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

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I I I I pality 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 any person other than applicants has any right, title or interest in the furniture, fixtures, or equipment in the premises for which license is applied, and ff ~o, give name and de~ilA 17. Have applicants any interest whatsoever, directly or indirectly, in any other liquor emtablishment in the 'State of Minnesota?. f[-~, Give name and address of such establishment 18. Furnish the name and address of at least three business reference~, 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 / ~ ~7 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 22. Under what classification is the license applied for: EXCLUSIVE LIQUOR STORE, DRUG STORE, 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, s!~te length of time the store has been in operation -------- \ State trade name to 26. State name of person that will operate store 27J State whether applicant has, or will be granted, an 0n/sale Liquor License in conjunction with this Off-sale Liquor License and for the same premises. 27a. Slate wbefl~r upplicrnt has, or)rill be granted, e Sunday On-sale Liquor License in conjunctian with thc regular On-sale Liquor License/(~]'~' 28. State whether applicant has, or will be 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 ~4-ateo 29. Each applicant for Off-sale Liquor License must have a Federal Retail Liquor Dealer's Tax Stamp. Enter number of said stamp q[ - / ./~b'--V2-~ 7 '7 . 30. Do you intend to deliver liquor by vehicle? ~?/e £ If so, state the number of th~ Vehicle Permit issued for the current year by the Liquor Control Commissioner ~¢/ 7° !