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City of <br /> <br /> RY ON-SALE LIQUOR PREMISES EXTENSION <br /> <br />. LICENSE APPLICATION <br /> <br />II ~plicaHon to temporally e~end premises to sell' <br /> [I : liqu°r °n ~remises <br /> [l' ' ~ ?cerise Fee: $20.00 Per day ' <br /> <br />STATE OF MINNESOTA <br />COUNTY OF SHERBURNE <br />CITY OF ELK RIVER <br /> <br />o <br /> <br />o <br /> <br />Eve.t (Describe de~ils ofevent) ~~O~ ~~ ~. ~ <br /> <br />Date and Time of Event ~/~r ~~ ¢~ ~/J Yr~ - <br />Explain in de~il where liquor will be sold and consumed. (This area must be a compact <br />and contiguous space, a~ched to the building, and fenced)~y~{~ ~~/~~' ~/~.~' ' . ~~.~~ <br /> <br />Complete Address of Licensed Establishment <br /> aC.. <br />Complete Business Address <br /> <br />Dram Shop insurance provided which includes the premise extension. Does your dram <br />shop insurance cover this event. Please attach proof. <br /> <br />City Council Date <br /> / <br /> <br />Contact the Police Chief at 441-2324 for further instructions. <br /> <br />13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · TDD & Phone: (612) 441-7420 · Fax: (612) 441-7425 <br /> <br /> <br />