252304 ORtQTNAL TO CITY CL[RK CITY OF ST. � 2523'�4
, PAUL H EN�� NO.
OFFICE OF THE CITY CLERK
LIC�TSE COl!�I�'i'EE COUN RESOL TIO ENERAL FORM
�
PRESENTED BY
COMMISSIONE ,�.� F'ebrues`y' 2� 1971
�pLVEDs 'Phat appliaation for the transfer of ()n S�,1e Liquor Licen�e isetaed to the
Blue Moon Bar, Incarporated at 428 South Waba�ha Street tv E. J, Kasprsyk�
Inc.
Ine. at the at�e addrs�aes and the application of E. J. Ls�eprzyky�or Standay-•
4n-Sa1e Liquor� 8estaurant, Tavern� Off �i,le I�al.t B�v�ra�ge �d Cigarette
Liaenses far the s�me location, b e ar�d the s�aae axe hereby granted or� the
sondition that within lQ0 daya of thi� dat� s�id E. J. Kasprzyk, Ina.
sha.11 comply wit� e►.11 requiremer�te of the Buresua af Fire� Health, aud
Police, and the bicen�e Tnspector pursaant to the St. Paul Legislativs
Code and all oth�r applicabl• ord3r�an�ea �d l�ws.
F E:8 419.7�1
COUNCILMEN Adopted by the Council 19—
Yeaa Nays
Butler FE�B 4197J
�, Approve� 19—
Levine °°
Favor
�e�e�#k
� ,.� ��' .� �''o
Tedesco ASainat �
� ���,.:;���---��.� EEB 619T1
Mr. Vice President MEredith pUgLISHED
��
, r t
CITY OF SAINT PAUL
Capital of Minnesota
c� ���c���4
eUe a�t�ne�t o ub�C'c �a et
� �
ADMINISTRATION Tenth and Minnesota Streets FIRE PROTECTION
ro�cs DEAN MEREDITH,Commiseioner HEALTH
RALP'H G.MERRILL,Depnty Commissianer
DANIEL P.McLAUGHLIN,License Inapector
February 2, 1971
Honorable Mayor and City Council
5aint Paul, P�ti.nnesota
Gentlemen and Madam:
E. J. Ka�przyk, Ine. makes application fax the
trans£er of On Sale I,iquor License Na. 8017� expiring Jsriu�ry
31� 1972, froffi The Blue Moon Bar, Incorporated at 428 South
W�basha, Street tm E. 3. Kasp�zyk, Inc. at the sam� addre�s.
E. J. Kasprzyk� Inc. �,lso make application for
Sunday-On-Sale Liquor, Restaurant, T�,vern, Off Sale Malt
Bevera�e and Cigare�te Licensee for thea same loc�.tion.
The present l�cense� has held sueh lieenses at
this location sinc� April 1969. The location ha.d be�n
licensed for a �ei�ilar pt�sine�s since 1939.
The offieers of the corporation are FdWard J.
Kaeprzyk� Pre�ident; and Delores M. zyk� 9ice•.pre�eident,
�, ; ;
.
y�y,,,, " �/u��`,'�yC� �-a� �t�; � .'�`-�E'�- .
� ffi 955 to �.969 1�r. Kasprzyk w�s owner and operator
of the �lover Club (L3quor eatabliehment) at 501 IIniversity Avenue.
Mrs. Kasprzyk ie �. housewifea and ha,s no ot�tside employ�en�.
V�ry truly yo�rs�
���G�.w� f��� �
-�
License I�spector
O
♦ � ,
21. Number of So2 placea within two blooks None, so far as I know
�s
22, Closest intoxicating liquor placse o ���e � Off' Ss16GNL65iR - �s��c.
23, Nearest Churoh St. MBtthew Nearest Scshool St. Mathews
24, Number oP boothe 8 Tablea 6 Chaire 24 3toola 18
25, What oocupstion have you follaared fur the past five years. (Give nanbea of
employera '�nd datea so employed.)
