Agenda - Council - 08/28/2007 - Laserfiche WebLink

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\ ))^' ~ ~.'U-~ CITY OF RAMSEY - 2007 b<.' a~/ APPLICATION FOR TEMPORARY SPECIAL EVENTS PERMIT jW .0 ^t,LY , )V ~ ,,\('11..; ~ ~~Y'/ Return this completed application along with (fee determined based on event) City of Ramsey 7550 Sunwood Drive NW Ramsey, MN 55303 Make check or money order payable to the "City of Ramsey". 1) FULL Name of Business: _\I e:..1' -t:.{' al1 ~ I ~ !e. the, 2) Manager or Proprietor'sfQ.!J. Name: .f hi\r.ol'l. '~':"hY\ Last First 3) Manager's or Proprietor's Date of Birth: _ 4) Business Address: S' '[ V L - t8)) ~ )~ .I, IV. W I Street, Box, Route 5) Business Phone Numberfs): --Ll.k,3 I 44 I- 4J2:t (0 AnoiA City (l;4. State 6) Exact legal description of the premises to be licensed: 7) Owner of the premises: E 1,.) i r",~ ~ A h Last Name First Name {) '7' I O. J"\' ,j 8) Address of Owner of premises: q f9 l-- o! It .1,/ Street, Box, Route 9) Owner's Phone Number(s): (7 &73) 14 J".... 1 b~ h 10) Applicant's FULL Name: e n.Jl'(f>l'I1 '~[.)hl1 Last Name First Name 11) Applicant's Phone Number(s): '7 (O~... 44{-4 ~b 12) Applicant's Date of Birth: ___ :t L-L t S'a '1\1 e..- Street, Box, Route (~-~J) 408~ (jJr'Q{, A,? ~tb. City I /);;. State' 13) Applicant's Place of Birth: 14) Applicant's Address: City State 15) Applicant's Phone Numbers: ]6) Applicant's Position With Company: 17) Are you the sole owner of the business? Yes: ;/ No: 18) If partnership, state names and addresses of all partners, ~ Middle Name JSJ03 ZIP rR Middle Name rSJoJ ZIP d?, Middle Name ZIP -197-