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<br /> STATE; OF MINNE~tOT,~ ( I
<br />Culnl)l.atton Appli.cat. ion for Retailer'a (O,.i~ale)
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<br /> .?. /:' Non-Intoxicating Malt Liq~or,License
<br />,:,
<br />· ':to th, ............. '_...2...~...rr..~....~....~.~.'~c/~: ................................ ~ ............................. ; ....................................................................
<br /> .... ... ~ . . .:/~ .~ . · ~ : [
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<br /> ~: / ................ ~: .:....2/~.~.~n~__.~ ............. : ......................... :: ......... ~ .......... ~....~ ........... ~......, ~/~ =~,.~
<br /> "' '
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<br /> Li~T~r L~
<br />
<br /> sale of ~n-lnto~atln~ t~lt
<br /> ~urln~ the pa~t five gear,, mg r~e~ Aaz been ~ follows: .....................................................................................
<br /> ................. /q ~ ~.... ~ ~.~:~_ ~. //_v.~?..~.~:~.~.....~?8~ ....... ~ .......................................
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<br /> ...........................................................
<br /> . , ~;~.~ ...........................................
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<br /> I
<br /> I am ...... ~T.~ ...... ma~. ~ff~ (w~f~'s) (husbu~'s) ~,~ a~ a~r~s ~ ...............................................................
<br />
<br />.,
<br />(Off-sale)
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<br /> I
<br /> ,/_
<br /> Firm, waz ineorpora~ecZ ............... '...../..g~LZ. .......................................................... ~ .~to~f~e, Of
<br /> CorporatLon L~ author~c~ to ~ bus~s ~n
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<br /> ........................................ ~.~.//.. ..~'7
<br />'.. · .... · . :. ............................................................................................... : ....................................
<br /> ............. : ...................................... ~ ........ : ...................... Z .......... ~ .................... : ........ v~?"-~T'~ ......... ?':'x";W~: ......
<br /> "~ '" ' Thi t~e~ ~llt ~ tn ~onneotl~ with ............ ~~.::..~~:.~......~: .: ..:....::..L'.:..~:.~ ........
<br /> ,on~n'n.i ~ ~ omrat~n.......~L~.....(~ ...........................................
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<br /> The e~t~l~hn~n~ ~ ~ea~d o~ t~ ....................................... ~.~.~.~ .....................................................................................
<br />
<br /> ' ow~ ~ .~
<br />-.." ':' r~, ~,,~,, ~,~t~ ~, ~ .............. ...... :..~.&~...,.~..~:..:,.:......~ ......................................
<br /> .~;. : ~ ~ T~ ~ on t~ propert~ are ~ ~ent. ., :~ .
<br /> . ·, . ~ ' .' ' ."s ' '" , ';" : ' :'" ~ ~.' ' ',~. I [' 't.
<br /> I Wo~ '
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<br /> ' ' ' I have ~t.ek bee~ ~nv~ of a ferny ~r of r,~t~n~ an~ ~at~ or s~f~ l~uor ~w or
<br /> ordinance relaHn~ ~ the mnu.facture, ta~ ~ transpo~at~, or ~ssess~n for ta~ or tra~t~n
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<br /> I am the ow~r of thz ~eho~, furniture, ~t~r~, had e~ulpmn~ ~ t~ pr~
<br /> 'l&e~e ~ aFpl~ ; ~cept..~...a ........... ~.~.....~..~ ...............................................................................................................................................
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<br /> I have no In~nUon or a~eem~nt ~ transfer the Heenae to another per,om ;~* .
<br /> I ~ubmit th~ follow~ng namea of peraonz, ~cluding · bank, lot reference, '~th whom I have had bu*lae~a relationz
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<br /> fo, ......... Z/o a~.~s.r.....~.~..,....~e~.r~.~...¥..~ .............................................................................................
<br /> ................... ~:eoe,~..~...~x ~r~m.~.....~L._~.,.~ .Ai~.:,.: ~_ :.: :.:.L. .'_~:~..;. ..............................................
<br /> .............. .'"':': ............................................................................ :'"'?'.":2 .................................................................................................................
<br /> I do not v,,s~e~ and ~11 not pureha~* a ~25.00 Federal Retail L~quor DeMer~ ~p~ial S~mp. '
<br /> l.....~.....~...,lnt~nd ~ engag~ In th~ aal~ of ln~xlcat~ng ]~quor and ~ll hav~ · Federal Oecupatlonal ~ax ~elpt
<br />"· In aceordnnc~ ~th the ordlnane~ good,lng th~s llcnn*e. My Federal ~ax S~mp ~eelpt h ~o ................................................
<br /> I ~ll eompl~ ~tdetly wt~h th~ provhlon* of th~ o~lnane~ r~]atlng ~ th~ ~al~'of ~oft ddn~ for ,m~ln~
<br /> and wilt ~ patroM in full view of th~ public.~ * ~ -' ........ . '.~'... ·.,. 'v' . ~ .... .~.
<br /> I igree ~ wnlve my Conetltuttonal HIght~ igaln~t ~en~h and ~el~ure znd will fr~ly pe~lt ~ace offiee~ ~ insp~t
<br /> m~ premh~s and agre~ ~ th~ foff~Rur~ of my lle~ ff found ~ hav~ *lolat~d th* pro~[on~ ~f th~ ordlnanc~
<br /> tion} provlding /or the ~nntlng of~cenne. ' "~ ~ ....... ~ ', ' .... :' '
<br /> I hereby aolemnly ~'ear~e forgoing stMemen~ are t~e a~co~e ~at o~ my knowledge and that
<br /> agree to eomply with g[~,~~ or,he ordinance under whlc~a granted. '
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<br /> s~ b,~,~b~'o ~.~t~ n~a~.._..f~ ....... ~....~ ......... · ................................
<br />.... ~',- .~, :~ ~'~',o~,~ ...... ~ ~-/ '~~b~'~:~'~,- ~". " .............................
<br /> ............ ~.,~._~.~.~) ..................
<br /> ~o~e ~~~00. provlaM t~t applicant taunt have at~lned the age o~ 21 ~eara and mu~t ~ th~
<br /> proprietor ~a~t whe~ such bumlneme Il ~ b, conduced. .
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