Operated Clover Club until june, 1969. Have baen employed for
Frederick Post Company as shipping clerk since then.
26o Give ne�mes and addresses of two peraona, residents oF St. FQUl, Minn., who can give
inform�tion csonoerning you.
N� Donald Cherveny �ddreea 1091 £. Minrtehaha
1�ame Robert E. Faricy �,ddreea 900 Minnesota uild
Si� ure oP p t
E. j. Kasprzyk, Pr sndent of E. J. Kasprzyk, Inc.
Sta te of I�dinne e ota
sa
County of Ramaey
E. j. Kasprzyk being firat duly svrorri, depoaes and saya
upon � e as rea "e or�go ng s�tate�nt bearing �is sign�ature and knowa
the a�ntente thereof, and the►t the �a�me ia true oF hia own �owledge exaep� as to
thoae m�tters thmrein stat�d upon in�ormation and belief �nd as to those me►tters
he belieeaa them to be truee
� r
Sign re o pp� aa
E. j. asprzyk, President of E. J. Kasprzyk, Inc.
gubscribed and swrorn to before �e
thia �� day of January �g 71
�
o ry a, .R�msey oun , ea o .
5-5-77
�y� Comniasion expires - � � .
(Notes Theae statement farms are in duplivate. Both copi�es �uat be fully Pilled
out, no�arized, and returned to the Licsense Divis'7iuu.)
� , r r
C ITY �F SA,INT P$UL
DEP�,RT�TENT_C�' PUBLIC SAFETY
LICENSE-DNISIt,�
i�te janua:y 25 19 71
1 o ApPlicsat ion f or � On-3ale Liquor Licens•
2e Name of applics�nt E. . Kas rz k .
yc�as. w
3. Buaineae addreas l��-6e�8�kv+emter Reaidenee 1031 CBSe Avenue, $t. Paul
4 0 1�de �e g �l an� � �r fe/ i � [ �7VC•
5o Retail Beer Federal Tax Stamp x Retail Liquor Federal Tex Stamp x will, be used.
60 � �hat Ploor loaated Ist Number of rooms uaed Z'Nrp
?o B�tvveen w2�t csrosa stresta Wabasha �(hiah side oP street East
8, Are pa�emisea naw oaoupiedYes 1�hat bueinessOn-Sale Liquor Hanr lcng 30 yeaTs
9, �re premisea nav un000upied �p Ho�v long vaoe�nt Tj/A Previoua use
10, Are you a new o�►ner Yes �ve you been in a similar buainesa bePore Yes
�here 501 Clover Club� Nhen I955 to �969
lla ;�re you going to ope rate thia busineas personally Ye3
IP not� xho vrill opers;te it
120 �re you in any other buainssa at the prasent time No
13, At�ve there been any csa�plainta againet your opsratian of -this type '6P placa No
�hen �Ifhe re
14, Have you ever had any lioense revoked No iVhat rea�on and date
150 .�re you a aitizen of the IInited $tates Ye$ Native X Naturalized
18o y�here rvere you born Silver LBke, Minn. Date of birth 1�nuarY 24, 1922
17e T am �rried, I�y (�rife�s� {�) nama and address is
Delores M. Kasprzvk� 1031 Case Avenue, St. Paul. Minnesota
180 (If m�rried female) my maiden s�ame ia
190 Haw long havs you iived in S'to Paul ' 19 ye8r� `
20, Have you ever been arreated No Violation o£ vvhat criminal law or ordinancs
nawer u y an comp e e yo ese app ice ona �re oroug y o ee an any
a a ica ion �r e aauae Po� en e
" X
Are you a registered voter in the City of St. Paul Yes I�TO.
AFFIDAViT BY �PPLIC�,FT
FOR
� RETAIL BEER OR LIqU08 LIC�NSL
Re� On Sale Liquor License
Na� of applioant__ E. 1• Kasprzyk, � ��Q.
