'3F LIQUOR
<br />Miunesot a Deli Mien t of Pub lie Safety •
<br />CONTROL DIVISION
<br />€144 Cedar .. Buda 100 L, t. Paul, MN 55101-2156 I ._
<br />` �.. (612)296 -6431 'I-i 6l 212 -655
<br />APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE
<br />No license will be Approved or released unto the S20 Retaller ID Card fee is ice � '
<br />�� ed �} ,� �tqrter Control,
<br />Workers compensalion insurance camp an %, - N aurae
<br />I'cZicy#
<br />LICENSE-E'S SALE S & USE TAX III # To a
<br />Ply , for sales tax #, call 296 -06181 or 1-800-657-3777
<br />If a corporation, an officer shai1 execute this � licat'
<br />lon If a partnership, a finer shall execute this application.
<br />Lieensce Name (Individual, Corporation, F arinership) Trade N
<br />G ER Be I ONG CHUE ame or 1�13�1
<br />I.icco Se I,ocatiou (Street Address & Block No.)
<br />1740 LEXINGTON AVE
<br />cily
<br />RO EVILLE
<br />Name of acre Manager
<br />CHUE MOUA
<br />License Ptvind
<br />From To
<br />R AMS E Y MN
<br />13u suiess Plione Number
<br />NONE
<br />Appliennt's iron r~ piimir•
<br />Zip Code
<br />55113
<br />DOB (Individual Applicant)
<br />IF a corporation, state name, date of birth address,
<br />title, �� shares h�� d �� ���h �� ��r. �f � ��rirt�rsh� st �� �
<br />names,, address and date of birth of each artner. R
<br />P mtier Officer (Firm, middle, lash D0I3 16itic Sh arcs City, Zip Address, �it� � State, ��p Codc
<br />ER B, X I ONG f_ OWNER 50%
<br />Partner Officer ( irsl, middle, last) D0I3 are - �•
<br />s Addy cis* �.zt} , state. Zip t;.odc
<br />CHUE MOUA J OWNER 5
<br />l� `t Mares Address, Ticcr (FiM middle, la
<br />NSA C�iw ( , Mater Z]1) C
<br />ode
<br />P -vi nor O i t Wirst, ni fiddle, lash DOB Title Shares
<br />Address, pity, Mate. Zip ��p ccde
<br />1.
<br />2.
<br />3.
<br />4.
<br />5.
<br />6.
<br />7.
<br />If a corporation, date of incorporation * state
<br />. m � crated in
<br />capital If a sub sidi ary �f any other corp oration, sc state
<br />annunt paid fii
<br />corporation an • re
<br />purpose of
<br />. If incorporated tinder the laws of another state, is corporation
<br />authorized to do business in the st ate of Minnesota? 0 yes Kj No
<br />Dcscrib c reniise
<br />p s to which license applies; such as (f wst floor, scwnd floor, basement, cte.) or if cutire bra ildiu . so state.
<br />First Floor �} L r
<br />Is establishment located near any state university, state hospital, training school reform alo � �
<br />� r� �F prison? C1 Yes k No If yes
<br />state approximate distance.
<br />Nmuc and address of bu ldmg 0 "'ncr: LEXT
<br />Mbi —5 FM 2 9 1
<br />H
<br />NIGTON RTjhZa TjjjC%-P'0-1:t0X 9q JaA7,Th
<br />as owner of building any connection, directly or inditcctly, w- ith applicant? des 0 N
<br />Is app licaut or nay of the associates in this application, a rn�tn F . ,
<br />is to be issued? . �p � � bet ��` the �m��rn� b ody aI` the rnr,zu rcip alr�� ]a ���hteh th is l�ren�
<br />. M Yes 0 o If yes. ut whal capaciiy"
<br />State whether any persan other than applicants has arky ri rt, title or hiierest in the rumitu e �
<br />� r , fixtures �r e�rp�oat for which
<br />license is app lied and if so, give name and del ails.
<br />Have applicants any intcrest whatsoever, directly or indirect ur an other liquor .
<br />❑ Yes Rio if �' � ]� cat � ahLslu�ae]at � the state of Minnesota?
<br />yes, lie aanxe and address of es# a'b lishruent .
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