Agenda - Council - 04/24/1984 - Laserfiche WebLink

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I I I I I I I I I I I I I I I I I p~lity in which this license is to be issued? /L~ o . If so, in what capacity?''/~/~ 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 my perwn other than applicants has any right, title or interest in the furniture, flxtur~, or equipment in the premise~ for which license is applied, and if ~o, give n~me and detail, ~J 0 17. Have applicants any interest whatsoever, directly or indirectly, in any other liquor establishment in the 'State of Minnesota ? ~ ) eD . Give name and address of such establishment / 18. Furnish the name and eddresa of at les~t three business references, including one bank referen~ 19. Do you l?ssess 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 possession or operation of, on the licensed premises or in any room adjoining the licensed premises, any slot machine, dice, gambling device and apparatus, or permit any gambling therein ~ O 22. Under what classification is the license applied for: EXCLUSIVE LIQUOR STORE, DRUG STORE, OR GENERAL FOOD STORE? ~-Y ¢/U£ i ~3 ~ ~/;~ c(~f Z~. Are the premises now occupied, or to be occupied, by the applicant entirely separate and exclusive from any other business establishment? ,-~ I1,.~o~.~ Oc 24. If a drug store, state length of time the store has been in operation ?~5. Sta~tradenametobeused /)q .d- L 26. State name of person that will operate store ~/'cc~J C- · 27. State whether applicant has, or will be granted, an On-sale Liquor License in conjunction with this ON-sale Liquor License and for the same premises__ Z//9 27a. State whether applicant has, or will be granted, a Sunday On-sale Liquor License in conjunction with the regular On-sale Liquor License /L~O 28. State whether applicant has, or will be granted, an "On-sale Non-Intoxicating Malt Beverage" (3/2) Li- cense in conjnnction with this Off-sale Liquor License, and for the same premises /3/9 ~9. 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 vehicle7 ,(fl Q . If so, state the number of the Vehicle Permit year by the Liquor Control Commissioner issued for the current / I I