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13065 Orono Park'way <br />Elk lhver, MN 55330 <br /> <br />LICENSE APPLICATION <br />3.2 PERCENT MALT LIQUOR <br />TEMPORARY ON-SALE <br /> <br /> · License Fee: $30.00/day <br />Dram Shop Insurance is uired for all events held on City <br /> <br />NAME OF ORGANIZATION f L ~. t~,~/EIiL /~'r'~,ee_w ~_~/,~.~o~ ~ ,~mm~m_.,z~ <br /> <br />ADDRESS <br /> OF <br /> ORGANIZATION <br /> <br />NAME OF PERSON MAKING APPLICATION ~~ A. ~'0~,,So <br /> II <br /> <br />APPLICANT'S HOME PHONE <br /> <br />PHONE NUMBER OF ORGANIZATION ~5- ¢¢f- ~/O <br />GIVE ADDRESS OR DESCRIPTION OF PREMISES WHERE 3.2 PERCENT MALT LIQUOR WILL BE <br />SOLD/CONSUMED <br /> <br />DATES FOR WHICH THE ON SALE 3.2 PERCENT MALT LIQUOR LICENSE IS BEING REQUESTED <br /> <br />DESCRIBE EVENT <br /> <br />The applicant states and represents the following: <br /> <br />1 st: That said applicant is a citizen of the United States; of good moral character and repute; and has attained the <br /> age of 21 years. <br /> <br />2nd: That said o~:ganization is a club or charitable, religious, or nonpzofit organization, duty incorporated as a <br /> nonprofit or religious corporation under the taws of the State of Minnesota. <br /> <br />3rd: That said orgamzafion has its registered office and principal place of activity within the City of Elk River. <br /> <br />4th: That said applicant shall make this application pursuant and subject to all the laws of the State of Minnesota <br /> and the ordinances and regulations of the City of Elk River applicable thereto, which are made a part hereof, <br /> and that applicant agrees to observe and obey the same. <br /> <br /> <br />