Buainesa addresa 1031 Case Avenue, 3t. Paul, Minnesota 4��� S• L.�o�r•,��
pre you tha aole oamer of this businessY yes. If not, is it a psrtnership?
csorporatiun4 YeS , other?
Others intereated in business, inolude thoae by loan of money, propert� or otherwiaei
�G���s � �G
1�ame � I�i��l9 Addres s10�� ��,�, Haw ��jtGj
(Potentially Minnesota State Bank, 3t. Paul, Minnesota, as assianee of
stock ' a
loan.) -
If a oorporation, giv�e ite naara E. j. Kasprzyk, Inc.
pre you intereated in any way in any other Retail Beer or Liquor busineae4 Yes
As sole oqmer3 partner? 3tocskholderR
Other�riae? (Through loan of maney, etc. Explain�
I hold coritracts for purchase of fixtures and building
�ddraes of auoh businesa e�nd nature oF interest in sams 501 University Avenue
"Clover Club" I have no interest in license at that address
S gna� re' a p
E. J. asprzyk, President of E. J. Kasprzyk, Inc.
gtate of Minneaota
as
County oP Ramse�t
E �a z 'k_ _ . befng Pirat duty sarorn, deposes and says upon
�Fi�tT`ria�`�"i'a�Fia`s�rea<��orego3ng affidavit bearing hia signa�uro and l�aara tha
contenta thereof; that tha sama is true of his own Imawledge, exoept ae to thos•
�tt�era therein stated upon infoz�mation e►nd belief and aa to those me,ttere he be—
lie��a them to be true.
.
3 gna ° PP
E. j. Kasprzyk, President of E. j. Kasprzyk, Inc.
Subsaribed�nd sworn to before me
this y�p -- da of 19 7/
y ics, R�msey oun y, eaots
My ov�n.iaeion expirea 5-5 19 77
. � •
s�T$ c� Mn�uESar�, )
) ss
cam�TY oF ��� )
Edward j. K�sprzyk being firat duly sworn, doth dep0ae
and say that he makse this aPfidavit in oonneotion with appliaatic0s for
" On sale" liquor lioense (" �n S�le" malt beverage licenae) in the City cf
saint p�ul, Minneaota; that your affiant is a reaident of the City of Se�int paul
and has resided therein for Ei9hteen years, f��' montha, arul ia
now and has been for the tim� abave mentioned a bona Pide resident o� said Citq
and that he noar resides �t Nfl, 1031 Case Avenue
�int paul, lMii..nneaota,
$ubacsribed and sworn to before
me this � %-' day of January lg 71
ary o msey Coun y, eao
�r esa�isaion expire� 5-5-77
• CITY OF SAINT PAUL
DEPART�:"�NT CJF PUBLZC S�F'ETY
I,ICSNSE D NIS IO�T
. , �►te �19��
1. Applioation for ' Liceaae
Cr/rL I�S /�
2. Name of appliaant . , sr�
3. Businea� addre�a /a�/ / Residen �Q3�
,--- �r..
4, Tr�de na�, if any '� �� f ��
5. Retail Bser Federal Tax Stamp '�Retail Liquor �ederal Tax Stamp��v3.11 be ueed•
6. C�i �vhat floo�r loeated I� Nwnber of roc�s used Z/
.
7. Between what orose etraetsl�,L�-�����jWhiah aida of atreet ��T
8. Are premises naw oocupied �S Yiliat buainess Ho�r long „�.d
_ ��"
9. Are premises xto� u,nocaupied Haw long vacant Previous Uae
10. Are you a ne�r o�rner Have you been in a aimilar bueineas befpre ��
�here �D) t �1Vhen . �.� J �7� `
.
11. Are yon going to operate thia usiness personally — �
If not, �o wi11 operate i� , .
