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<br />8. <br />9. <br /> <br />Ate \he pr$Ilises now oocupied or to be occupied by the applicant entirely separate and exclusive ftom any <llher business <br />-+eh.lillh~ fies,.. ClNo. <br />State whether applicant has or will be gtanted, an On Nle Liquor License in conjunction with this Off Sale Liquor License and fur <br />the same ptCIIIises. DYes It No [1 Will be granted <br />s- whether applicant has or will be granted a Sunday On Sale Liquor UCCllSe In conjlUlc\ion with the regular On Sale Liquor <br />License. 0 Yas 'II No 0 Will be granted <br />Iftbis !WI...... ill &. aCcullr BoaalOftSelc Licc8sa, ....Ibe.........., in milcslOlbe_ '-'-';.\..dllJ. <br />SlIIIe NumllcrofEmployees <br />Jfthis license is being issued by a COlIIIly Board, has a public heariDg '-' bald IS per MN ~ 340A.40S sub2(d)7 <br />Iftbis Iic:ense is being issued by a ColIIIt)' Board, Is it ~ in an mgani7Ir.d lIIwIlsbip? If ....lUDldItowDdIp............ <br /> <br />10. <br /> <br />II. <br />(Z. <br />13. <br />14. <br /> <br />J. <br /> <br />SIllle whether applicant or any of the associateS in this applicadKiD have ever had an appJicalion fur a liquor license rejecled by any <br />municipality or _ aulhority; if so, give dates and dctsils. <br /> <br />2. <br /> <br />Has the applicant or any of the associates in this application, durina the five years immediately preceding this applicadon ever had a <br />Iicellse WIder the Minnesom Liquor ConlroI Act revoked for lUIy violation of such laws or looaI ordinances; ifsa, give dates ood <br />detail.. NO. <br /> <br />3. <br /> <br />Has applicant, parlnen, oflicer.l, or employees ever had any liquor law VlOla1ions or felony convictions in Minnesota or <br />elsewhere, including SIllle Uquor Control pcnaIties? 0 Yes rJ No Jfyes, give dates, charges and final outcome. <br /> <br />4. <br /> <br />During the pasllicense year, has a $UDUltOllS been issued under the Liquor CivilLiaI>ilily Law (DnIm Shop) M.s. 340A.802. <br />n Ves . No Jfyes, attach a copy of the SWlllllOllS. <br /> <br />This licensee must have one of the following: <br /> <br />Cho<k _ <br />o A. <br /> <br />Of <br />o <br /> <br />or <br />o C. <br /> <br />(A TfACH CERnFICATE OF INSURANCE TO THIS FORM.) <br /> <br />B. <br /> <br />Liquor Uabllity Insurance (Dram Shop) - $.'50,000 per person, $100,000 more thm one person; $10,000 property <br />deslruc\ion; $.'lO,OllO and $100.000 for Joss of means of support. <br /> <br />A SUl1:ty bond Ilom a surety compmy with minimum coverage as specified in A. <br /> <br /> <br />e a.me are rue An <br />"' ','.,', - -.." ,,' ""....', "" '. ~,'. ',' <br />..-:~/~~<"")-'~ <br />,_,::~_~",;c-';:;';~::~: :,- ~;~;~{-_', ,">:"': :/'~'-' 'ii_" ~".:;_:; :-:,:" <br />REPORT BY ~1:'i~HiJti)1i's.~~Akl'Mt...r <br /> <br />This is to cerIitY that 1lIe applicant ood.the assoeiales named herein have not been convicted wilItin 1Ite past five years for any violalioo of <br />I of laIe ofMiIllleSOl;& or municipal ordinances relating to intoxicating liquor except as follows: <br />- <br /> <br />., <br />I <br />, <br /> <br />ifqi0tw;;1 !Jer fIJ <br /> <br />PoIiceIShcriIJ's D..,A.' - <br /> <br />~j,~'v{t/J <br /> <br /> <br />T1Ilc <br /> <br />County Attomey's Sipllure <br /> <br />I <br />I <br />I <br />, <br />, <br />I <br />I <br />I <br />, <br />I <br />L <br /> <br />All Jdailliquor H. - <br /> <br />IMPORTANT NOnCE <br /> <br />mustllPe a current FecIcraI Spa:iI1 n....'I"'"....1 SIIap.. This SIIImJI is issued by tIr<: ~ of AblhoI. TaIlea:o, <br />and Finsms. For inIbrmalion call (651)726-0220 <br /> <br />/pi, <br />