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STATE OF MINNESOTA r~.~.~,, ~ <br /> DEI'ARTMENT OF PUBLIC SAFETY <br /> LIQUOR CONTROL DIVISION <br /> M~PLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE <br /> This application and the bond shah be sub.fred in duplicate <br /> ~oever shall knowingly and wilfully falsify the answe~ to the foHowMg questionna~e shall b~ <br />emed guilty of perju~ and shMl be punched accordingly. <br /> <br /> In answering the following questions "APPLICANTS" shah be ffove~ed ~ follows: For a Corpora- <br /> n one o~cer shall execule this appli~tion for all o~cers, directors and stockholder. For ~ p~tnership <br />one of the "APPLICANTS" shall execute this application for MI members of the partnership. <br /> <br /> E <br /> VERY QUESTION MUST BE ANSWERED. <br /> <br />Intoxicating Liquor License to be located at ~!~! HJnPlp~ ¢ I0 N ~. <br /> <br />State of Minnesota, tn accordance with the provisions of Minnesota Statutes, Chapter 840, commencing <br /> <br /> (Da~) (Month) (Y~r) <br /> <br />lirthdates of Partners <br /> <br />(Doll) (Month) (Year) <br /> <br /> (bait) (Month) (Year) <br /> Office:'s of Co,potation <br />I (Dali) (Month) ' (Year) <br /> <br /> 'The residence for each of the applicants named herein for the.past five years is as follows: <br /> <br />tthe applicant a citizen of the United States? \]~- .'-'~ <br />I~at~ralized state date and place of naturalization__ <br /> <br />If a corporation, or partnership, state citizenship status of all officers or partners. <br />II <br /> <br /> I ' <br /> <br />Irks person who executes this application shall give wife's or husband's full name and address <br /> <br /> 6~Vhat occupations have applicant and associates in this application followed for the past five years?~ <br /> <br />! <br /> <br />7. If a partnership, state nsme and address of each member of partnership. <br /> <br /> <br />