].2. Are you iu any other buaineas at he present tima �/ �
13. Have there been any aomplaints againat your o�ez•ation of this type of plaae � ,
..._...__,�.,
'When �fhere
14. Have you ever had any lioense revoked_����hat reason and date
15. Are you a citizan of the United States��Native Na�uralized
��
16. Where were you born /��'rV QA� Date of bir�h .�'� �'� � y
��
17, T am �rried. My (�t,lb�+�� (husband's) name and �ddress is
_ . 0�/ �� /��YJ
18. (Zf married female) my m�i.den �ne is �
19, $ow long have you lived in. 3t. Paul
, �� .
20. Have yon ever beaa arreeted�j� Xiolation of what oriminal Iaw or ordinanco
�..,�„�_._�_ ..,�.�
21. Are you a regiatexed voter i.n tha City of S�. Paul � Yes ✓ No•
(1►navuer full and com letel . The�e a �.iaa�ions a thorou h1 checked Anxi �n
f'� aif ioatio�. w��1 be cauae for en3a .
(aVER)
22. Number of 3.2 places within two blocks jj�. .
23. Closest intoxicating liquor place. �i Sale � � (3f'f Sa1e ,
24. Nea re s t Church PJea res t ScP�o 01
/
25. Number of booths ��Tablesi� �hair9�� Stoola Jd
.�,_
26. What occupation have vou �'ollv�ed for the psst five y�aars. (Give names of employers
and date s s o empl��red o)
�
27. Gi�e names and addresses of �two peraons, residents of St, Paul, Minn,, v�ho can giv�s
infox�►aatiQn concernin you
. _ �
Name Address
Name Address a /
� �. �
ignature of App ican
�ta te af &Iinne s ota�
ss
County of Ram.sey )
��I � being f irst duly sworn, deposea and says
upon oath that he ha re t oregoing statement bearing his si�nature and l�rna�rs
the eontents thereof, an t�a he same is true of his osnm kno�rrledge except as to
those matters therein s��t;ed upon information and belief and as to those matters
he ba].�.eves them to be trt�.�.
L
/ L r ��.
' Signature of Applicsant �
Subscribed and_sworn to before me
this � �day of 19��F--
/
No ry Public, Ramsey County, esota
�y Ca�nission expires�s � � 'C� /
�.-----
(Note s These statament forms are in duplicate. Both eo�ies mus� be ftally filled out,
nota.rized, and re�urned to the License Division.�a
� A�FIDAV�T" BY AF'PLICqAT
F4R
� RETAIL BEER OR LI�UOR LTCENSE
�
�►���ES �. �/If�it�� Re= �C'�Sale /�VO�.. License
Name of a pplie&nt � �s.
Business address /O ..� � �/�S� � !/GC', .S T . /�/9�k. L /�� �1/ ti
__._.___ r
Are you the sole o�umer of thia business4 /J��. If not, is it a partnershipR
c orporat ion? � "s , other?
Others interested i.n business, inelude those by loan of mon.ey, property or otherwise:
Na� L":,T /�As���x�Address io3�- CA� � xo� ��c.s•'c%�/'r
�e /o�.'c s /yl. /��P.ez S��i� �/— P�c.s'
.--�- �c�.
If a corporation, give its name. �. ✓. �{S �2 .
_'�_,_,,.T_____
9re you interested in any way in any other retail beax or liquor business? /�d
As sole crwner? Partner? Stvckholder4
Cltherwiss3 (Through ioan of money, etc. Explain)
Address of such business and nature of znterest in same
�
ignature of applican ,
State of Minne s ota�
�ss
Gounty of Ramsey �
� �CS , �� being first duly sw�rn, deposes and says upon oath
t � he has read e foregoin a id�vit bearin� his signature and lrnows the contenta
thereof; that �tha same is true of his a�Jn l�.ovrledge, except as to those xnatters therein
stated upon information and belief and as �to those m,atters he believes them to be true.
