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<br />ST MN ALe GAMB ~Nr
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<br />65.12975259
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<br />01/04 '02 15:45 NO.597 01/0.1
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<br />MIn"<sota Doyartrnent of Public Saf"J
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<br />AlrolJOllllld GOllIbllnll Enr.....m"".
<br />4A4 Cedar St;,:!ct Suj(~ 133-
<br />Sf. PauJ.MN 551OJ-5133
<br />(~5J..296.6579 ~TTY 651.2gZ~655S" Fi~,'( 651-297-5259
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<br />RENEWAL 'OF LIQUOR, WINE. OR CLUB LICENSE
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<br />~~i.lJ~n:;t '101m ~e :j~n'~d <;% reJc:seJ t~l' th~ no .RaaUer ID C;atd k i;.; l'<<<9i \'ml 'tJv MN' LklW,~~:;;~Jf!~;_~~:
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<br />LJ{'''eDl:~; Plelt.<lt' verify YCtJr licen~ infomtaticl1 cont.H.iotd bell)w. ~ COrT'e'Cuun.<<:. ifnece..'Mr; anrl.gJ;p), City
<br />Clerk/Coumy Auditor sOOuld 5\tbmit this signed retlCwill wirb. cqmplded license at.d &erl~ !:iqoor Habuit)" f)r. the new
<br />liee"", ""nod. City Clorl'JC"""ly AIldill!r ore a!"" ",,!:Ilin:d by M.S. 340A.404 S. 3 t. ""p<>rt any Ii...,..
<br />etulclI;jlacfoll.
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<br />Lic.n,. Code CMBS
<br />Cit)'iCoumy where licen.<;e a.pprovM
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<br />Licon", Pedod Ending
<br />Cant l1}\"'V i lie
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<br />-t,ttJ d1t!1..
<br />12! 3 1 JtIII!!i 1D~ 19:58,.....-
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<br />Licetl,:)eli: N<1m~
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<br />Mountatn E"te~p~is~s Inc.
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<br />Trade Name
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<br />1....io !nn
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<br />Lcerl,~cj L..x:arJ.on acidr~s:s
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<br />70B2 Center~ille ~d
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<br />City, Stat!,), ZJp Cc'tJe
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<br />;;'."Q, MN 55038
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<br />Buslllc..PhO"< (651, 42E,-2SSS
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<br />LICENSE ~ES, O;T .>aI,$
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<br />100.00
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<br />200.00
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<br />0,) Saie $ 2, 50Q" 00
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<br />Sunday $
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<br />By sig;ning tlais l"'i:'nt:"W'J,'d a:ppf"W..ati"0a. app1:k.ant certU1...OS tfuct then!' f1as; f1een no cll.,n~ in O"WI1ii!nUrlp f)D me a hove
<br />llel:::tled BoI:'en.~e.. F~r cl'lii1ng{'!; ii:l o'Wncrship~ th.e Ikensct named airove, or for lle'V lil:enmes~ funapplicatio}\S :'I11C)uld.
<br />oe ~i1. s:.ee bflC.!i...lf tMs appHaitlOd for ftut~r inlorm-atf(ln .needed. to <<l~npkte this rene'W3:t
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<br />~lical1i:'t sf;'f1)m.1!,~$ nMwgl(}uofn"~ the fO"no'-\'\nl!~ F~.hn~ to t""~o(Jrt.lilny Q.i:"thtl: fullowtn~ )rill ~uh ~n flTl~
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<br />1. Uet:<mce, ;;:ontL"!rl$ i[ h;\s 110 :ntere:>t wna1rof;YCr, direct1~{ Of: indiIc."Ctl)'in any ct1icr liquor estabHshrnem:s in
<br />J:vunnesOi:;L If so. give de.tails ~ b~k of th;~ (lpplicatlQQ.
