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,���NS °F �°�9[�;,: <br />;,a ��,::., <br />� a'':� <br />� �ji <br />�. <br />r <br />;:,,� �¢,-' <br />:. 4TF � MiiiN��'�sa"s <br />vlinncsota Dc���u-u»cnt �f �'ublic Safety <br />ALCOF-�OL AND G�MBLING ENTORCEMENT DIVISION <br />4�}4 Cect�r Sh-eet� Surtc 133, SC. Pau.l MN 55101-�133 <br />(�S l) 201�7507 Fax {65l} �97-�259 TTY (63I) 2SZ-65�5 <br />1�,� Gir �'4r. dPS. S'1`A"[' E.119 N. [JS <br />APPI,ICATION AND P�RMI�' <br />FOR t1 1 TO 4 DA1' TL�'v1PORARY ON-SALE LfQl10R LICENSN <br />TYl'E Olt PR[\!T [\'FO[Z�iAT[O1�? <br />V'AME OF ORGA�i17r�'f10\ <br />Church of Corpus Christi <br />STR�ET A1717KESS <br />2131 Fairview Avenue Nor�h <br />NAIv1E OF PER50h' MAK[\'G APP[.1CAT101� <br />Mark Motzel <br />DATES L�QUOR 1V L BE SOLD <br />3 events - �e�l9,mar5,mar19 2p10 <br />ORGA\!]7_A'f]ON OI�F]CEFi'S h?AME <br />Fr. Frank �`ried <br />ORGAI�?I7AT[D�` OFF[CER'S I�AME <br />ORGr1I��IZAT101�? OI=FICER'S NP,ME <br />Location liccnse �vill bc uscd. I�'an outdoor areo-i, describc <br />�����'ijY^"��: <br />�+'' rf�� -r�M1. <br />� �'V,��� <br />.�r�. � �'. �'� <br />�i' ����t`� <br />�,. <br />TAX EaEN11'T NUMBEI2 <br />MN 25499 <br />�'ED 41-0705812 <br />S`I�t1TE LIP CODE <br />�I`YPE OF ORC�Ah'I"LA'[ [0\� <br />ADDRESS <br />same as above <br />ADDRESS <br />AD�RESS� <br />� 55113 <br />����,� �,<<���r�— <br />Parish C'ommunity Fish Fry - w�11 be held in parish gatherzng space <br />attachecl to church/school building, at saine address noted above. <br />LYill the app l�i�a�at �oitt�<«I l�or intosic�tin.g Iiquor ser�iec'� ]i so, give the nume and address ot�the fic�uor liccnsce pioviding che scrv�ee. <br />Beer and wine onl <br />1Vill the applicant c�rry liqu�or iiabi�lit�y insurarice? ] f so; pledse provide the c�u�riei's i��t��e and amaunl of cover�igc. <br />Yes. C'atholic Mutual - see attached. <br />API'ROVAL <br />Af'E'L]Cf\TIO\' AZLiS"I° I3� APP12pVED fiY �I7'1' OR COUN`Tl' L3Ef'Of2E SUf311�11TTI\G Z`O ALCOHOL & GAMC3I,ING <br />LNFORCF.i��Il�i\`T <br />crTVicouNTY <br />C7.'[`Y FEF AMOUNT <br />DA�"� FEE PA[D <br />s�c�.�TUizi: cn�r ci�Fa�; oii cou��rv orrici �i. <br />DATE AI'i'ftOV�D <br />�.ICFNSE DATES <br />�lPf'fiOVl?l) DIKE;C'['OR ALCOEiOL,�\I) G��tiiSLI.NG L.VI+ORC�,�7G\T <br />tV'U�1'L;.: Subrni[ this iurin tu the cit)' o� coirt�t�' 30 dii��s prinr to c��e�rt FurtVard a�zplicatipn 5[gned b�� Cit'ti� :�.ndlnr cuunh� ko tfiL ii[idress <br />ilhGVe. !f the a�spfi�slCioi� is :ipproved [he Alcnhal iti�d C::unhliug [;nl'oi'rE�itciii i)irisi��n +vill return lhis x�plic:�ii�rn to be used as Ilic 1_icense I'ar tl.�e e.enl <br />PS-0�)U7�J {05IDfi) <br />