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MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br /> PHONE 612-296.6159 LIQUOR CONTROL DIVISION <br /> 333SIBLEY · ST. PAUL, MN 55101 <br /> APPLICATION FOR CONSUMPTION AND DISPLAY (SET-UP) PERMIT <br /> PERMIT FEE $151,50 <br /> IF NAME AND ADDRESS SHOWN ARE <br /> 5313 NOT CORRECT, MAKE CHANGES IN <br /> SPACES BELOW. <br /> The Party House, Inc, <br /> 9539 Hwy 10 W <br /> Anoka, MN 55303 <br /> NOTE: ALL 'ON-SALE' INTOXICATING LIQUOR LICENSEE'S ARE EXEMPT FROM APPLYING. <br /> <br />OTHER BUSINESS ESIABLISH~ENT~ ~ QNo TO THIS BUSINESS FOR THIS LOCATION~ <br />OR,GINAL ~ RENEWAL ~T.ANSFER ~ <br /> FOR A PUBLIC BUSlN6SS; <br /> FOR A PRIVATE CLUB <br />Date C,ub Organize~ IN fMembers ~A ...... ...... f~ues [ ........ ipReQui t5 ..... <br />I I <br />I <br />Has applicant; if partnership, any partner; if corporation, any officer or director; if club, any club officer or director, ever <br />hada license under the Minnesota Liquor Control Act revoked or suspended or been convicted for any violation of State <br />Laws or local ordinances; if so, give date and details <br />con~dtutes cause {or revocation of ~hi~ permit, ANY PERMIT ~SSUEO HEREUNDER DOES NOT ALLOW THE SALE OF INTOXICATING LIQUOR. <br />UNLESS APPROVED AS PROVIDED BELOW: <br /> <br /> IF THE BUSINESS IS LOCATED IN A COUNTY: Signature'- Au(horlzed A~lican~ Date <br /> IF A CLUB A~ACH A COPY OF THE CONSTITUTION AND <br /> BYLAWS OF THE CLUB AND A CURRENT LIST OF <br /> MEMBERS. <br /> IF THE BUSINESS IS LOCATED IN AMUNICIPALITY <br /> CASH <br /> CHECK <br /> <br /> <br />