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APPLICATION AND PERMT <br />FOR A I TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE <br />TYPE OR P,RINT'INF'ORMATION <br />Attachment A <br />F "VI <br />..# Frank Fried A 0" r5o. af L4r� same as above <br />ORGANIZATION OFFICER'S NAME # 0"' &%%. , ADDRESS <br />Location license will be used. If an lou,tdoor area, describe <br />41 <br />Pari sh Community Flish, Fry, will be held, 'in parish gathering space <br />attached to chur h/schooll building,, at a,m, address noted above. <br />Will the applicant contract for, intoxicating liquor service? If so, give the name and address of the liquor licensee providing the service. <br />Be&-1.- and wine only <br />Will the applicant carry liquor liability insurance? If'so, please provide the carrier's name and amount of coverage. <br />Yes. Catholic Mu,t,u,al - $500,000 <br />APPROVAL <br />APPLICATION MUST BE APPROVEDBY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL & GAMBLING <br />ENFORCEMENT <br />CIITIY/COUNTY 11, <br />CITY FEE, AMOUNT' <br />DATE FEE PAID �,JI h %1 l <br />SIGNATURE CITY CLERK OR COUNTY OFFICIAL <br />WATE APPROVED <br />APPROVED DIRECTOR ALCOHOL AND GAMBLING ENFORCEMENT <br />NOTE: Submit this form, to the city or county 310 days prlior, to event. Forward application signed by city and/or county to the address <br />abloive., If the application is approved the Alcohol and Gambling Enforcement Division will return this application to be used as the License for the event <br />