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<br />. <br /> <br />Minnesota Department of Public Safety <br /> <br />AlcohoJ and GambJiDg Enforcement <br />444 Cedar Street, Suite 133 <br />St. Paul, MN 55101-5133 <br />651-201-7507. TI'Y 651-282-6555. Fax 651-297-5259 <br /> <br /> <br />RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES <br />;>'~<:::Jiri~v.ill be approved:oi-~ ~DHIiQ'$20 Retailei ID Card fee is received by MN Liquor Conlrol' (3.2% LiCClllles exempt) <br /> <br />Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City <br />Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license <br />period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license <br />canceOation. <br /> <br />License Code <br />CitylCounty where license approved. <br /> <br />ONSS <br /> <br />License Period Ending <br />Cent et~v i 11 e <br /> <br />12/31/20~ <br /> <br />22284 <br /> <br />Licensee Name <br />Trade Name <br /> <br />Scat Properties Inc. <br /> <br />Wiseguys Pizza <br />Licensed Location address <br /> <br />7095 20th Ave S <br /> <br />City, State, Zip Code <br /> <br />Centerville, MN 55038 <br /> <br />Business Phone <br /> <br />651/653-1077 <br /> <br />LICENSE FEES: Off Sale $ On Sale $ Sunday $ <br />0.00 2500.00 200.00 <br />By signing this renewal application, applicant certifies that there has been no change in ownership on the above named <br />licensee. For cbanges in ownership, tbe licensee named above, or for new licensees, fuO applications sbouJd be used. See <br />back of this application for further information needed to complete this renewal. <br /> <br />Apolicant's signature on this renewaJ confirms the followhq~: Failure to report any of the foOowin!! will resuJt in fines. <br /> <br />1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in <br />Minnesota. If so, give details on back of this application. <br />2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the sate of <br />Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. <br />3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation <br />(state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. <br />4. Licensee confirms that during the past five years it or its employees have not been convicted of any criminal <br />violations or imposed with any civil penalties. If so, please report on back of this application. <br />5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability <br />Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. <br />6. Licensee confirms that Workers Compensation insurance is in effect for the full license period. <br /> <br />Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county <br />where license is issued. $100,000 in cash or securities or $100,000 surety bond may be submitted in lieu of liquor liabil- <br />ity. (3.2 % liquor les are Jess than $25,000 at on sale, or $50,000 at off sale). <br /> <br />(Signature certifi <br /> <br />a I <br /> <br /> <br /> <br />.... ;.. . t' ~ III' liP. I . I . <br /> <br /> <br />..01 <br /> <br />City Clerk/County Auditor SigTlature Date <br /> <br />(Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) <br /> <br />County Board issued <br /> <br />~ <br />. I <br /> <br /> <br /> <br />"I . ,..;.II ~I i <br /> <br />or license). <br /> <br /> <br />7 <br /> <br />(Signature certifies Ii g p st five y;l fCjl..any sJatellocalliquorkw' tiyns _ . . <br />(criminaJJ~ivil~feport ~olati~ on back, then sigt! here. ':I .A1 ,(: HeveJt;'T CJWI1(!Y' ~. e t?rJ..Sill&\ <br /># nl.\t((if tJ v"I<<r"", df'l1j2 7j1{){):J. .,n,S It(tl~ q I. PS 9093-0S,e~ <br />