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<br /> :-: STATE OF MINNESOTA
<br /> -' Cmnblnatlon Application for Retailer's (On-sale) (Off-sale)
<br /> .~'i. ..::' .~' Non.Intoxicat{ng Malt Liquor. Lice~e
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<br /> · to ~ ......... ~:.~L~.......~.~.....~;~..= ................................... : ..............................................................................................
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<br /> ~.~ ~=......~.~ /~ ....................... ~.,..~: ............. =-.~ ~ · . ,~ ; ·
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<br /> .~ ~ ................ ~........~..~.~.~.~_....:..~..~..= ........ ~ .......... ~....~ .......... , ...... ~ ~ ~,
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<br /> ~ Mi.~e~o~, ~ '~ appl~t~ for ~ ~ (On-~a~) (~-~a~) ~n~x~t~n~
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<br /> a~,d Chal~t~r 3~0, 2r~n~o~ ~atuto 19~, ~ ame~, prov~n~ for ~ ~
<br /> .~ ~ ~n-inloz~tln~ ~t l~ ............
<br /> ~uHn~ th~ p~t ~v~ ~ear~, ~ ~ ~ ~ ~ ~: ....................................................................................
<br /> ...~=.~ ....... ~x......~.~...~..~.~~ ......... ~.~~~ ............ ~'~..~ ................
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<br /> Mon~ D~ T~ CI~ Vll~e
<br /> ....................................................... : .............................. : .................................. ~ ................................. ~,.~ ..........................................................
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<br /> .... ~,.~......~..~....~..~ ........ ~.~=./~.~ ......... ~.~.~_, ......................................................
<br /> /~ (~o~) (~t.~) ......... ~.~.~.~ ................................................................................
<br /> Ft~ w~ ~n~rat~ ............... ~ ........ ~.~.X~. ................................ ~n ~ of-..~ ........................
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<br /> .... ~..o...=. /.~-..~..~...~..~-~.~?:~~.~.~.~.~.~.~.~.~z.~.= ...........................................
<br />.' L..,3.,,..:...:.: ........... ~.......~.: ............ ........................ ~ .................. ~ ...................~ ~~"~'~v~?~'~'~'~'~.~7~V:g: ......
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<br /> wh~h'ha~ b~n ~ o~rat~ ...~..~..~ ........... ~...~ ..................................
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<br /> The ~tabl~h~nt ~ ~a~d on t~ .......... ~ ..........................................................................................................................
<br /> ' '~ The b~z prem~ arz ow~ b~....~.....~a.~~L.:~ .... :.~ ...... :...::-::=.-.~ .....................
<br /> :.:. T~ ~ o~ t~ propv~ art ~t ~l~z~, .~ ... ,,, ..
<br /> I am ........ ~..~ .............. znga~ed ~ t~ re~ sa~ o~ tn~x~n~ ~r.
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<br /> ' I hav~ ~vc~ b~ ~nv~ of a f~lony ~r of v~Hn5 an~ ~at~ or s~ l~r
<br /> ordinanc~ re~tin~ ~ th~ ~nufacture, sa~ ~ tra~t~, or ~s~n ~or ~a~ or ~a~n
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<br />~ · .. ~.~ : ,.. ;~.~, -, .
<br /> I~ the ow~r o~ t~ ~o~. /~t~re. ~tur~. ~ ~u~p~ ~ t~ ~
<br /> ~' t~e ~. ~pp~, ~ ........... ~.~.~ .................................................................................................................
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<br /> ............... ~ ...................................... , ................................................................... ; ............................................ ~. ................................................
<br /> I have no In.salon or n~eement ~ t~nsfer the Ilce~e ~ another perso~
<br /> I submlt the ~ollowlng names of person, Including n ~n~ for r~erence, ~th ~hom I have had b~
<br /> folio w s :... ~,...~. g~....~ ~
<br /> ....... ~.~.....~ ~.~...~.~:~:~.~.....~.~-~., ...............................................
<br /> ..... ~.. ~a.~.~.~.~.,..g~......~,.~,..~.~ ~.~.rx ....... ~.~r~.~&~.~.L~...4.~_.~.~.~ ....
<br /> ..... :......::...:.: ............................................................................ :---=.:-=~2 ................................................................................................ ~ .............
<br /> I do not ~sseas ~n~ ~11 not purch~ · $25.~ F~e~l ~11 Liquor D~le~ Special S~mp. '
<br /> . l...,.~..~.~..~,.._..~.~nd ~ es;age ~ the sa]e ~f: ~xl~tln; liquor and ~11 have · F~era1 Occupation]
<br /> , In accordince ~th the ordlnance gove~lng thb Heense. My Federal Tax S~mp ~e;pt ~ No.~5~..~.~ ~ ....
<br /> I ~11 compl~ stdctt~ with the pr0~alons of the e~nce t~lnting ~ the sole'of soft ddn~'tot ~n~ pu~u
<br /> end will ae~e patrons In full ~iew of the public.' .* : - ' :' ' "~. '.. .... '- ".'~ ' .
<br /> ''I n~ee ~ waive my Constitutional Rlght~ ngai~t sea~h and seizure nod ~1 fr~]y ~lt peace office~ ~ ~p~
<br /> my premises and a~ee ~ the ~o~eiture of my {{c~ ff ~ound ~ have ~ola~ ~e pro~lons ~ ~e ordnance (resolu-
<br /> tion) providing for the grantin~ of th{s license. ' ' ~ ......... ~ ~ ..... :' ' '
<br /> [ hereby solemn{y swear that the forego{ag n~men~ are ~e and ~9~t ~ the ~ut of my ~wledge and
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<br /> S'~,.~d ,,~ .,~ ~ ~,fo,, ~, t~,.Z ................................... ~<~.;L~.~,.~...,.~.~.~.~ ..................
<br />::~ aay o~.::....~..~......:..~.~....~..~ ................ ~. ............ , 1~.~.~. ~ ~ ~ULA & nry~ · ~ ·
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<br /> ~~-~ .... ' · ~ ~OT~Y PUBLIC M NNES TA
<br /> ........ ~ C~IJJ~ ~OEA 0 H~Y
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