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d' <br />10. State name and address of owner or owners of building wherein the business will be located: <br />Oeor•a Cmiles 19731 lush LIP Vver H� — <br />w.Ml Iwee,..I <br />11. Has applicant; if partnership, any partner; if corporation, any officer or director; If club, any club <br />officer or director, ever had a license under the Minnesota Liquor Control Act revoked or suspended or been <br />convicted for any violation of State Laws or local ordinances; if so, give date and details 110 — <br />12. Is applicant; if partnership, <br />or director, a member of the <br />issued; if so, in what capacity <br />any partner; if corporation, any officer or director; if club, any club officer <br />governing body of the municipality or county in which this permit is to be <br />13. Has applicant; if partnership, any partner; if corporation, any officer or director; if club, any club <br />officer or director, any interest whatsoever, directly or indirectly, in any liquor establishment in the State <br />of Minnesota •; . Give name and address of such establishment <br />14. Furnish the name and address of at least three business references, including one bank reference: <br />First National 2015 3rd. Avo. unol:a b'n. <br />IAner.a.l <br />IR.—) t. 2126 2nd Ave. An0 11 <br />Sess :t0ebuc.. an3 COmany <br />Uee,.w <br />INU.uI <br />!dens Box 7506 Chica 111. <br />wema.l <br />IN.m.I <br />15. Will intoxicating liquor be sold on the premises NO <br />16. (a) State whether application is: 1. Original 2. Renewal _ 3. Transfer <br />W ate whether dancing will be permitted on the premises Yes It trill <br />17. Are the premises now occupied, or to be occupied, entirely separate and exclusive from any other <br />business establishment 1)'G:' this bust nesa w ill be .n the b !din;. <br />1 B. State trade name to be used The Party BOuse <br />19. State whether an "On- Sale" or "Off- Sale" Non Intoxicating Malt Beverage License has or will be granted in <br />conjunction to this business and for the same premises NO <br />20. Has there been issued, or will there be issued, ilo 54.00 Federal Retail Liquor Dealer's Special Tax Stamp <br />for the sale of liquor on these premises <br />21. Has your local government an ordinance regulating the consumption and display of intoxicating liquor <br />Yes <br />22. If operating under zoning ordinance how is location of building classified <br />1 MMY ,atHy tMt 1 Mn ,.W " uw.maM mry q.W. M the 4m1in6en, SM 1W IM 4M..n M Irv. of My o.n kma W 4' 1 <br />IurtMr une.n.ne eat el I.M Mlornution M na 4mlintien, p tM 1.ilun n Fin plrti,,.nt NlwmMbn mMirvt� [11u4 fw IM <br />cement. rn 1t N the ",.h. IT IS FURTHER UNDERSTOOD THAT ANY PERMIT ISSUED HEREUNDER DOES NOT ALLOW THE <br />SAL F INTOXICATING LIQUOR. Endo.xe h psye nt W SIMM W"4 m 1M LIWW CeneM Dinner a rxovienl ay MS 1141, 6mtion <br />840 <br />NO ONSIDERATION WILL BE GIVEN TO The Farty !louse <br />THIS APPLICATION UNLESS APPROVED AS IN.r,n sl E.nOlNl,n,.ne <br />HEREINAFTER PROVIDED: <br />If applicant is located in the County, the Chairman <br />of the Board of County Commissioners or his <br />Representative shall approve both copies of the <br />application. <br />ICn ,, • n. ewra of county Cemmmlen.n er hl R. <br />If applicant is located in a Municipality, the <br />President of the Council or his Representative shall <br />approve both copies of this application. <br />Isip.tun Au..,ew ".x.a <br />Subscribed and sworn to before me this _ day <br />of ,19 —• <br />My Commission expires <br />P.WId <br />V eI w Ceuntll er nx P.W�x•nawl <br />