90-506 j '� � � � I n�,� 1 Council File ,� QO-SQ�o
� � � IV L..
. Green Sheet �` 5652
RESOLUTION
OF SAINT PAUL, MINNESOTA
Presented 8
Referred To Committee: Date
RESOLVED: That application ID��16394 for an On Sale Wine and On
Sale Malt 3.2 (menu item only) by Juggy's M & M
Fishworks, Inc. , DBA McCarthy's Fishworks, Thomas J.
McCarthy, President, at 400 Sibley Street 4�190, be
and the same is hereby approved.
Yeas Navs sent Requested by Department of:
im n
oswz z �— License and Permit Division
�on �.
a e� �
e ma �
�ne �—
z son �— BY�
O
Adopted by Council: Date
MAR 2 7 1�gp Forn, Approved by City Attorney
Adoption Certified by Council Secretary . �• 3'� 'rjv
By:
BY' Approved by Mayor for Submission to
,��� � �� ��s Council
Approved by Mayor: Date � ��:9Q
�
gy; ��G-/L� By'
�i.lSHED APR 71990
. . ��—so�
DEPARTM[NT/OFFICE/COUNGL OATEINITIATED GREEN SHEET NO. 5652
Finance and Ma.na ement
CONTACT PERSON 8 PHONE INRWU DATE INITIAUDATE
�DEPARTMENT pIRECTOR �dTY OOUNCII
Kris Van Horn - 298-5056 W,�� �CITY ATTORNEV Q CITY CLERK
MUST BE ON OOUNCII A(�ENDA BY(DAl'� �ROUTINO �BUDOET DIRECTOR �FIN.8 bIQT.SERVICES dR.
�MAVOR(OR A881STMIT) �council Research
TOTAL N OF SIONAtURE PAGES (q.IP ALL LOCATIONS FOR SIGNATUR�
ACTION REOUESTED:
Application ID4�16394 for an On Sa1e Wine and 3.2 Malt Beverage License.
RECOMMENDA710NS:MP��W a�Ma(A) COUNCIL REPORT OPTIONAL
_PLANNINO COMMISSI�1 _CIVIL�RVIC,�COMMISSION ANALY8T PHONE NO.
—qB OOMMITTEE _
_STAFF _ COMMENTB:
_D18TRICT COURT _
SUPPORTS WNK�i COUNdL OBJECTIVE9
INITIATINO PR�LEM�188UE.OPPOFiTUNITY(Who�Wlat.When,Wh�ro,Why):
Juggy's M & M Fishworks, Inc. , DBA McCarthy's Fishworks, Thomas
J. McCarthy, President, requests council approval of his application
for an On Sale Wine and On Sale 3.2 Malt Beverage license (menu item
only) at 400 Sibley Street ��190. All applications and fees of
$1035.38 have been submitted, all required departments have reviewed
this application.
ADVANTA�ES IF APPROVED:
DISADVANTAOE8IF APPROVED:
DFSADVANTAOES IF PqT APPROVED:
TOTAL AMOUNT OF TRANSACTION = COSTMEYENUE 9UD0ETED(CIRCLE ON� YE8 NO
PUNpNp 60URCE ACTIVITY NUMeER
FlNANGAL INFORMATION:(EXPLAIN)
1�� . r� a�a��, .
._ _ �_.-�-�----_ _
. . C�ya-5o�
DiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE o2 'a C5 � 3� Cl D
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ���Ti,�,��5 rn� 1rn �shwor�s-l-v�c_• Home Address �j(� �: "L�S}� a(o0 ]
�— �.1.1 I ' �"� l
Rusiness Name �L�V�'Yl�(S �SfCC.�C�►'�'SS Home Phone ��,�' CJa�o!
