Laserfiche WebLink
Minnesota Department of Public Safety <br />.,� ;�•�>.... LIQUOR CONTROL DIVISION �" <br />444 Cedar St./Suite 100L <br />St. Paul, MN 55101-2156 <br />- � - �61a�z��-6a3� T�� �612�as2-6sss <br />��.;�..�..+. <br />APPLICATION AND PERIVIIT <br />FOR A 1 TO 4 DAY TEi�'IPORARY ON-SALE LIQUOR LICENSE <br />TYPE OR PRINT INFORMATION <br />NAME OF ORGANIZATION DATE ORGANIZED TAX EXEMPT NUNIBER <br />Church of St. Rose of Lima 1939 ES 32148 <br />STREET ADDRESS CITY STATE ZIP CODE <br />2048 Hamline Avenue North Roseville MN 55113 <br />NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE <br />Susan Reinart — Business Administrator (651)645-9389 ( ) <br />DATES LIQUOR WILL BE SOLD (1 to 4 days) TYPE OF ORGANIZATION <br />March 31, 2001 • I CLUB ❑ CHARITABLE �1 RELIGIOUS • i OTHERNONPROFIT <br />ORGANIZATION OFFICER'S NAME ADDRESS <br />Rev. Walter' L. Sochacki 2048 Hamline Avenue North Roseville. MN <br />ORGANIZATION OFFICER'S NAME ADDRESS <br />ORGANIZATION OFFICER'S NAME I ADDRESS <br />Location where license will be used. If an outdoor area, describe <br />A ha�w�1�1 he set �in in he school cafeteria before wi1] he <br />served with dinner in the school Qvm. <br />Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor license providing the service. <br />Prom Catering Services, Woodbury, MN <br />Will the applicant carry liquor liability 1uSUrance? If so, the carrier' s name and amount of coverage. <br />(NOTE: Insurance is not mandatory) Yes , we are insured through Catholic Mutual Insurance <br />APPROVAL <br />APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMTfTING TO LIQUOR CONTROL <br />CITY/COL7NTY�S��I.L�C DATE! APPROVED <br />CITY FEE AMOUNT `� ���� LICENSE DATES <br />DATE FEE PAID �- _�. � 1 O� <br />SIGNATURE CITY CLERK OR COUNTY OFFICIAL ApPR VED LIQUOR CONTROL DIRECTOR <br />NOTE: Do not separate these two parts, send both parts to the address ab e and the oCigival signed by this diViBiott <br />wiU be returned as the license. Submit to the City or County'at I ast 30 dsya before the event <br />PS-09079(8195) <br />�:y <br />