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· ~ STATE OF MINNESOT,~ · ~ -~'--~-- <br /> <br /> " Coillb~Jo~ Application for Retailer's (On-sale) ((Off-sale).. <br />.... r ' Non-Intoxi~at~g MaR L~quor Lice~e <br /> <br /> Cguntg o/:.....:..~.ok~ ........i.;,Z .................. :.....= ....................... ~ ~ '[ <br />~. ? ,K~th ~, Carls6n .- · <br />............................................. , ., ~/~ ~a~fe, <br /> <br /> and Chapter 880, ~finneoot~ 8ta~t~ lO~b, ~ ame~, ~ou~ing /or l~e~n~ a~ regul~tLng <br /> <br /> ~urin~ the past five ~earz, nip rea~en~ baa been ~ flol~ws: ....................................................................................... <br />......... ~..~.2 ~....~ ~.~.vd.....S.L, ....~..~..,.....fip~.~ 5....~.!..~ ~..,.....~_.....~.~.~ ~.4_ .................................................... / ................................. <br /> <br /> [ am a (noth:e) (naturalized) c~tizen off the Un,ted <br /> <br /> / a~ .................. ma~ied. JI~ (wife's] (husband'z] ~o~ a~ a~r~a ~ .............................................................. <br /> <br /> I am (prvp~e~r) (~er) ......... Rre.s~denL ........................................................................................................................ <br /> <br /> Corporat~n ~ author~e~ ~ ~ bu~i~s t~ <br /> <br /> L~e ~ for ....... ~.cook~....Super.e.tte....~3.5 .................... (~tr~t] (M~wa~) ~ated ~ <br /> 1~550 Arms~ron~ Blvd. N~ <br /> Ramsay, MN '55303 <br /> <br /> wfi~h 'hal been i~ o~rat~n ......... ~ ..................................... ~ .................................... <br /> <br />:" ': The bus,seas ~em~es gte ow~ b~ ........... S......~ro.o~...Ham~ex. ................................ ::..::.:......] ...................................... <br /> <br />' ' I have ~ver beak ~nv~ of a felony ~r of v~M~n~ any ~a~Z or s~te t~r law or <br />ordinance relatin~ to the n~nu[acture, za~ ~ transpo~a~n, or ~sezs~n for ~a~ or tran~a~n of <br /> <br /> ?.l '; .., .... DrOOKS buoerettes., inc. is t~:,' ', ,, - · <br /> " ~ ow~r of th~ ~ehold, ~rn~tur~, ~r~, ~ equ~p~nt ~ ~ pre~ f~ wh~h <br /> <br /> I trove no Intention or a~eement ~ transter the license to another per~o~ ;.~ , ...~ <br /> <br /> to,o~,: ....... ~ ....... ~., ...N,....~r.~.e.~.~.,....~.r.e.~.iden.¢ ~.., ~.r. Lor._.Lake...SCa~.e._.E&nk .......................................... <br /> Nr. Thomas Packard, Pres~dent~ ~orr~s C~am~r~e~'~''' <br /> .............. ~'~' ;""L6~h"' P'6~'6F66E';'"'E';'"'~':'"'~'~'i'~ ~';"-'~ ~'6: ......................................................................................... <br /> <br /> ] do not po~ and ~]l not purcha~ · $25.00 Federal Retail Liquor Dea]er~ 8peclal S~mp. <br /> <br /> an~ will .erie patrons In full view of the public.' - ' · . <br /> I agree ~ waive my Constitutional Rlghti against een~h and seizure nn~ ~ll fr~ly pe~lt peace o~ee~ <br /> my premises and s~ee ~ the Io~eiture of my lice~e If found ~ have ~olst~ the prov~lons o~ the ordinance (resole- <br /> t[on} providing for the ~nntlng of this Ilea.se, ' ' ' ....... : *~' "':' ' <br /> I hereb~ solemnly swear iisi the foregoing statements are tree andeo~t ~ the~tofmy ~owledge and that <br /> nEtea to comply with all the provlalone of the ordinanee under whleh~b l~nse~nted. ' <br /> <br /> <br />