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08/04/2011 07:02 6516345137 <br />CITY OF ARDEN HILLS PAGE 02 <br />List the names and addresses of three character references: <br />Naxne Address <br />A-old sz,z7 .5,Zwee-)4A. <br />k9t s7w <br />771 <br />Signature <br />Applicant, and any associates in this application, will strictly comply with all the laws of the <br />State of Minnesota. governing the taxation and the sale of intoxicating liquor; rules and <br />regulations promulgated by the Liquor Control Commissioner; and all ordinances of the <br />municipality, and Z hereby certify that 1 have read the foregoing questions and that the answers to <br />said questions are true of my own knowledge. I further understand that an investigation fee not <br />to exceed $500 shall be charged an applicant by the City or County if the investigatkn is <br />conducted within the State, or the cost not to cxcocd, $10,000 if the investigation is required <br />outside the state. <br />I understand that I xnay withdraw this application at any time before the license is issued, but the <br />license will not be issued until the City Clerk receives the proper documentation and specified <br />fee. <br />No alcoholic bevera es m <br />Applicant Signature <br />in Ci or County parks. <br />Date <br />Notary Public <br />Subscribed and sworn to before me his tj day of <br />20 (1 <br />My commission expires: <br />(must place notary stamp in box) <br />City Temporary Liquor License Application — 3.2 Beer Only <br />Page 3 of 5 <br />:s <br />k <br />