuck ~d Comply 2126 ~d. ave. ~ol:a: ~. ~dens Box 7508 C~caTo~ Ill. (N~mm) 15. Will intoxicating liquor be sold on the premises 16. (al State whether aPplication is: 1. Original ~ (Address) No Renewal 3. Transfer (bi State whether dancing will be permitted on the premises Yes~ It ~/!ll 17. Are the premises now occupied, or to be occupied, entirely separate and exclusive from any other business establishment 0nly this business wi, ll be in the bumlding. 18. State trade name to be used ~e Pa~ty House 19. State whether an "On-Sale" or "Off-Sale" Non-Intoxicating Malt Beverage License has or will be granted in conjunction to this business and for the same premises No 20. Has there been issued, or will there be issued, a $54.00 Federal Retail Eiquor Dealer's Special Tax Stamp for the sale of liquor on these premises No 21. Has your local government an ordinance regulating the consumption and display of intoxicating liquor 22. If operating under zoning ordinance how is location of building classified ) hereby certify that I hay! read and under~tand every question in this application, and that the answers are true of my own knowledge. I further u~der~tend that the giving of false information in thi~ appllcatlon, or the failure to give pertinent information constltute~ cau~ for t~ Immediate revocation of this I~rmit. IT IS FURTHER UNDERSTOOD THAT ANY PERMIT ISSUED HEREUNDER DOES NOT ALLOW THE NO CONSIDERATION WILL BE GIVEN TO THIS APPLICATION UNLESS APPROVED AS HEREINAFTER PROVIDED: If applicant is located in the County, the Chairman of the Board of County Commissioners or his Representative shall approve both copies of the application. {Chairmen, I]oard of County Commlnionert or hie Repr~entetlva) If applicant is located in a Municipality, the President of the Council or his Representative shall ~_approve both copies of this application. (P*'e~iaer~t or the Council or hll Representative) The Pm-ty House (Name of Eetablilhment) Subscribed and swor,n to before meth~ /f day of ~ ~~,~ , 19 I . My Commission expires tO ~ [X - ~ ~ ~ ~"~" :.'~ p. "'~AAA