<br />2. Lice~e \XlJJfLcIns that it 'ta:. r.eV~r had. ;) Ji'fJCT Bcen:.;t n:>J~ctecl by ~ny cit;.dtownshipkoonty itt t..l']e','~~e: of
<br />;'I,.tinnesotH. If \!'.I'~ n.'joo:ed,. pI.:m..~e ~l.'Je ci~t:ails -on the bock ..;f this renewal. tben sJg.:1 below,
<br />:}. Li,<e.'lfi.l;c c::mfi.r.e:liI that fot the paM the y~ it ha" f~ol bad .:Lllquor JJce~,; revo"';:u for any liquor 1a\-v VloJ~fiOn
<br />(:<It.tlr~ !",ir local\]f a re,v~ltOJJ b.~ I.)CCilrnJ. pJea,:,;eg1ve de-t..1ili OJ] OIe back: or thi.. renewal. :hen "ign he-),ow,
<br />J. U"ClJSil? C'_'li'l~Inl~ ,,~~t during lbc pa....t n..'c year.:: it or lt~ emplcyee:; 1:lav-e no~ been cite<i for iJ-G)' civill..'J'tcriminaI
<br />liql1i.1T ia....y Yiolations, If v.inJarlo!l'5 h2ye occurre4., pleaf>'a give deta~b otJ back d thi~ renewaL ~n ~j,gn bclO""#.
<br />S. Li~cn~:, canfinns lliat dco.iJ.g thl: ;;t\S! heen&- YC:iX'", a summon!!" LW..<:: nor Jx.en issu~ ltrJder the UqUQ! Lla.bHhy
<br />Law (T)ra.m ShoP! MS 34{lA,801., If ye.:s. arttwb J cop;" of the summ():!1t,~ then s4,"11 bel,ow.
<br />6. Li,CCll~ ..~f)f1.fun1f. ta.1t WOTi<ers C';'mp~!l's.ad\7n i,tl;;;U(11n,@" i~ in aff.;..;.:{ for .it;,t;; ['llI ~J.;etlS:: pedo-J.
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<br />Lk:e~ h;:?s at~ched a liqu.;,r liabilit;r furor.<i:n~ C=!r!i,f.ic.<tt:! that .coITeSp(J.lJ.ti-; with the liCttiSe periud in r.:itykl,JUUtj'
<br />where lic:tJt$L~ l~ i6SUrrl $HW\<<AW ~m Wi! or S:0~lIrHies; Qr $100,000 ~orety bt)~1d. may be :submitted in lieu tlt'liquor
<br />iI.flllily. ./J ;) "
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<br />L,"crJ:leeSign:ilure 1J-;;A<Y 1?1~ . ~~ D~1e J/-;;'O-(71
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<br />.:.Slgnlltun:: certifi~ all ubofe information t~ bt. ~o~t ~nd li~ bas ~et1 approved by .chyleollory.) I
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<br />Cit), Cler.dC(Jllnt~ A . -. Dl1t~ I~<.dl
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<br />iSignatlm:: ceJ'tl,fic~ that l'~Q.t..";.'al or a liqU01\ wine or chI/:! lic~n~ has bdOl a.PP1"'.)Voj by the t:h)'JcoLm~ ~ stated <lbo<fe.
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<br />CountyA.norney Sigrmtul'e
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<br />County &;'ard i.$su~d 1~~Sig;are~ i.-, ;. ~~.weJieible Tf/.f'
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<br />?0Ll.c~lShet'JfSi::lM~t"~5"t9tt 'dd'v ~h.~ ~
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<br />(3ignarure ~ertii~e.~.Ii.;; ~~~ .'l\!:;QSi.s~Ua"e nm bee17 cit~d dl)ri:!glh~t fh"'~ yw.,
<br />(cI:1l1)naJAj,,'iJ). Report ';';'0' ms era b.E.Ck, then ;>:gtJ 1en, :..-'
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<br />s(2t{'/lcca1. ' qa01:' l.~'t',y'\rjoJ~fians
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<br />PS 9r)93~98
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