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I If this applicatiou is for a transfer of an Off-sale License, give name of former licensee and state <br />whether any consideration, money or property has bccn paid, or will be paid, given or exchanged by anyone, <br />Iby whom and to whom for the purchase or transfer of the license; also state the amount of consideration <br />TE: This question Io be completed whenever there is a change of license during the city's license year. <br /> <br />I, ereby verify tile above stalemen! <br /> of fo.ncr tlcensee) <br /> <br /> 39. Applicant, and tile assuc~ates ~n this application, will stric~y comply ~th ~1 the Laws of the State of <br />llnnes~ta governing fl~e tax~Eo~ and the sale of ~ntoxicating liquoq rule~ and r~TflaEons p~omulgated ~y <br />e Liquor Ccmt~ol D~rcctor; a~d ~l ~rdluances of the muo~cipallty; and I hereby certify ~at I have ~ead ~e <br />foregoing questions and that thc answers Io said q,estions are true of my own knowledge. <br /> <br /> fS~na~ur~ of ~pptica~ <br /> <br />Subscribed and sworn to before me this <br /> <br /> , 19 ~.~-.~ <br /> <br />I <br /> <br /> c~O ~5,d) day of ~-¢.~_ . <br /> <br /> comm~Mon <br /> cxptrea <br /> <br /> REPORT ON ~PLIC~T OR ~PLIC~TS BY POLICE DEPARTME~~ <br /> <br /> ~ ~ ~o certify that the applicant, and the assocMtes, named herein have not been convicted within the past <br />ve years for any violation of ~tv~ of the State of Minnesota, or Municipal Ordinances reMting to Intoxicat~g <br />~quoc. except ~ ~erei~tec grated. <br /> <br />I <br /> <br />APPROVED BY: <br /> <br />(Na~# of citg, ultlag~ or borough) <br /> <br />POLICE DEPARTMENT <br /> <br />TITLE <br /> <br />(If you haut no police department, either t'bt Marshal o~ <br />the Constable shall execute tblt report on the applicant.) <br /> <br /> <br />