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ie applicants' date of birth_ <br />I' <br /> <br /> Birthdates of PartnerS <br /> <br />Officers of Corporalion <br /> <br /> · STATE OF MINNESOTA <br /> <br /> LIQUOR CONTROL COMMISSIONER ~. ; ~ <br /> NON <br /> <br /> ' I AI'PLICATION FOR OFF SALE//2qTOXICotTI~dG LIQUOR LICENSE <br /> <br /> I~ I This application and the bond shall be submitted in duplicate .... '- <br /> <br /> : l','hoever shall knowingly and IviJfulJy falsify lhe answer~ to /he £ollo~rlng quesiionnalre shall be <br />;emI guilty of perjury and sh,'d] be punished accordingly. <br />, In answering the following questions "APPLICANTS" shall be governed as follows: For a Corpora. <br />'on ~'~ne officer shall execute this application for all ofl3cers, directors and stockholdem. For a partnership <br />he of the "APPLICANTS" shah e~ecute thl~ npplicalion for all members of the partnership. <br />iIh' ERYQUESTIONSKe/.Yich' '~'arlson IHUST BE AIqSWERED. <br /> , as President <br /> (Indfu;dud owner, ot~icer, or partner) <br />belin behalf of Brooks Superette # 35 ., hereby apply fo~ an Off Sale <br />nto.~tting Liquor Licens'e to be located at 14550 Armstrong Blvd., Anoka, MN <br /> (Strait Addrt~m and/or Lot and Blork Numb,r) .. ~ <br /> <br />}un~pality of Ramsey ~ coun~cy of Anoka <br />;tat~fl Minnesota, in accordance with the provisions of I~Iinnesota Statutes, Chapter 340, commencing <br /> <br /> " 19 <br /> - . .; · ..- ..-, '. 5~ '.. ~ .... <br /> <br /> April 194~-' ", <br /> (Iron,h) ' <br />"~'" "' SEE ATTACHED " <br /> (D,,v) (Idomh) <br /> -, ., · . ..... ~. . ~:~;'..::~_ <br /> <br />residence for each of the applicants named herein for the past five years is as follows: <br /> Apple Valley~ MN <br /> <br />t. ~lthe applicant a citizen of the United states?. Yes <br />LfI~rallzed state date and place of naturalization__ .__ <br /> <br />Lf a corporation, or partnership, sta(e citizenship status of all officers or partmers. <br /> Ail officers of the Corporation are citizens of the United States' <br /> <br />Lmeperson who execut~ this application shall give wife's or husband's fu~ name and addresm_ <br /> Carolyn A. (Storder) Carlson, 7299 W, 142nd Street~ Apple Valley~ ~ <br /> <br /> lhat occupations have applicant and associates in th~ application followed for the past five years? <br /> · <br /> Retail Grocery <br /> <br />i. If a partnership, state name and address of each member of partnership <br /> <br /> <br />