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INFORMATION #1 08-08-2005
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INFORMATION #1 08-08-2005
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<br /> <br />Renewal Application for Optional Liquor 2.AM <br /> <br />License Type: 2AM <br /> <br />Expires On: September 28,2005 <br /> <br />ID Number: 16139 <br /> <br />DBA <br /> <br />Elk River Bowl Inc. <br />Elk River Bowl <br />13161 Hwy 10 W/Box 352 <br />Elk River Iv1N 55330' <br /> <br />Business Phone: 7634417050 <br /> <br />If any of the above licensee information is not correct, please make correcti ons as necessary. <br /> <br />Licensee must report previous 12 month on sale alcoholic beverage gross receipts by checking one of the boxes below. <br />Next to the box you check is your 2 AM license fee. Make check payable to: Alcohol and Gambling Enforcement <br />Division (AGED). Mail this application and check to : AGED, 444 Cedar St. Suite 133, St Paul, MN 55101-5133. <br /> <br />- ~OO 2 AM license fee - Up to $100,000 in on sale gross receipts for alcoholic beverages <br />..1:($500 2 AM license fee - Over $100,000, but not over $500,000 in on sale gross receipts for alcoholic beverages <br />- $600 2 AM license fee - Over $500,000 in on sale gross receipts for alcoholic beverages <br />- $200 2 AM license fee - 32% On Sale Malt Uquor licensees or Set Up license holders . <br />$200 2 AM license fee - Did not sell alcoholic beverages for a full 12 months prior to this application <br /> <br />.Aes _No Does thE; city or county that issues your liquor license allow the sale of alcoholic beverages until 2 AM? <br /> <br />City Clerk/County Au"ditor Si@11ature <br />(J certify that the cj~ or c 6nty of <br />2Mft) <br /> <br /> <br />Date 7--:(S:-OS- <br />approves the sale of alcoholic beverages until <br /> <br />Licensee Signature <br />(I certify th at I ha ve an \ <br /> <br />Date 1- 7c. 5 ..c5 <br /> <br />\ <br />Licensee Minnesota T <br /> <br />Licensee: Prior to submitting this application to the Alcohol & Gambling Enfocement <br />Division you must have this form signed by your local city or county licensing official <br /> <br />Minnesota Department of Public Safety <br />Alcohol and Gambling Enforcement Division (AGED) <br />444 Cedar Street. Suite 133, St P"aul, MN 55101-5133 <br />Telephone 651-296-6979 Fax 651-297 -5259 ITY 651-282-6555 <br />www.dps.state.rnn.us <br /> <br />am Renewal2004 <br />
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