Business Address � oQ 5 �l-j�� 5�..����ype of License(s) �n � ��,..�n,�
—T
Business Phone �� - la�a �h �G�� 1 I lfi Q�
Public Hearing Date � ��'( License I.D. 41 ��3��
at 9:00 a.m. in the ,o ncil Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� ��]��'(� �a
llate Nutice Sent; Dealer �f }� (/�
to Applicant
rederal Firearms 4� � �f�
Public Hearing
DATE INSPECTIUN
REVIEW VEKFIED (COMPUTER) COMMEENTS
A roved Not A roved
�
Bldg I & D �) �
+�� ! �"��
v
Health Divn. � �
�
3 j ,�� ;
,
Fire Dept. ! •'z' �
I \J '� � v �
� f
Yolice Dept. �` I
I `� ��
License Divn. �I �
�� ' ��
City Attorney �
'iI a l � ��
Date Received:
Site Plan � l a,{o ��( fj
To Council Research
Lease or Letter Date
f rom Landlord � I�i p � Gt(�
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bo��a:
Workers Compensation:
New Officers:
Stockholders:
. . �90:5Q 4�
�, �
Application No. Date Received By
CITY OF SAINT PAUL, MINNESOTA
APPLICATION FOR ON SALE INTOXICATING LIQUOR LICENSE
SUNDAY ON SALE INTORICATING LIQUOR LICENSE
PRIVATE CLUB INTOXICATING LIQUOR LICENSE
OFF SALE INTOXICATING LIQUOR LICENSE
ON SALE MALT BEVERAGE LICENSE
ON SALE WINE LICENSE
Directions: This form must be filled out with typewriter or by printing in ink by the sole
owner, by each partner, by each person who has interest in excess of 57 in the
corporation and/or association in which the name of the license will be issued.
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
1) Application for (type of license) (,i� ��(l.� �`fV� � �'��� ��v• ��C"
Z) Located at (address) �� �(�iL��S'� #J�'(i �� ��L M�� �5«�
3) Name under which business will be operated �ilc�(a�5 ►'1�/�. F�s� wv�cs rNC.
corp./sole prop./partnership DBA
4) True Name ��i�t��J �1v�1�1-r /"L1�i4���T I Phone c�P-� ' �r?�
(First) (Middle) (Maiden) (Last)
Anyone having a 5� interest or more must fill out a separate application.
5) Date of Birth JI�LL/ � � �I 1�6U Place of Birth ��`�<j� U� V/U���l% .
(Month, Day, Year)
6) Are you a citizen of the United States? 1U�• Native Naturalized
7) Home Address UV ���� ��� �r•�4U�- ���• Home Telephone �� !G�'Jr�''
8) Including your present business/employment, what business/employment have you followed for
the past five years?
Business/Employment Address
/
N�t�tlN�Sd�� �cla� ST�s ryt�� c��'R g�..
�a��l ��U/�t/S ,��sT� C���'� /�t r�s
9) Married? N v� If answer is "yes", list name and address of spouse.
. . �"�-�Q-,��O
,. .
10) Have you ever been convicted of any felonq, crime, or violation of any citq ordinance
other than traffic? Yes No X
Date of arrest , 19 Where
Charge
Conviction Sentence
Date of arrest , 19 Where
Charge
Conviction Sentence
11) Retail Beer Federal Tax Stamp Retail Federal Tax Stamp will be used.
, ''
12) Closest 3.2 Place �' � ��� Church �' ��� " � School � ''� t (j''�
g q P .� l��fJO'IZ iu
13) Closest intoxicatin li uor lace. On Sale 1 � Lt Off Sale
14) List the names and residences of three persons of Ramsey County.of good moral character,
not related to the applicant or financially interested in the premises or business, who
may be referred to as to the applicant's character.
Name Address
�,���.1��. ��.l,u-e� l 1 I�Y-t� C?sc e�(� I�t S�' - I�--��
��..� Cma�� 4�� �z ik��_ �J��s ����
� �,,,,� I�Z� � � � St-. l ��.
15) Address of premises for which application is made `C�� �"(��j �• �9'� �'l,•��+v�
Zone Classif ication �'rl ��tb.(/ Phone �'a'"b^ (� b`-f'
16) Between what cross streets? �Q,� �j��� 5/gt�� �'t- • Which side of street? CC��.
17) Are premises now occupied? �o What Business?
How long?
18) List licenses which you currently hold, or formerly held, or may have an interest in.
�uL[. lt 4�c/�2 l-�C�7c��E, �� 1-�LcJQ�1cl� i�l�f-ss.
19) Have any of the licenses listed by you in No. 18 ever been revoked? Yes No �
If answer is "yes", list the dates and reasons
. . ��--�'p-50l0
.. , g
20) If business is incorporated, give date of incorporation � , 19 J
and attach copy of Articles of Incorporation and minutes of firs meeting.
21) List all officers of the corporation, giving their names, office held, home address, and
home and business telephone numbers.
