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Elk 7, <br /> l ver <br /> <br />130C,5 C.korLo Pa~kwsy <br /> <br />LICENSE APPLICATION <br />TEMPORARY ON-SALE LIQUOR <br />PREMISES EXTENSION <br /> <br />e <br /> <br />LICENSEE NAME <br /> <br />TRADE NAM~ or "Doing Buainess As" <br /> <br />Complete Address of Licensed Establishment <br /> <br />Lieennee Phone <br /> <br />Business Phone <br /> <br />Event (Describe details of.event) . . <br /> <br />Explain in detail where liquor will be sold and consumed. ('rhis area must be <br />a compact and configuou~ space, attached to the building, and fenced.) <br /> <br />Dram Shop insurance provided which includes the premise extension. Does your dram <br />shop insurance cover this event. Please attach pmo£ Vt ~ . <br /> <br />City Council Date <br /> <br />Phone: 763.441,74~ <br />F,,oc 763.441-7425 <br /> <br />s: \de~k\licen.scs \fiq uoc\ applications \l~q exomapp.doc <br /> <br /> <br />