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Applicant Information, <br />Applicant Name: <br />Home Address: < %% ��./ C� <br />Date of Birth: <br />Minnesota Resident: <br />United States Citizen: Yes: From ( to e. <br />U No <br />cAo„eivii‘tti /1//-1) <br />Place of Birth: <br />es: From to �{Q/ ( <br />❑ No, what state do you reside: <br />C A iav/ /,-/Y„s� <br />If naturalized, state and place of naturalization: State: <br />Place: <br />State if applicant or any associate in the application has had an application for a liquor license <br />rejected by any municipality or state authority, if so, give date and details: <br />State if applicant or any associate in the application has ever been convicted of any liquor law <br />violation or any crime in this state, or any other state, or under federal laws, and if so give state <br />and details: <br />State if applicant or any associate in the application is a member of the governing body of the <br />municipality in which this license is to be issued, and if so, in what capacity: <br />City Temporary Liquor License Application — 3.2 Beer Only <br />