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MINNESOTA DEPARTMENT OF PUBLIC SAFETY ps.9114 (11-89) PHONE (612) 296-6434 LIQUOR CONTROL DIVISION 333 SISLEY e ST. PAUL, MN 55101 APPLICATION FOR COUNTY OR CITY ON SALE WINE LICENSE NOT TO EXCEED 74% 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(Business.Partnership,Corporation) Trade Name or DBA ROYAL ORCHID INC. ROYAL ORCHID RESTAURANT Business AaareSS Business Phone Applicant's Home Phone 2401 FAIRVIEW AVENUE ( ) ( 551 772-3142 City i County State Zip Cade ROSEVI LLE RAMS EY IAN 55113 Is thts application If a transfer, give name of former owner I-License period U New[I Renewal Q Transfer I From To If a corporation,give name,title.address and date of birth of each officer If a partnership,five name.address and date of birth of each partner Partner/Officer Name and Title Address RA P I P 0 R N S U KH T I P Y A RO G E President 3253 LIBBY LANE VADNAIS HEIGHT 5512i' Partner/Officer Name and Title PISANU SUKHTIPYAROGE VICE PRESIDENT 605 EAST ROSELAWN AVENUE MAPLEWOOD Partner/Officer Name and Title Address DUO Partner/Officer Name and Title Address DOB CORPORATIONS Date of incorporation State of incorporation Certificate number Is corporation authorized to do business in Mionesota= �4 20 1 3519 Yes ❑ No If a subsidiary of another corporation,give name and address of parent corporation BUILDING AND RESTAURANT Name of building owner Owner's address Are Prooertv Taxes delinvuent? Has the building owner anv connection,direct of indirect I Restaurant seating capacity ❑Yes No' with the applicant) E]Yes a N o ' Hours food will be available No of people restaurant employs No of months par year restaurant Will food service be the principle business. 11 am nm fi "'il� `'�open 12 Yes ❑No Describe the premises to be licensed If the restaurant is in conjunction with another business(resort,sic.).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 0 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 No 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 pa t license year has a summons been issued under the liquor civil liability (Dram Shop)(M.S.340A$02 . x If yes, attach a copy of the summons.