d. Beer license/Leonard Golf - Laserfiche WebLink

580-C;O---APPLICATION FOR BEER LICENSE--County a,o,, aAtc,,..,.,,~o,. #.o. APPLICATION FOR BEER LICENSE To the Hon. Board of County Commissioners of ................................................................ :-i ...... 3 ................ County, North Dakota: The undersigned applicant hereby makes application for license to engage in the retail sale of beer off of (and on) the premises hereinafter described,~ _ .--. _,, .~and as a basis therefor makes the foJlowing representations: 1. Nameofapplicant..4.~Ollaaa.-¢~...,~ct~a.l.[~t!.}~ ~{~ 6_.%.r.~,.~.~.~.~. Age years Citizenship ............................................................. Place of residence ......................................................................................... For how long past have you been a resident of the State of North Dakota ? ...................................................................... Date of charter .......... ~.'.'-../'..('..:.~.-.. ................................................................................... Name and address of each officer: 3. State whether partnership ..................... If so, state name, age, citizenship and place of residence of each partner 4. In what business are you now engaged? ........ ?..~'. ........................................................ -(4--.~...J.-~ ............................. Bu siness add ress...,~...-.4...?...~.. ........... ./.-.-357..fi-...--~.- .--6f.~.-- ...-5.-...~. - ......... ..~..~._ ....O~.. _~:~ .c.? /I/~ Description of premises for which license is desired: .................... . .-~..../..~...~.....~._. ................................. floor of building located on lot .................... in block .................... in .................................................................... Addition to said City. 6. Have you pleaded guilty to or been convicted of a crime ?.-....'{/.-O.. ...... If so, what crime? ...................................... In what Court? ................................................................................. When ? ......................................................... 7. Will you personally conduct the business on premises hereinbefore described and for which license is plied ?...~...~..~ ....... If not, state name, age, citizenship and place of residence of person who will be in charge thereof 8. Have you received a license to engage in the retail sale o[ beer at said premises from the Federal Government When issued ?...?..-.../...Z..°.....--~.. ......................................... Number of license.~..9.0..~.a.~..0...-..&.r.~..-..O..~ o 9. Have you received a license to engage in the retail sale of beer off of (and on) said premises from State North Dakota ?_~...'7.../..7. L-...0....~..... When issued? ....... .~'...'7..k~..7...°...~7 ....... Number of ncense...d..~....-...O.(..0..3.-....~. ......... 10. Do you promise and agree not to permit the violation of any law of the State of North Dakota on said premises ? 11. Do you promise and agree to abide by the ru[es and regulations passed by the Board of County Com- missioners ? 12. Do you promise and agree not to sell or permit the sale of beer on said premises to a minor, incompetent person, or a person who is an inebriate or habitual drunkard, or to any one thereof? ............. ~ .................................. 13. Do you understand that any license granted upon this application will not be transferable except by specific authority of said governing body, and will authorize the retail sale of beer as herein applied for only at the place and on the premises designated in this application and in such license? ...... ~ ..... Th,' applicant herein does hereby consent that the Chairman of the Board of County Commissioners, the Sheriff and any police officer of the County of ......... ~ ................................. aforesaid, or any person or persons duly authorized by the Board of County Commissioners of said county may enter upon the premises described in this application at any hour of the day or night, and that they and any one of them shall have free access to the said described premises and every part thereof for the purpose of inspecting the said premises and the records of this applicant relating to the purchase and sale of beer, and applicant does hereby waive any and all rights that he may have under the Constitution of the United States and the Constitution of the State of North Dakota relative to searches and seizures without issuance or use o{ a search warrant, and the applicant does hereby agree that such immunities shall never be claimed by him, and that such search, seizure, and inspection may be made at any time without a search warrant. Do you agree to each provision of this paragraph~~ The amount of the remlttalxce accomDanying this application is $...7~i[{~.ff/~:~..O... Dated at ..... ~~-'f .... North Dakota, on this .......... ~:~...'?.. ............................... day ................................... ............... ........................ Applicant.