Agenda - Council - 07/23/1979 - Laserfiche WebLink

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:, "": ; ....... STATE OF MINNESOTA ....... .'_.: ,~ , :- ' LIQUOR CONTROL COMMISSIONER .. - ...... APPLICATION FOR OFF SAI,E INTOXICATING LIQUOR LICENSE This application and the bond shall be submitted in duplicate Whoever shall knowingly and wilfully falsify the answers to the following questionnaire shah be deemed guilty of perjury and shall be punished accordingly. In answering the following questions "APPLICANTS" shall be governed as follows: For a Corpora- tion one oitlcer shall execute this application for all officers, directors anti stockholders. For a partnership one of the "APPLICANTS" shall execute this application for ail members of the partnership. EVERY QUESTION MUST BE ANSWERED. (Individual owner, oEcer, or partner) for and ~n behalf of ' ~.'~'~f~55~-/~-~ _, hereby.apply fo~- an Off Sal~ rntoxicating Liquor License to be located at. ~/'~// J/~/~Y~</~.~ /z£~ /~.~; .. . . : ({treet Agd~= and/o~ Lot a.d ~lo~h Namber) -.i.. State of ~innesota, in accordance wi~h the provisions-of l~inneso~ Statutes, .Chapter 840, commencing· ,, (D,~) (Month) *' (Y~aO ' Birthdates of Partners .... ' ' or .~ · ' '.-..: .... '" ~ ........ (Dmj) (Month) 3. The residence for each of the applicants named herein for the past five years is as follows: 4. Is the applicant a citizen of the United states? If naturalized state date and place of naturalization If a corporation, or partnership, sta(e citizenship status of all officers or partme4'.s. ' ' 5. The person who executes this application shall give wife'~ or husband's full name and address 6. What occupations have applicant and associates in this application followed for the past five years?____. If a partnership, state name and address of each member of partnership.