Laserfiche WebLink
<br /> <br />tervi[[e <br />T-si:ab[islied 1857 <br /> <br />1880 Main Street . Centerviffe, 'lvfN.. 55038 <br />(651) 429-3232 .:r~ (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />APPUCATION FOR A 1 TO 4 DAY TEMPORARY~ON SALE UQIJOR UCENSE <br />(Organization or location limited to 3 r>e,rml.SS i inn l a{2 mon~h period) <br /> <br />E Ja.rqe., '''~m I S e$ <br />Type or Print Information /l cJ <br /> <br /> <br />Date Organized <br /> <br />Tax Exempt Number <br /> <br />'7',./ 'ilhJ) ~, ( <br />Business Phone <br />1-7) <br />Type of Organization <br />o CLUB 0 CHARITABLE 0 RELlGIOU 0 OTHER NON- <br />Address <br /> <br />Organization Officer's Name <br /> <br />Address <br /> <br />Organization Officer's Name <br /> <br />Address <br /> <br /> <br /> <br />d <br /> <br />APPROVAL <br />APPLICATION MUST BE APPROVED BY CITY COUNCIL PRIOR TO SUBMISSION TO LIQUOR CONTROl. <br />CITY OF CENTERVILLE DATE APPROVED <br />FEE AMOUNT $ LICENSE DATES <br />DATE FEE PAID <br /> <br />Cit Clerk <br />NOTE: Submit to the City of Centerville at least thirty (30) days prior to event. <br /> <br />Signature of Aprjk:8nt: /~-f' <br /> <br />~..~ <br />