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18. fins ~n¥ j~.rson olh¢-r Ihan appllmnts any riRht, litle or inleres~ in t~e ~urniturc, f~ctures or equipment in the p~e. rnLses <br />· fur w]~i~*], ],c',',~e is apI,]ied, and if ~. Rive name and details Y. es - the business assets are subject <br /> co security_ interests in Mr. & Mrs. George DeZiel, the Small Business <br /> <br /> _A~dhD~i.n_i_s~ration and_the_lsJ~_Nation~L~Bank of Anoka <br /> <br />19. <br /> <br />]las tim applicant, or any of his associales in tiffs applioation, any inter~t whatsoever, directly or indirectly, in any <br /> <br />any other liquor establishment in the Stale of Minnesota? NO Give name and address et <br />such establishment <br /> <br />~. Furnishthenameand~ddrcssofatlcast ~reebusinessreferencesindudingone ~nkreferen~ <br /> <br />Bob Dahl, Vice President, Franklin National Ba~k, Minneapolis, MN 55404 <br /> ~d~0 <br /> <br />Terry H. O'Brien, CPA, 4020 Minnetonka Boulevard, Minneapolis, MN 55416 <br /> <br /> (Name) (Adch-ess) <br /> <br />_Larr~__S. Severs~n, Esq., 7574 West 147th Street, Apple Valley, MN 55124 <br /> (Name) (Add~s) <br /> <br />21. Does the applicant possess an unexpired retail dealer's identification card issued by the Liquor Control Commissioner? <br /> <br /> No C. ive Nmn:~t,r <br /> <br />-°il., What class;J'ieatlo:~ is the liee',sc applied for: exelnsive liquor slore, restaurant, hotel or dub Supper club <br /> <br />02.3. If this applk'atiou is a!so for a special Sunday license, state the number of guests that may be served with food on <br /> <br /> the prcmist.~ al uue Ihue. _L-o_.u-Dc2L~.-~-O0 Di_ning Room 150 Lower area 150 <br /> <br />Are the premises now occ~,p;cd, or to be occupied, by the applicant entirely separate and exclusive from any other <br />busiuess establishment? Yes <br /> <br />2.5. State whether applicant has applied for an on-sale liquor license in conjunction with any off-sale liquor license and <br /> <br /> for thc same premises NO <br /> <br />26. Give Federal Retail Liquor Dealer's Tax Stamp Number, ff any . Applied for <br /> <br />27. If this application /s for a transfer, give name of former licensee and state whether any consideration, money or <br /> property has been pa{d, or ~vi]l he paid, given or exehangucl by any one, and by whom and to whom for the purchase <br /> <br /> or tra;~s~er of the license; also slate the amount of consideration George OeZiel and Eleanor DeZiel; <br />consideration for transfer - none; Applicant is purchasing assets and real <br />estate from former licensees George and Eleanor Degiel <br /> <br />I hereby verify Ihe above statement __/~~~~/ Georqe DeZiel <br />el tomer <br /> <br />28. Applicant. ami his associates in this application, will strictly comply with all the laws of the State of Minnesota govern- <br /> ing the laxalion and the sale of intoxicating liquor; rules ami regulations promulgated by the Liquor Control Com- <br /> missioner: and all ordinances of the municipalib': and I hereby certify that I have read the foregoing questions and <br /> <br /> <br />