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2004-11-23 Handouts
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2004-11-23 Handouts
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<br />. <br /> <br />STATE OF MINNESOTA <br /> <br />CITY OF CENTERVILLE <br /> <br />COUNTY OF ANOKA <br /> <br />AppHcation No. <br /> <br />RENEWAL APPLICATION FOR LICENSE TO SELL <br />TOBA<':CO PRODUCTS AT RETAIL <br />. . . /liflZ ?~ 4'e. . . . ,tla~~/~., <br />The undersigned, resIding at ' ," ", . ,- m the City of -=:" ,,~; , .:. <br />in the CoUnty of .!l4)If.IIJl.~1) ~ State of Minnesota, Residence Telephone: (b$/) ~30.::,,16. ~o HEREBY <br />MAKES APPLICATION FOR UCENSE to be issued to MICHAEL WALMER. GNAW INC. DBA <br /> <br />CENTERVILLE LIQUOR, to seJI tobacco products at retail at 7093 20TH AVENUE: SOUTH, Business <br /> <br />Telephone: (/;S7 ).!:Ol.- JI1II in the City ofCenterville. Anoka County. Minnesota for the term of one (1) yea., <br /> <br />beginning with the 1st dIly of Jtl1UUII'1, 2fJfJS, subject to the laws of the State ofMinnesota and the ordinances and <br /> <br />regulations of said at)' of Centenille pertaining thereto, and herewith deposit $75. fJfJ in payment of the fee <br /> <br />therefore. <br /> <br />By signing this nmewtil tlJlP1icotion, tlJlPlictmt certifies t1ult there has been 110 clumge in 0WfIeI'S1dp, <br />corporate officers, or ptl1'tllen. If changes have OCCll17'eiltblring the post 12 months, complete in its entirety the <br />fltttu:hetl TIa CIetmmce Info7mation, then sign below. <br />Date: / 0- ~i'-()l1 <br /> <br />~~ <br /> <br />.ItJahral I W9/tn4tr <br />Name (Print) <br /> <br />FOR OFFICE USE ONLY (Do not write below this line) <br /> <br />Report by Police Department <br />This is to certify that the applicant and the associates, named herein have not been. convicted within the past five years of any ". <br />violation offtXtera1,state or local law, ordinance provision, or other regulation relating to tobacco or tobacco products, ortobacco <br />related devices, or any felony within the last ten years. <br />
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