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City of Roseville, Minnesota <br />Application for On Sale and Sunday <br />Intoxicating Liquor License <br />Part I - General Information <br />Directions: <br />Please complete, in duplicate, with typewriter or by printing m ink. If the application is by a natural person, by <br />such person; if by a corporation, by an officer thereof; if by partnership, by one of the partners; if by and <br />unincorporated association, by the manager or managing a�cer thereof. <br />�, Name ofApplicant(Name of individual, partnership, corporationorassociation): <br />���� ��� �r'� _�__�L� ��--��`� -- �—�– � -- <br />(If Individual) Last First Full Middle Name <br />2. Name under which applicant will be doing business (name of restaurant or hotel), business <br />address, and telephone number: <br />Full Name �� �� ���� �� <br />Business Address _ �'�� � ��� � � �:�_ ��'��� ����� �� � �� <br />Business Telephone ���� ���' ��� � <br />3. Type of Applicant: <br />—In ivid 1 —Partnership —Corporation —Association <br />�� Other <br />4. Type of license applicant seeks: � On Sale � Sunday <br />+� A. If applicant is an individual, state full name, residence and business address, and <br />telephone numbers: <br />Name <br />Last First Full Middle Name Date o f Birth <br />Residence Address <br />Residence Telephone � ) <br />Business Address <br />Business Telephone ( �� <br />Part ix, Personal Information Form, must be filled out and attached for this individual <br />� <br />