�
igna�ure of applicant � , ;
Subscribed and sworn �to before me
this �. day of !�,a�/�.A�Gj 19�
.
otary ublic, ey County, inneso�a
i
�Yy co�nission expires .� ' '� 19�
s�a� � �rn�sa�,
ss
CQUNTY OF RAMSEY
�D�'C S • �S 2 being first duly sworn, doth depoae
and aay that ,she m�kes this aPfidavit in csonnsction with application Por
" �/-Sale" liquor license ("��'� Sale" mslt beverage liaense) in the City
of Saint Paul, Adinnesota; that your affiant is a resident of the State of
DBinnesota and has resided therein. for 1 �� years, months,
and ia no�r and ha a been f or the t ime ab ave ment ianed a b on,a Pide re s ideat of
said State and that s he ncyw residea at ��/ �`
Addrssa
S���'I�' , Minne s o�a.
Cit�r or o,�.
X
Subscribed and sworn to before �
�
this �day of� ��-�--�-.19�
1� ./
otary blic, Ramsey County, M' neaota
M� co�unission expirea � � S 7 �
� • . � ,w•
♦
AFF]]��1IT FC� StAJDAY LIQIIOR I.ICEASE APPLICATION �'
�at� cL ✓. S � Z
Residence Address��,� � ��5� ��/�
Lioensee . ,_ _,f�i��/,� �/�G'. � ,E� /////I�Ii� ���'
���__ _���,
Addreaa of Busineas��� �i��f�SyS/�
....
I hexgby apply f'�r a $peoial 3unday i,iquor licanae.
I have a Restauran.t - ��i►1 (crosa oat one) lioenae �with
seatiang oapaoity* Por �?i people.
Signed
St�te oP Idinne so�a)
_ _ �S$
C o�m� vf Re►xmeey
�
- �(�� , ���? � eing -Piret duly s�rorri, depoees
anc�aays upon oatb t $ h e r tl�e foregofag a�'Pidav3.t bearing hi�
signa�ure an� �l�o� the �a�onteuts 'thereoP; that tfi� same i+� �rt�e oP hie
o�m. ]mrnvledge, exoept ae to tlioee ma�tere there#a et,e►ted upon iaformation
and belief and ae to tho�e m�►ttere he be],ieeea them �o be tr�e:
igna tzra of �li az�t
Subscsribed aad sworn to befc�e sie �
this dag of� 19�
�
. •
otary io, ey Countq, ata
My oam�m.iaeiam e�epirea ) � S 19�
e�_ � S� �� � �'��J�j,��P , ,¢� 7�'Z C� , `f - 7�J
/i
G'
CITY OF ST. PAUL
APPLICATIVN FOR "ON SALE" LIQUOR LICENSE
.�-- �— f� /� .� Application No ..._...._........_
Name of Applicant.����..�....'!!����� �, J 1.����.___. Ag
.._.........._...._ ...... ..._ ..._... e._...,..............._................__G
_ _
�
Residence Addresa.....�.�..3�..................._�S C„_.l�U�._._...-�-----.........................._............ Telephone No...'�.`�..�..._.S�?--�-�--
Are you a citizen of the United Statea?_._.�..�.�.._._.........
Have you ever been engaged in operating a saloon, cafe, soft drink paxlor, or business of similar nature?
..._................��------.._....................................._..._..... ..� 5
.............__._---.......__..__.._..._....._..----........._..._..__..._....._.__..._...._......._.._.........._..__.._.._...........__..._......__...��c
When and where�.......��C---�...`��..(.,_`�S"S_.�Z2....���-:.�.----.�..�..�...�._.�..�.�_.._.....__...__...�,.IOV,_�,..�..,_ Ju .S r L
If corporation, give name and general purpose of corporation....._..........__....._._...._...____...__...._._...__._...._.__..._.._.___._.__..._
�• �_.._ ��/-�s �r z ..�5.._ �_N..� .._.— e.� ��c-.t.�:�.........!�_u s..�:��._ v ��s
_......._.__.__ ...._. ..............._.._........ . ...-�---�--... �. _
�... �._........1 � ..-.—�'
When incorporated?......_...._�.T. .N...:!�i:......�..._..2_.�..._....��_.�`.4...:�.�.-•--•.._......_._............_...._......_....-•----..._...._.___._.... .._... _.........�
If club, how long has corporation owned or leased quarters for club members7....._.__.._.._....._____._._......_..__.......__....___,_,
Ho�v many members?................._..._..__..._._......_...._...__.._...._..._.._..._
Names and addresses of all officers of corporation, and na.me and address of general manag^er. . .. . . . . .. . ..
