Agenda - Council - 10/23/1984 - Laserfiche WebLink

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I I. I I I I I I I I I I I I I I l~llty in which this license is to be issued? /~L/ Lf so, in what capa&ty? If applicant for license is the spouse of a member of the governing body, or where other family relationship exists, such member shall not vote on this application. 16. State whether any person other than applicants has any right, title or interest in the furniture, flxture~, or equ/pment in the premises for which ltcense/s applied, and ff so, give name and de/~Jls 17. Have applicants any interest whatsoever, directly or indirectly, in any other liquor establishment in the 'State of Minnesota? /~0 . Give name and address of such establishment Furnish the name and address of at least three business references, including one bank reference- 19. Do you possess a retail dealer's identification card issued by the Liquor Control Commissioner which will expire December 31st of this year? Give number of same. 20. Does applicant intend to sell intoxicating liquor to other than the consumer?. 21. State whether applicant intends to possess, operate or permit the possesslon or operation of, on the licensed premises or in any room adjoining the licensed premises, any slot machine, dice, gambling device and apparatus, er permit any gambling therein 22. Under what classification is the license applied for: EXCLUSIVE LIQUOR STORE, DRUG STORE, OR GENERAL FOOD STORE ? ~: ~ ~ k. C( ~ I L) I..:~ L I 0 U 0 ~ ..~ rD 23, Are the premises now occupied, or to be occupied, by the applicant entirely separate and exclusive from any other business establishment? ~ ~' 24. If a drug store, state length of time the store has been in operation ~s. state trade name to be used /~ ~t L Co c~ a 7't~ ? ~ ( ~ q o 26. State name of person that will operate stor~ ~-~o b ,e_ ~- ~1~ ~ u_ L (.~- 27. State whether applicant has, or will be granted, an On-sale Liquor License in conjunction with this Off-sale Liquor License and for the same premises 27a. State whether applicant has, or will he granted, a Sunday On-sale Liquor License in conjunction with the regular On~iale Liquor License 28. Stale whether applicant has, or will bc granted, an "On-sale Non-Intoxicating Malt Beverage" (3/2) Li- cense in conjunction with this Off-sale Liquor License, and for the same premises 29. Each applicant for Off-sale Liquor License must have a Federal Retail Liquor Dealer's Tax Stamp. Enter number of said stamp 30. Do you intend to deliver liquor by vehicle?~__~. If so, state [he number of the Vehicle Permit issued for the current year by the Liquor Control Commissioner I I