1c. Chan Fire Dept. Temp beer lic CITY OF
CHANIIASSEN
690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937-1900 • FAX (612) 937-5739 ktior , A'',-"1"-
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MEMORANDUM F `
TO: Don Ashworth, City Manager
FROM: Karen Engelhardt, Office Manager
' DATE: June 4, 1991
SUBJ: Temporary On-Sale Non-Intoxicating Liquor License
Request, Chanhassen Fire Department, June 15, 1991
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Attached please find an application from the Chanhassen Fire
' Department for an on-sale non-intoxicating beer license for June
15, 1991. They are sponsoring their annual fund raising dance at
the main fire station in conjunction with Public Safety Days.
As of this date, I have not received a copy of the Fire
Department's liquor liability insurance.
' Recommendation
I recommend that the City Council approve the one day on-sale non-
intoxicating beer license for the Chanhassen Fire Department for
June 15, 1991, contingent upon receipt of liquor liability
insurance. I also recommend that a fee of $1. 00 be established.
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11 11. If this is a transfer application, give name, address, or persons
partnership or corporation holding license for the past year.
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12. Who owns the tavern fixtures?
13. What vending or mechanical amusement device company has or will _
have machines on the licensed premise?
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14. Are you a Minnesota resident? _vYes No
' from to
If not, where resident: Dates of Residency
' 15. Have you ever been convicted of violating Federal, State or
Local liquor laws and/or regulations? Yes —No
If yes, explain fully on seperate sheet of paper.
' 16. Applicant, and his associates in this application, will strictly
comply with all the Laws of the State of Minnesota governing
the taxation and the sale of non-intoxicating malt liquor;
' and rules, regulations and ordinances, promulgated by the City
of Chanhassen; and I hereby certify that I read the foregoing
questions and that the answers to said questions are true of
my own knowledge.
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IC ti
' - Sign- _ o A.pl ant
Subscribed and sworn to`,before
me this �,��( day of 2.clIr„.,&„._.,
' 19 Q,
— ) Nary Jublic
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My commission expires -/& -9/.
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KAPEN J.ENCrLueDOT
NOTAFY PV4UD•r' �=OTA
' My commis'nn e� t:-t 1.7
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APPLICATION FOR NON-INTOXICATING LIQUOR LICENSE
"ON" AND "OFF" SALE
CITY OF CHANHASSEN
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HENNEPIN AND CARVER COUNTIES
STATE OF MINNESOTA
This form was prepared for purposes of background investigation
for either or both "On" and "Off" Sale Non-intoxicating Liquor .
License applications. It does not supercede any laws,' rules or
regulations of the Division of Liquor Control regarding the issuance
of liquor licenses. Failure to provide or falsification of infor- '
mation requested may result in denial of the application.
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Trade Name Date of Application II
C'-- ls //9/ -.2A.A.J...i. X-` c'k ...470-1A-e...........)
Licensing Period I
1. Type of Application: Off-Sale Non-Intoxicating
X On Sale Non-Intoxicating - �� A
New Renewal Transfer
2. 1 1
Name of Applicant Phone
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C.1/..4.Q-/. 3/'14• :3 .
Home Address City State
4. 4-4/ Cam. , . ,.6 ,,� i?, , mot= 1
Date of Birth Place o Birth
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5. 11�✓z•�:.t:-Q,Q.Q-tti.J _./i',i�w �:��.U��., 76 /, �cLi,�..�,c iL
Address of Business Location '
6.
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Legal Description
7. List owners of building or premise to be licensed:
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x/ 44. gl.A.0k i •
Corporate or Partners ip Title v .
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II9. -7(,/c ,4,..t,i4, ,--A., •
Corporate or Partnership Address
10. List all partners, officers or directors, if corporation: I
Name Address Date of Birth(1P,_:7„a4.^e,vc , YRr-'e L Ar-e ta•t--kM, /S'i
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,,,,...,_.,..,...„...„.., . P.-7,4 a.4-41,t Z:Pe..W1,1.
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