�c.YUVt �Yl.��-7� � �'�St 2�- �6 E R���a� ��lL S��d�
���2-�g-�a-����)aa�-�g� 3�LL /n���y' tl�e� �s�/��
S���S ����� �.f/�- �v� wt�CC� �5�fi7 (�) �6g-o3�i7 ��) �a�-�98"� �
22) If business is partnership, list partner(s) , address, telephone number, and date of birth.
Name /��(� Address Phone DOB
Name Address Phone DOB
23) Are you going to operate this business personally? `�� If not, who will operate
it? Name Home Address Phone
24) Are you going to have a manager or assistant in this business? �� If answer is
"yes", give name, home address, home phone and date of birth. ��
/ /
Name ��(.�. �,��-1��'1'K Address�SV� ����� � �• Phone�b�'�� DOB p �.3�
!'►'I. (. . � 7 /
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL
SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION.
I hereby state under oath that I have answered all of the above questions, and that
the information contained therein is true and correct to the best of my knowledge and
belief. I hereby state further under oath that I have received no money or other
consideration, by way of loan, gift, contribution, or otherwise, other than already
disclosed in the application which I have herewith submitted.
State of Minnesota )
)
County of Ramsey )
Subscribed and sworn to before me this � /d
Signature of A / D te
� day of ��j , 19�Q
�` . { � ���%�<�� _
ti1L�,e: . � _� -L
Notary Public, � ,� County, MN
M
My commission expires , � . .�, � �I.� �.-1 '.^^^^�^,^,�.. �,1
� KRISIINA L. V;,N;-+;,;:�,.
NOTARY PUBUC—r:;i',;'-: : .
DAKOTA COUP1Tv
Rev. 2/88 MY Commiss�un Exp�res lan
�wrrwwvWvti�nr�vw�VV1/Wvt',v,,; .
. . �-�-�� -��
. ,
MINNESOTA DEPARTMENT OF PUBLlC SAFETY �9>>.��-a�,
PHONE 16121296-6159 LIaUOR CONTROI DIVISION
333 SIBLEY• ST.PAUI,MN 55101
APPLlCATION FOR COUNTY OR ClTY ON SALE WINE L1Cn11SE
NOT TO D(CEED 1496 OF ALCOHOL BY VOLUME
EVERY QUESTION MUST BE ANSWERED. If a corporatic�,an office�shali execute this applic�atio�.If a partnership,a
partner shall execute this apptication.Jf thia is a first applicatio�attach a copy of the artides of incorpo�atio�and
by-laws.
Applicancs Name IBusiness.Partnership,Corporononl` Trade Name or OBA� � ���L��
� U � . S 7'� �lS�I�G�•S 1VC. i%'i
Business Address Business Phone Applicann Hame Phone
U+� �c. -� d 5� �riL � ► �-�s-�1Y�� � � �-�-g-q35�.
�;t,, ca,mv sa� , rp code
� /��� ���� �t.iv SSt� 1
Is this application If a usnsfer,give name of former owner Lieense period
�New � Renewal O Transfer From To
If a corporation,give name,ticle,address and date of birth of each officer.If a pannership,give name,address and date of birth of each partner.
Partner/Officer Name and Title Address DO
�-�,i •• ��, �('d��'?f C�r Ct� �i2C'S �S�� C/lt��T��'�e/ !%v��L5 S���� 6 i�/
Partner/OJcer Nsme and Title Address • DO '
�i�L (/�l.�C'r�r , � �S f�(v -� �'/�' �'�' -�abo�l S�'�ic. 5"51v! 7 3� ��
Partner/Officer Name and Title Address �OB
Partner/Officer Name and Title Add�ess DOB
CORPORATIONS
State of ������5�.�_ Date of � .!'� Q'3 Certificate j„�, 1�_��
Incorporation Incorporation 0 Number
Is corporation authorized to do business in MinnesotaT �l�es ❑ No
If a subsidiary of another corporation,give name and address of parent corporation
THE BUILDING '
Name of � Owners �O/ �� � C ���
Building Owner Address
d cJ
D�� I(l �(M.l� v'���2
, c,J • Has the building owner any connection
Are the p�operry taxes delique�t? 0`bs �'IVo direct or indirect,with the a ? �lr�es �No
Describe the premises to be licensed ��t t � �S ��``� ��� '�'��
THE RESTAURANT
What is the During what hours wiil Number of people �
Seating capacity? ��� �� food be avaiiable7 r I�� �� restautant will empby?
How many months per year ;� �11 food service be the principal
will the restaurant be open7 � business of the restaurant? �Ytes �No
` .
