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tallty In which this license is to be Issued? 1)0 . Iff so, in what c~apscity?., n///? <br /> <br /> applicant for license is the spouse of a member of the governing body, or where other family relationship <br /> exists, such member shall not vote on this application. <br /> <br /> 16. State whether any person other than applicants has any right, title or Interest tn the furniture, fixtures, <br /> or equipment in the premises for which license ts applied, and if so, give name and detall~ ~} 0. <br /> <br /> 17. Have appl~eanta any interest whatsoever, directly or hadtxectly, in any other liquor establishment In the <br /> State of lglinnesuta? .~') 0 _~ Give name and address of such establishment <br />I <br /> <br />Furnish the name and address of at least three business references, including one hank reference <br /> <br /> 19. Do you possess a retail dealer's identification card issued by the Liquor Control Commissioner which <br /> <br />Iwill expire December 81st of this year? Give number o! nsme ~5'7~'~ <br /> <br /> 20. D~s appli~nt in~nd ~ sell intoxi~ting liquor to other th~ the consumer? <br /> <br /> 121. State whether applicant intends to possess, operate or permit the possession or operation of, on the <br /> licensed premises or in any room adjoining the licensed premises, any slot machine, dice, gambling device and <br /> <br /> apparatus, or permit any gambling therein <br /> <br /> 22. Under what classification is the license applied for: EXCLUSIVE LIQUOR STORE, DRUG STORE, <br /> OR GENERAL, FOOD STORET__. ~z:-.)((d~ ]-~'~',r of -~0: ce` <br />1 !2~..Are the premises now occupied, or to be occupied, by the applicant entirely separate and exclusive from <br /> ~.ny other business establishment? ~t ~ __.% <br />124. if a drug store, state length of time the store has been in operatlon <br /> · ZS. State trade name to be nsed /)Q ~/ /-- <br /> <br /> :26.. State name of person that wl]l operate store <br /> <br />27. State whether applicant has, or will be granted, an On-sale Liquor License in conjunction with this <br />Off-sale Liquor License and for the same premises_J-)~ <br /> <br />27a. State whether applicant Ima, or will be granted, s 8unda.v On-sale Liquor License in conjunction with the regular <br /> 0n-sale Liquor License ~)-~ <br /> <br />28. State whether applicant has, or will be granted, an "On-sale Non-Intoxicating M.;}lt Beverage" (3/2) Li- <br />cense in conjunction with this Off-sale Liquor License, and for the same premises <br /> <br />29. Each applicant for Off-sale Liquor License must have a Federal Retail Liquor Dealer's Tax Stamp. Enter <br />number of said stamp ,,C ')_~9_jg Lo ~- .. <br /> <br />30. Do you intend to deliver liquor by vehicle? .~D . If so, state the number of the Vehicle Permit <br /> <br />issued for the current year by the Liquor Control Commissioner . - . _ <br /> <br /> <br />