f'r es E d w..�...�-.d:...___.?�..�..._-----�:-.�-s-..�'�!�'.? �i.....�'.�.... 1.�.3.1. �-'�+s F - S� ��ce
................................�-- �----- -�--_...._....._
..___...._...__.__..___�..........._._.._....._
1�rf�.e.,,...................�el.-`�-2-�-s---.._..��....!..........!�.�:.s...��.�-.�..�:�.....r---!--°--_:�_�.........._.....�s�...._.^_..S�'__P.�!..w�.....__...._
N�mes and addresses of Stockholders:�/
...............�,� w /�iC c� T �) �S .�'�Z��l.�.r...j..�..J...�...(.-•----_...1.�..�..�._�......!:!..V�..-•----......._...._........_
.........................•••.......•••••-..____._._._. �
J
.............................................._....___................._......_......_...._..__...._..._...._.._.._.._ �......--..---...---........------.---._...._..._...._....__.._...._...�-.P�.ti.-s.�........__.......------
�-------._...................�--.---............._.........._._._.__..__...� .--�.-�--.---...-�---..........-----�---....._............................_.........._..__------........._._......_......__........_
Give name of surety company which will write bond, if known..w e:S.7::��.'-..�tJ�....._.�S u f'�-:�f
�....._.._�..�.......M...._.......
Number Street Side Between What Crosa Streets Waxd
� �- &� �Ltf gB�}s/� : Efts� : .��" z'�r�,�a'c�- T��,� �`
: . ; l.vf3��-S ?`�`� �✓� (��r d
How many feet from an academy, college or university (measured ong streets) ?........��(.f.�_:.� ...._....___ _. ...._
. ... ..
How many feet from a church (measured along atreeta) ?.........��.�..............�.0...�%K�..........._._.______._._._.............._._...._..___.._..._
How many feet from closest public or parochial grade or high school (measured along streets) ?..'.`t.�....��....�.a.,�.:.�r.�
/��'3 �iTl���-v s
Name of closest school....S�.�......---�------•..........___._..._......_..-•--�--•-•..........................--
..................................................._---._...._.........._---._........_.._.
How are premises classified under Zoning Ordinance?.............�..:�!...�_!��../..�-.�...,_...:,_...,,...__..._.._..._..._...___..,
On w hat ftoor located?......j_s.r......�L p o 2
. ................_...__....................._..._......._......---..............._......---._...._--�-•-�----..........._......_...._..._....................................--��-----�----...
Are premises owned by you or leased?..�.e�"5.��..If leased give name of owner..W�...4,:?r_'.........�...1..�?��jo.r�
.._
If a restaurant give seating capacity?......................�..v
...-----•-•-�-�---�-�-��.............................................................._...._...._----_._.._.....-•---••---......_._.........._.....__
If hotel, seating ca acity of main dining room7.....__.�..�......1..�:�P�.%r��►-�'�..�.._... ....
