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City of ](�oseville, Minnesota <br />Application for On Sale and Sunday <br />gntoxicating Liquor License <br />Part I - General Information <br />Directions: <br />Please complete, in duplicate, with typewriter or by printing in inlc. If the application is by a�iatural 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 />�in in��rp��:i.r�` association, by the manager or managing officer thereof. �. <br />. ���� � �� ����� <br />1. Name of Applicant (Name of individual, partnership, corporation or associat�on): <br />� <br />�, � <br />_ � ����t � k � � �f_'� � � �l __ _ 'l l� l�� <br />� I f[n�li�� ititr� �;, I�:�s� � E�i rxt !r �aM �'J li�� I� �fuen� <br />:� <br />Name under which applicant: will be doing business (name of restaurant or hotel), business . <br />�d�l't'.�.�, �rd k�1�pRU�i7� a�i�«k��.i; .�� r <br />i i � � 7 ��� . : <br />Pu I I N�me <br />��� <br />1� usi n��s �4ddr�55 <br />Business Telephone <br />3. Type of Applicant: <br />L'� <br />5 <br />� � - � � •+. �`7 � � J {'� �� � <br />�ndividual Partnership �rporation Association <br />Other <br />Type of license applicant seeks: On Sale � Sunday <br />� ������ <br />�'�1 �'� '��Sc� <br />�x� ���}��f�i }� _ <br />A. If applicant is an individual, state full name, residence and business address, and <br />teleqh�-�-�e numbers: <br />Name _ .�� �•� �_ � � F �L' •t�-=- -k ..,�_' - = : �..:.:� � <br />L.:,3i J � First �'uil !4iiddl� Name Date of Birth <br />Residence Address,� _.,�, . ~ � <br />Residence Telephone �� <br />Business Address �� � <br />� <br />Business Telephone � {'� .. � <br />rti <br />��u�t ID[, Personal Information �orm, must be filled out and attached for this individual <br />— . , .� <br />