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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, m duplicate, with typewriter or by printing in inlc. 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 officer thereof. <br />1. Name of Applicant (Name of individual, partnership, corporation or association): <br />(If Individual) Last <br />First <br />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 />F�i�l �'a�7ti� � ��r , �`'� �� � G� r. �L� �� ��,�� <br />Business Address <br />Business Telephone ( � <br />3. Type of Applicant: <br />_Individual — Partnership � �rp�r�t��� <br />Other <br />4. Type of license applicant seelcs: ��. On Sale <br />Association <br />� Sunday <br />5. A. If applicant is an individual, state full name, residence and business address, and <br />telephone numbers: <br />Name <br />Last First <br />Residence Address <br />Residence Telephone.� � <br />Business Address <br />Business Telephone l � <br />Full Middle Name Date of Birth <br />Part II, Personal Information Form, must be filled out and attached for thls individual <br />