. ��o�o�
If this restaurant is i�conjunction with another business(resort.etc.),destxibe the business.
OTHER INFORMATION
1. Have the applicant or associates been granted an o�-sale no�-intoxicat�g mat�beverage(3.2)and/or a"set-up"license
in conjunction with this wine license? � Yes � No
2. Is the applicant or any of the assxiates in this application a member of the counry board or the city council which will
issue this license? ❑ Yes (�No
If yes,in what capacity? . (If the applicant is the spouse of a member of the goveming body, o�
another family relationship exists,the member shall not vote on this application.)
3. During the past license year has a summo�s been issued under the liquor civil liability law(Dram Shop) (MS. 340A 802).
❑ Yes �No If yes attach a copy of the summons.
4. Has the applicant or any of the associates in this application been convicted during the past five years of ar,y violation of
federal, state or local liquor laws in this state or any other state? 0 Yres Q�No If yes,give date and details.
5. Does any person other than the applicants,have any right,title or interest in the fumitu�e,fixtures or equipment in the
licensed premises? �Yes O No If yes give names and details.
��r �/-fti-C GcJ�� EQ cJ/��fil�i�T -' .
�� I�) L i Nt i c"� �Y'�27�- si+i
6. Have the applicants any interests,directty or indirectly,in any other liquor establishments in Minnesota? ❑ Yes�No
If yes,give name and address of the establishment.
I CERTIFY THAT I HAVE REA� THE ABO UES �s�1 AT E ANSWERS ARE TRUE AyD OR ��OF
MY OWN KNOWLEDGE. � �
Siyns of App6eant � , Oat�
IF LICENSE IS ISSUED BY THE COUNTY BOARD;REPORT OF COUNTY ATTORNEY
I certify that to the best of my knowledge the applicants named above are eligibte to be licensed. � Yes O No
If na, state reason.
Siynaan Countv Aaomav Countv Oste
REPORT BY POLICE OR SHERIFF'S DEPARTMENT
This is to certify that the applicant,and the associates,named here+n have not been convicted within the past five years
fo�any violation of Laws of the State of Minnesota,Municipal or County.
Ordinances relating to Incoxicating Liquor,except as follows
Pe�•-�.Sh�nft Depsrtm�nc Name TiH� Signn�r�
- . l�q� -s��
�,
Application No. Date Received By
CITY OF SAINT PAUL, MINNESOTA
APPLICATION FOR ON SALE INTOXICATING LIQUOR LICENSE
SUNDAY ON SALE INTOXICATING LIQUOR LICENSE
PRIVATE CLUB INTOXICATING LIQUOR LICENSE
OFF SALE INTOXICATING LIQIIOR LICENSE
ON SALE MALT BEVERAGE LICENSE
ON SALE WINE LICENSE
Directions: This form must be filled out with typewriter or by printing in ink by the sole
owner, by each partner, by each person who has interest in excess of 57 in the
corporation and/or association in which the name of the license wi11 be issued.
THIS APPLICATION IS SUBJECT TO REVZEW BY THE PUBLIC
1) Application for (type of license) �IV , �L�/N� � ��'L� ��Lr /i/� "
2) Located at (address) � ������ �����%� � �✓L /C� `���U(
3) Name under which business will be operated �(> (�Cy � �S �"✓(,�dL�. �S�CI�%7Q/�,S /��L�'
corp./sole prop./partnership DBA
4) True Name W l[�/�il f'V'J�,,�JF�C/?�: ��� Phone �6 / "� �`-�'7
(First) (Middle) (Maiden) (Last)
Anyone having a 5� interest or more must fill out a separate application.
5) Date of Birth V(�/v� / � � �!�`7" Place of Birth �"JtI/U����. Ot/����
(Month, Day, Year)
6) Are you a citizen of the United States? �_ Native Naturalized
7) Home Address ��d� C�ICf��-zC� ��. 0� /YK' Home Telephone ��j g' ��jY�
5 �7
8) Including your present business/employment, what business/employment have you followed for
the past five years?
Business/Employment Address
K(aG4�.7��1 S �J�ST F�2 � t�au8v� " �L�l��
9) Married? �� If answer is "yes", list name and address of spouse.
