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2002_1118_packet
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2002_1118_packet
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Minnesota Department of Public Safety <br /> s' <br /> Alcohol and Gambling Enforcement <br /> �., 444 Cedar Street.Suite I33 <br /> St.Paul MN 55101-5133 <br /> 65 I-296-6979 1 TTY 65 1-782-655 5 s Fax 65 I-297-5759 <br /> RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE <br /> No license mll be gppraved or released until the $20 Retailer ID Card fee is rweivcd by MN Liquor Contrnl <br /> Ligg=: Please verify your license information contained below Make corrections if necessary and sign City <br /> Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new <br /> license period. City Clerk/County Auditor are also required by M.S. 344A. S. 3 to report any license <br /> cancellation. <br /> License Code License Period Endings 73LI2002 D# <br /> City/County where license approved.R o s e v i 11 e <br /> Licensee Name Lido Cafe Inc. <br /> Trade Name Lido's Italian "Market-Cafe" & Bar <br /> Licensed Location address 2801 N Snelling A v e <br /> City, State, Zip Code Roseville, MN 55113 <br /> Business Phone 651/636-9721 <br /> LICENSE FEES: Off Sale $0■ 00 On Sale$ 7000.00 Sunday S 200.00 <br /> By signing this renewal application,applicant certifies that there has been no change in ownership on the above <br /> named licensee.For changes in ownership,the licensee named above,or for new licensees,full applications should <br /> be used.See back of this application for Further information needed to complete this renewal. <br /> Ayullcant's signature on this renewal confirms the following:Failure to report any of the <br /> followinp will result in fines. <br /> 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in <br /> Minnesota If so, give details on back of this application <br /> 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of <br /> Minnesota If ever rejected, please give details on the back of this renewal then sign below <br /> 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation <br /> (state or local) If a revocation has occurred please give details on the back of this renewal then sign below <br /> 4 Licensee confirms that during the past live years it or its employees have not been cited for any civil or criminal <br /> liquor law violations If violations have occurred please give details on back of this renewal, then sign below <br /> 5 Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability <br /> Law (Dram Shop) MS 340A 802 If yes, attach a copy of the summons then sign below <br /> 6 Licensee confirms that Workers Compensation insurance is in effect for the full license period <br /> Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county <br /> where license is issued. $100,000 in cash or securities or $100,000 surety bond may be submitted in lieu of liquor <br /> liability. <br /> Licensee Signature Date <br /> (Signature certifies all above information to be correct and license has been approved by city/county ) <br /> City Clerk/County Auditor Signature Date <br /> (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above ) <br /> County Attorney Signature Date <br /> County Board issued licenses only (Signature certifies licensee is eligible for license) <br /> Police/Sheriff Signature Date -- z —C)Z <br /> (Signature certifies licensee or as ociates ha a not been cited during the past five years for any state/local liquor law violations <br /> (criminaVcivil). Report violations n back,then sign here. <br /> PS 9093-98 <br />
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