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<br />. <br /> <br />Renewal Application for Optional Liquor 2AM <br /> <br />License Type: 2AM- YR <br /> <br />Expires On: April 18, 2007 <br /> <br />10 Number: 20094 <br /> <br />DBA <br /> <br />Sahawk of Minnesota Inc. <br />Sager's Bar & Grill <br />7098 Centerville Rd <br />Centerville MN 55038 <br /> <br />Business Phone: 6516537791 <br /> <br />If any of the above licensee information is not correct, please make corrections as necessary. <br /> <br />Licensee must report previous 12 month on sale alcoholic beverage gross re.ceipts by checking one of the boxes below. <br />Next to the box you check is your 2 AM license fee. Make check payable to: Alcohol and Gambling Enforcement <br />Division (AGED). Mall this application and check to: AGED, 444 Cedar St, Suite 133, Sl Paul, MN 55101-5133. <br /> <br />_ $300 2 AM license fee - Up to $100,000 in on sale gross receipts for alcoholic beverages <br />_ $750 2 AM license fee - Over $100,000, but not over $500,000 in on sale gross receipts for alcoholic beverages <br />_ $1 000 2 AM license fee - Over $500,000 in on sale gross receipts for alcoholic beverages <br />_ $200 2 AM license fee - 32% On Sale Malt Uquor licensees or Set Up license holders <br />-X. $200 2 AM license fee - Did not sell alcoholic beverages for a full 12 months prior to this application <br /> <br />..x. Yes _No Does the city or county that issues your liquor license allow the sale of alcoholic beverages until 2 AM? <br /> <br />City ClerklCountyAuditor Signature <br />(I certify that the city or county of <br />2AM) <br /> <br />Licensee Signature .A:.. <br />(I certify that I have answered th questions truthfully aDd correctly) <br /> <br />Licensee Minnesota Tax 10 Number (Required): ~ J - nso ,C; " <br /> <br />Date <br />approves the sale of alcoholic beverages until <br /> <br /> <br />Date J... J3 "07 <br /> <br />Licensee: Prior to submitting this application to the Alcohol & Gambling Enfocement <br />Division you must have this form signed by your local city or county licensing official <br /> <br />Minnesota Department of Public Safety <br />Alcohol and Gambling Enforcement Division (AGED) <br />444 Cedar street, Suite 133, St Paul, IVIN 55101-5133 <br />Telephone 651-296-6979 Fax 651-297-5259 TIY 651-282-6555 <br />www.dps.state.mn.us <br /> <br />2amRenewal2004 <br /> <br />/4 <br />