J�v �2��c��� s�ag c����� � � . �pcs ss��7
- � �clo -�`G�
,. ,,
10) Have you ever been convicted of any felony, crime, or violation of any city ordinance
other than traffic? Yes. I� No �
- —��—
Date of arrest DC1� , 19 O� Where �ll1QIUc5j/l(.L�
Charge ,�• (>.,.�
Conviction Sentence
Date of arrest , 19 Where
Charge
Conviction Sentence
11) Retail Beer Federal Tax Stamp Retail Federal Tax Stamp will be used.
12) Closest 3.2 Place � ; �(,UF� Church �3"'' School (,c�p,�it('��OT� ��, F�g�
r ` �
13) Closest intoxicating liquor place. On Sale �j���� Off Sale ��S �1 f�,U�- /r`t�•
14) List the names and residences of three persons of Ramsey County of good moral character,
not related to the applicant or financially interested in the premises or business, who
may be referred to as to the applicant's character.
Name Address
�►� �L 3z� i���d P��
�a-�►�� �o� �I77 I,���� �r� (l�N�s �r�
(�`,c�t�l�� M.wl.��.l,�;� ll l�� (o� ��e�la Q Sf-�-?a,�.�.0
15) Address of premises for which application is made � �slf�(.f,'�/ �•�/`�(; S1��J$(1L �S/U(
Zone Classification �� �'C7KN'(..�Q,(�J,tr(__ Phone 4"�O'�'f ( ���
.. -� –
16) Between what cross streets? ��;5`� (�'� ¢� �j1�(.C�s�. Which side of street? �,�, .
17) Are premises now occupied? IUV What Business?
How long?
18) List licenses which you currently hold, or formerly held, or may have an interest in.
/v��
19) Have any of the licenses listed by you in No. 18 ever been revoked? Yes No
If answer is "yes", list the dates and reasons /C/*1�
T
. , ��o -so�
. ,
business is incor orated, ive date of incorporation !�' l ` . 19 0'3
2�) If ! t
and attach copy of Articles of Incorporation and minutes of firs meeting.
21) List all off icers of the corporation, giving their names, office held, home address, and
home and business telephone aumbers.
�,r,� 4u,���� U,c�. �s S�o g ��c,��a � s�. �t�..S .�s�f i7 -
(�t) �Sbg a�u�I C�� a-a�q�'8�f � 1Lt e��� 6 6��`� ��d7 �7- �cic.
5'��a � ��) aa8��9a5a- �w � �-a8-�r���
22) If business is partnership, list partner(s) , address, telephone number, and date of birth.
Name N/�C Address Phone DOB
Name Address Phone DOB
23) Are you going to operate this business personally? ���J If not, who will operate
it? Name Home Address Phone
24) Are you going to have a manager or assistant in this business? ��S If answer is
"yes", give name, home address, home phone and date of birth. �
Name �!y✓t. G�.��o��►�-( cT`{ Address �+Ci'� ( �� ��4E�7 Phone ���1�(�OB ? 3� �
5�i � �5�01
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL
SUBMITTED WILL RESULT IN DENIAL OF TIiIS APPLICATION.
I hereby state under oath that I have answered all of the above questions, and that
the information contained therein is true and correct to the best of my knowledge and
belief. I hereby state further under oath that I have received no money or other
consideration, by way of loan, gift, contribution, or otherwise, other than already
disclosed in the application which I have herewith submitted. .
State of Minnesota )
) �
County of Ramsey )
nd sworn to before me this � � �
Subscribed a
Sig t e f ppl t te
�� day of �� , 19 �
_ " -f- 1 rn-S�
Notary Public �. County, MN ■,,,��n��,����^��M�
''"'�� KRISTt,Va L V�,N HORN
My commission expires , o� ��2� , ��1�" +VrITARV ?UEUC—MINNESOTA �
':AKO1A COUNTY
My Commission Expves Jan.2, 1992 �
V v��yyyVWVVv�
Rev. 2/88 '
. ► `5°�
MINNESOTA DEPARTMENT OF PUBLIC SAFETY i5911611•871
PHONE(612)296-6�59 UQUOR CONTROL DNISION
333 SiBLEY • ST.PAUL.MN 55101
APPUCATION FOR COUNTY OR ClTY ON SALE WINE LIC�ISE
NOT TO D(CFED 14%OF ALCOHOL BY VOLUME
EVERY aUESTION MUST BE ANSWERED. If a corporation,an officer shail execute this application.If a para�ership,a
partner shall execute this application.Jf this is a first application attach a copy of the anides of i�corporation and
by-laws.
