274360 M/HITE - GTV CLERK 2`743�0
PINK - FINANCE GITY OF SAINT PAITL Council
CANARV - DEPARTMENT File NO.
BLUE - MAVOR
C'ouncil Resolution
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED, By the Council of the City of Saint Paul, that the
page three of the application form for Liquor Lieenses approved
by C. F. No. 274260 is hereby removed from the application, and the
attached "page three" is inserted in lieu thereof and made a part
of said application which must be completed by all applicants for
On-Sale or Off-Sale Intoxicating Liquor Licenses and Intoxicating
On-Sale Non--Intoxicating Malt Liquor Licenses.
COUNCILMEN Requ�sted by pepartment of:
Yeas M�N Nays �
i
Hozza In Favor
Hunt -
Levine _ O __ Against BY
Me��- ,,-'
Showalter • , „�''
Tedesco 2 9 1980 Form Appro by City Attorney ,/��
Adopted ncil: Date �Q�� �- �
Ce ied P• ed by Council�Sec tary BY""'� �
♦ :
A►pp b Mavor: D t � � �98� Approved by Mayor for Submission ouncil
B - BY
�UL�sSIiF� ;�:`� 2 ����
r �.� �,�--�-�.�
20. �If business is incorporated, give date of incorporation �� h��€��'��9
• and attach copy of Articles of Incorporation and minutes of first meeting.
21. List all officers of the corporation giving their names. office held. home address, and
home and business telephone numbers.
22. If business is partnership, list partner(s) , address and telephone numbers.
Name Address Phone
23. Is there anyone else who will have an interest in this business or premises?
24. Are you going to operate this business personally? If not, who will operate
it? Name Home Address
25. Are you going to have a manager or assistant in this business? If answer is
"yes", give name and hone address and home telephone number.
Name Home Address Phone
------ ---__ --
ANY FAISIFICATION OF ANSWERS GIVEN OR MATERIAL SIIBMITTED WILL RESULT IN DENIAL OF THIS
APPLICATION.
I hereby state under oath that I have answered all of the above questions, and that the in-
formation 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, di-
rect�y, or indirectly, in connection wi.th the transfer of this license, from any person by
way of loan, gift, contribution or otherwise, other than already disclosed in the appli-
cation which I have herewith submitted.
State of Minnesota)
) Signature of a�plicant
County of Ramsey )
Subscribed and sworn to before me this
day of 19
Notary Public, Rsmsey County, Minnesota
My commission expires