-�--.. ...._..---- _ _ _........................................__...--•-•-••-•-----._
Give trade name.---.__.�-:f.J.-E ---�.�-0�•---�-�z�-----------------------------
--------••----------------------------•------------•--------- ----.._..-----•--
Give below the name, or number, or other description of each additional room in which liquor sales are intended:
....... .................... ................--�--_...._...._...._._.... _. ...............___._......._...._...._...._..._..-------_...._.........._....�...._...._...__.......---.._._-----�-�--
.............. ..................l�.,�....�..:�__.._._._._._..._..._....---.._.........__. ..............._...__..._._...........---_._......._....._..........................._.---......_..._...........__._.�..__
x.
............ ..... ........ ........................................._................---.._............................---......._................---------..........................._._.......---�----------_.......................----......-�----.....----._._._...__
(The i�ormstioa above must be given for hotela and restaurants which use more than one room for liquor sales).
Howmany guest rooms in hotel Y...._...._.___._....._-----_.................._......................-•-----...._........____..............._._....._---_................._........_......................_._..
Name of resident proprietor or manager (restaurant or hotel)...._._......._..._......._.__._..._.......
Give namea and addresses of three business referencea:_._..___..._.___..........__.._...._...._....._.._.....__._..._...._..._...__.__..__...._...._...__
1......_._........................_.....-�---.....__._.._.........._.._._.... .._._..__._......._... ..........---•--...__........_.........._..._.......---_...._.__...._............_....__...._.._._..._............_........_
2......__:.............-------._..._.........._.------._............__.._..__..._....._...._......._.._........... ._........._...._.__.._...._._..._.._.__............._......._..._._........_............----�---...._.....---�•--------•
3.__..--��--��-�-�-�----.........._...._....__._._.._....__.._...._._.... ._......... .__.___.._..._.........._...._.__._.................._...._...._.. ._....__.._._.._...._......._._._---_..
THIS APPLICATION MUST BE VERIFIED BY THE APPLICANT, AND IF CORP08ATION, BY
AN OFFICER OF THE CORPORATION I?ULY AUTHOR,IZED TO MAKE THIS APPLICATION; AND
THE SEAL OF THE CORPORATION BE ATTACHED:
� SEE OTHER SIDE
�
STATE OF MINNESOTI�,
COUNTY OF R,AMBEY, �•
...._..__.__ ...._ �yc����,�-� �_,!��-S P�'z y� _. being Srst dul,y sworn,
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deposes and says that he has read the foregoing applicstion and knowa the contents thereof, and that the eame is
true to the best of his knowledge,information and belief.
Subscribed and aworn to before me
��R D �,����_19�
thia.._..._....._.__....__..day of___._
........___...._...__.._.._.... ----......_ . �r._
Notary Public, Ramsey County, Mmn.
My commission expires....�...:__�.�.....�_.�_�....
STATE OF MINNESOTA, $s
COUNTY OF RAMSEY,
_..�.....__ ...__......_._. .._. '.� �L�tJ_14;� .� � ��S _.�_� . . being Sret duly aworn,
---. .._...._. �. .._...._.._. _....__.-----`-�•---_.. ...._�_....� 7�"'
deposea and saYS tha�..........�L.�._..1.5 th �'���...cl�!�.L..
E, J< < � s �'—��-�.�'C... .._.._. ..___._.___�_. , a corporation;
�f....._...._..._...._...._...._..._......................_..----..�._. ..__...P_._... . ..._.. .._.
that..............�?_:e.................................._.........._.....has read the foregoing application and knowe the contents thereof�and that the
sa�ne is true to the best of....__....�..........__..._..._...........knowledge, information and belief; that the seal affixed to the
foregoing instrument is the corporate seal of said corporation; that said application wss signed, aealed and e�ce-
cuted on behalf of said corporation by authority of ita Boaxd of Directors, and said application and the execution
thereof is the voluntary act and deed of said corporation. I►
•--...���,�_ _.,�4�f
Subscribed and sworn to before me
thia_......� f'� ..day of...�.����.�--xg ��
��`:.�r��....._.,��� '
.. _ � .._...._ ...._......-- -----
Notary Public, Ramaey County, Mi . �
My commission expirea_...�5_...._-_ �t'7