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_ ��.' <br />, II <br />ti .Y• - <br />Minnesota Department of Public Safety <br />ALCOHOL AND GAMBLING ENFORCEMENT DIVISION <br />444 Cedar Street Suite 133, St. Paul MN 55101-5133 <br />(ss�} zis-6ao9 FaX �6si� a9�-sas9 TTy �6si� asa-6sss <br />kk�kk��� f.tP�.��� '� 9��` ;•`�'.R'� <br />APPLICATION AND PERMIT <br />FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE <br /><��`�3'�`,� , <br />.w '{• � i <br />� +, �;��' . <br />. � 4��� <br />x <br />� <br />TYPE OR PRINT INFORMATION <br />NAME OF ORGANIZATION DATE ORGANIZED TAX EXEMPT NUMBER <br />�t � F�o�c u� ��� I 5��� <br />STREET ADDRESS CITY STATE ZIP CODE <br />1� <br />NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE <br />Sue Re�.uart (651� 645-9389 f • <br />� <br />i �. —r.� -.i �� _,�r� �..i_ � r�i �� � •- rr �;,;� � :��xt,.� �rf .5 �� � �. <br />��gte�er , i� r. r . � <br />—• .... _.. ._ t� - 1�._rl..:.1.11'4��.1: IiL"�IiitUL'� i�_lfl_Y. `=L�hJ?at)I'li' <br />a.�L t i p.�'I'f.:3 fi[kF� C}F�f�'!• I�'i �' �.�Ir !�F}l]REi� <br />�lt�rr <br />��r�.� t s c�€ P tn ��i� �1';ae A�e. !�. <br />L7 �� �ft� i r��,�_�}� c�r• ri rr� i��� �.��1�. ,.ti-:•i}r� i:�� <br />ORGANIZATION OFFICER'S NAME ADDRESS <br />Location license will be used. If an outdoor area, describe <br />St. Rose of Lima School Cafeteria <br />Will the applicant aontract for intoxicating liquor service? If so, give il�e name and address of the liquor licensee providing the service. <br />Will the applicant carry liquor liability insurance? If so, ptease provide the c�nier's name and amount of coverage. <br />Yes. Catholic Mutual Insurance <br />APROVAL <br />APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL & GAMBLING <br />ENFORCEMENT <br />CTTY/COUNTY DATE APPROVED <br />CITY FEE AMOUNT LICENSE DATES <br />DATE FEE PAID <br />i]C;?,��ii ME C ��'S' �: � E Rll" SMp 4'�L'7+�'Y r7FFfC7,4 L. .4 i�FRi�+� FJ� hIP}�`f U� �t�: «Ff+ll .�*�1l li h?Y1�1.1�i.F ��FDR�F?iE�T <br />'"�I�TF•: tiwfxmiL Ll�is tnrm 10 [hr r'n} ��, �•��n�� t• 3� �1rt� prl ur I�i I•5'l�m.. Ti�R+'il�d lppl![�Hnr sL�nc� �ry cllti snd�fi�•: r�u u�} i�F i hf ad+�rC�ti <br />above. lt tf3e appEicatiort is approved the Alco-leok and Gam11lSng Enforcement llivision will s•eti�rrt tLi,s application to E+t IIS�:I as the License for the eVenT <br />�+3 �� <br />� <br />