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i MINNESOTA DEPARTMENT OF PUBLIC SAFETY PS-9114(1 I-89) PHONE (612) 296-6434 LIQUOR CONTROL DIVISION 333 SIBLEY e ST. PAUL, MN 55101 APPLICATION FOR COUNTY OR CITY ON SALE WINE LICENSE NOT TO EXCEED 14% OF ALCOHOL BY VOLUME EVERY QUESTION MUST BE ANSWERED. If a corporation, an officer shall execute this application. If a partnership, a partner shall execute this application. Applicants Name(Busirwss.Partnership,Corporation) Trade Name or DBA ROYAL ORCHID INC. ROYAL ORCHID RESTAURANT Business Address Business Phone Applicant's Home Phone 2401 FAIRVIEW AVENUE (651 } 772-3142 City County state Zip Code ROSEVI LLE RAMSEY MN 55113 is this application If a transfer, give name of former owner License period New[:1 Renewal❑Transfer From To 12,131 ac If a corporation,gme name,title.address and date of birth of each after.if a partnership,give name.address and date of birth of each partner Partner/Officer Name and Title Address DOB RAPIPORN SUKHTI PYAROGE President 3253 LIBBY LANE VADNAIS HEIGHT 55127 Partner/Officer Name and Title Address D O 8 PISANU SUKHTIPYAROGE VICE PRESIDENT 605 EAST ROSELAWN AVENUE MAPLEWOOD Partner/Officer Name and Title Address D08 Partner/Officer Name and Title Address D08 CORPORATIONS Date of incorporation State of incorporation Certificate number s corporation authorized to do business in Minnesota? 0412011988 MN 3 519 yes ❑ No I H a subsidiary of another corporation,give name and address of parent corporation I BUILDING AND RESTAURANT Name of building owner Owner's address Are Taxes delinquent? Has the building ownerolvxEction,direct or indirect, Restaurant seating capacity No with the applicant? n NO ° Hours food will be available No.of people restaurant employs No.of months per year restaurant Will food service be the principle business? 11 am will be open 12 Yes J x El Describe the premises to be licensed If the restaurant is in conjunction with another business(resort,etc.).describe business OTHER INFORMATION 1. Have the applicant or associates been granted an On-Sale non-intoxicating malt beverage (3.2) and/or a "set- up" license in conjunction with this wine license? [:]Yes [] No 2. Is the applicant or any of the associates in this application a member of the county board or the city council which will issue this license? ❑Yes [ ND If yes, in what capacity? I . (If the applicant is the spouse of a member of the governing body, or another family relationship exists, the member shall not vote on this application.) 3. During the past license year has a summons been issued under the liquor civil liability(Dram Shop) (M.S.340AS02). [3 Yes ® No If yes, attach a copy of the summons.