Applicants Name IBusiness.Partnership.Corporationl Trade Nsme a OQq, /� _ _ (� �/������
' '� Y�l.�G � L-kr.�u'�KS Zx/C_• �",����
Busmess Address 8usiness Phone Applieants Ham�Phons
� S��c� s�. �<�v � ��S-� c � �16g-o��
c�N CT: �(J(_ ca,��� s��t� rp 55/0 /
Is t is application If a transfer,give name of fom+ar owner License periad
�New ❑ Renewal ❑Transfer From To
If a corporation,give name,title,address and date of birth of each officer.If a partnership,give name,address and dats of birth of each partner.
Panner/Officer Name and Title 4 Address DOB
�1��'�_ �' �(;��?`' ���.
Partne Officer Name�n Title Address • DOB
r't � �'✓l�/�'4��� (f�� �'�S �
Partner/Officer Name and Title Add�ess DOB
Psrtner/Officer Name and Title Address DOB
CORPORATIONS
State of Date of � Certificate �'
��11 Pf f�� Inco � / / �
Incorporation rporation Number � �•
Is corporation authorized to do business in Minnesota? �1Res � No
If a subsidiary of another corporation,give name and address of parent corpo�ation
THE BUILDING '
Name of Owners
Building Owner Address
,�/`f�--� �1� ���l,i(�U �' Has the building owner any connection
� Are the p�operty taxes deliquent? ❑ Yes �No direct or ind'aect,with the applicant�1r�es$�No
Describe the premises to be licensed ��`t�-Y �� r�� �'�'*"�L� `�'` d
THE RESTAURANT
What is the During what hours will / f�, ��,�.�� Number of people �
Seating capacity? ������ food be avaiiable? � `�l�`��restauraM will employ? �`�
How many months per year wll food service be the princ�p
will the restaurant be open?� business of the restaurant? Yes � No
� .
. � o _�ro�
If this restaurant is in conjunction with another business(resorc.etc.),describe the business.
OTHER INFORMATiON
1. Have the applicant or associates been granted an o�•sale non-intoxicating malt►beverage(3.2)and/or a"set-up"license
in conjunction with this wine license? ❑ Yes 0 No
2. Is the applicant o�any of the associates in this application a member of the county board or the ciry council which will
issue this license? �Yes �No
If yes,in what capacity? . (lf the applicant is the spouse of a member of the goveming body, or
another family relationship exists,the membe�shall not vote on this application.)
3. During the past license year has a summo�s been issued under the liquor civil liability law (Dram Shop) (MS. 340A 802).
� Yes �No If yes attach a copy of the summons.
4. Has the applicant or any of the associates in this application been convicte�d/during the past five years of ary violation of
federal, state or local liquor laws in this state or any other state? ❑ Yes U No If yes,give date and details.
5. Does any person other than the applicants,have any right,title or interest in the fumiture,fixtures or equipment in the
licensed premises? �Yes � No If yes give names and details.
��� 5�/�-(;� G✓I� ��UI�Pr�1�it/T,
�f�� 11 I l..l M,��� A�Inl�i+t�
6. Have the applicants any interesis,directly or indirectty, in any other liquo�establishments in MinnesotaT � Yes�No
If yes, give name and address of the establishment.
I CERTIFY THAT I HAVE REAC��A�'l,L� G� 'AND THAT THE ANSWEftS ARE TRUE A� OR ��OF
MY OWN KNOWLEDGE.
Siqnatunof Applieant �e
IF LICENSE IS ISSUED BY THE COUNTY BOARD;REPaRT OF COUNTY ATTORNEY
I certify that to the best of my knowledge the applicants named above are eligible to be licensed. � 1�es ❑ No
If nc, state reason. -
Signscuro Counri Attanev CouncY Oat�
REPORT BY POLICE OR SHERIFF'S DEPARTMEIYT
This is to certify that the applicant,and the associates,named herein have not been convicied within the past five years
for any violation of Laws of the State of Minnesota,Municipal or County.
O�dinances relating to Intoxicating Liquor, except as follows
P��•-�.Shenff Oepsrtment Name Titl� 5�+�
lst -� 7- cl U , ,2nd � ��' � � 9 �
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: 3rd �- ��o � �� Adopted ��' _ .3- C/'(/
A
i Yeas Nays
� DIMOND �'%yQ-.5 D'�
j / �7,Jo2
GOSWITZ
;
,
? LONG �
�l MACCABEE
RETTINAN
THUNE .
MR. PRESIDENT� �1ILSON