Agenda - Council - 05/25/1982 - Laserfiche WebLink

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II llas any pe~on olher Ihan app}imnls any righl, lille or intereg[ in Se ~i~re, f~res or ~uipment in Se p~m~es forwhichlicenseisa~]i~,andifso, givenameanddelailsXe~- (he business are sub~ec~ security interests in ~r. & ~rs. George DeZiel, the Small Business dministration and the let National Bsnk of Anoka Il:is lite apF, licanl, or auy of his associales in this applioation, any interest whatsoever, directly or indirecdy, in any any other liquor establishment in the Stale of Minnesota? No. Cive name and address of such establishment 20. Furuish the name and address of at least three business references including one bank reference tBob Dahl, Vice President, Franklin National Bank, Minneapolis, MN 55404 (Name) (Address) Terry H. O, Brien, CPA, 4020 Ninnetonka Boulevard, Minneapolis, MN. 55416 i (Name) (Address) Larry S. Severson, Esq., 7574 West 147th Street, Apple Valley, Nm. 55124 (Name) (Address) 2ll?oes the applicant lxtsscss au nuexlfircd retail dealer's identification card issued by the Liquor Control Commissioner? ~o Give Num',a,r _ IVh.tt elassifie:tliu~ ,s thc list',st' applk'd for: exch,sive liquor store, restaurant, ~l or club S.~pper Club i'lf th£s applicatiou is also [or a sprcial Sunday license, state the number of guests that may be served with food on the prcmist's at cue lime. .... Lounge 200 Dining Room ~50 Lower Level 150 2.1~Are the premises now ot~:upied, or lu be occupied, by the applicant entirely separate and exclusive from any other S~a/e whelher appli~m~ has appli,:d for an on-sale liquor li~nse in ~njunction with any off-sale liquor license and or the same premises 29411-313-40107-1 Give F~cral Re~ail Liquor Dealer's Ta~ Stamp Number, if any ~.~ thi~ a~plleafieu is ~or a transfer, give name of ~o~er licensee and s~{e whether any ~nslderafion, money or pro~r~y has been paid. or will be pakL given or exchanged by any one, and by whom and to whom ~or the purchase r Iraask, r o~ tim liceuse; alsu ~lalc Ihe amount o~ ~nsideraHon [ hereby verify the above statement I ($ign~lur~ ol Iormer licensee} ~. pplicant, aud bis associates iu this application, ~vill strictly oomply with all the ]aws of the St'ale of Minnesota govern- ing the taxation and the sale of intoxicating liquor; rules and regulations promulgated by the Liquor Control Com- i fissioner; aud all ordinances of the muuicipalily; and I hereby certify that I have read the foregoing questions and mt the answers to said queslious are true of my own knowledge. ~lirme apolis, I~N I I (Address)