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(-.,y of <br /> <br />ON-SALE LIQUOR PREMISES EXTENSION <br /> <br />LICENSE APPLICATION <br /> <br />RD <br /> lye? <br /> [[ ~ppliCation to temporarily extend premises to sell <br /> [[ liquor ~npremises~ i ~. ~ ~: :~ <br /> [1:;. ;: LiCense Fee: $20,00 per day' ;i: ::i~I: i:: <br /> <br />STATE OF MINNESOTA <br />COUNTY OF SHERBURNE <br />CITY OF ELK RIVER <br /> <br />T~DE NAME or "Doing Business As" (DBA) <br /> <br />Complete Address of Licensed Es~blishment <br /> <br />Complete Business Address <br /> <br />Event (Describe de. ils of event ) <br /> <br />Date and Time of Event ~-'(-x/'/-~/ ~'./ /qq~> /~:{~/~/(~ '"//~l.'aO//:~d(/~' <br />Explain in detail where liquor will be sold and consumed. (This area must be a compact <br />and contiguous space, attached to the building, and fenced) <br /> <br />o <br /> <br />9o <br /> <br />Dram Shop insurance provided which includes the premise extension. Does your dram <br />shop insurance cover this event. Please attach proof, yi~.~ · <br /> <br />City Council Date <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 />