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<br />-- ------~--------~-----~-------- <br /> <br /> <br />1880 !Main Street . eenteroifk, '.M9i 55038 <br />(651) 429-3232 . ,.~ (651) 429-8629 <br /> <br />CITY OF CENTERVlLLE .,3, ~ ~;(r <br />APPLICATION FOR A 1 TO 40AY1'EMPC)RARVII5V ON SALE LlQUORUCENSE <br />(0FganIzatI0n or loC8lfOrt UmIted~ 3p8nn~~1l,~12 month period) <br />Type or Print InformatIOn <br /> <br /> <br /> <br />wm the applicant contract for intoxicating Uquor services? It 80, give the name and address of the <br />Ucense the service. N <br /> <br /> <br />APPROVAL' <br />APPUCATIONMU8TBE AIIPROVEDBYCIlYCOI....PRIORTO ~TO UQUORCON1ROL ... <br />CITY OF cE:NTERVILLE DATE APPROVED <br />FEE AMOUNT $ LlC,ENSE DATES <br />DATE FEE PAID <br />Clerk <br />NOTE: SUbmIt to the CIty of eentervIIIeat .... thirty (30) days prior to event. <br />SIgnature of Applicant ~/ZI ~7n~ <br /> <br /> <br />33;; <br />