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STATE OF MINNESOTA· <br />LIQUOR CONTROL COMMISSIONER · --. .: ---... : ........... <br /> <br /> APPLICATION FOR OFF SALE I. NTO~T~G LIQUOR LICENSE <br /> <br /> This application and the bond shall be submitted in duplicate <br /> Whoever shall knowingly and wilfully falsify the answers to the following questionnaire shall be <br />deemed guilty of perjury and shall be punished accordingly. <br /> In answering the following questions "APPLICANTS" shall be governed as follows: For a Corpora- <br />tion one officer shall execute this application for all officers, directors and stockholders. For a partnership <br />one of the "APPLICANTS" shall execute this application for all members of the partnership. <br /> <br /> EVERY QUESTION MUST BE ANSWERED. <br /> <br /> (lndluidmal owner, off/oep, or partner) <br /> <br /> in 0f ' ....... , hereby apply fo; an OS <br /> <br /> g Liquor License to be ~o~ated at ~,/4//-~ .,f//~,//~.(~y/ /d. ?4fz'&( ' " - <br /> : (Street Address and/or Lot and ~Bloch .lVumber) . <br /> <br />State of Minnesota, in accordance With the provisions-of ~P~_nnesota Statutes, Chapter 840, commencing. <br /> <br />- 19 , and ending <br /> <br />Give applicants' date of birth <br /> <br />' Birthdates of Partners ' <br /> <br />or g <br /> <br />Officers of Corporation <br /> <br /> (Month)" (Year) <br />- - -.-. ~ 5 :;~. : .. · ' <br /> <br /> (Day) (Month) (Year) <br />... '-". - -' . ' .... -- ~ · 'J.:- .: ........ ~:- <br /> <br />( D~) (MontlO <br /> <br />~ear) <br /> <br /> . (D~) (Momh) <br /> <br />The residence for each of the applicants named herein for the past five years is as follows: <br /> <br />4. Is the applicant a citizen of the United States?. <br /> <br />If naturalized state date and place of naturalization <br /> <br />If a corporation, or partnership, sta~'e citizenship status of all officers or partners.. <br /> <br />The person who executes this application shall give wife's or husband's £ull name and address <br /> <br />What occupations have applicant and associa~ in th~ appli~tlon followed for the past five yea~ ? <br /> <br />7. If a partnershiP, state name and ad&'ess of each member of partnership <br /> <br /> <br />