b. Beer/liquor license-JackNick - Laserfiche WebLink

APPLICATION FOR BEER LICENSE To the Hon. Board of County Commissioners of ......... ~...~. ..................................................................................... 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 descri~_~d, and as a basis therefor makes the following representations: 1. Name of appl_~ant....~-...~x~.f~-,.....~...7 Citizenship ........... ..........................................l lace of ...... For how long past have you been a resident of the State of North Dakota? ...................................................................... 2. State whether_j/~corporated,.,,_, ~ ~ .......... ~z}{~ ........... If so, in what State incorporated ?.._.~..L?_ ......................... 3. State whe~er partnershlp...~ ......... If so, state name, age, citizenship and place of residence of each partner 4. In what business are you now engaged?....i~..L...~. Business address Descriptiori of vremises for which license is desired: ........................................................................ .~,'%'or'~-building 6. Have you pleaded guilty to or been convicted of a crirneL..~ ...... If so, what cr~me ..... ; .................. ~n what Oourt~ ................................................................................. WHen~ 7. Will you personally conduct the business on premises hereinbefore ~escrlbed and for which license plied ?l..~ ....... If not, state name, age, citizenship and place of residenc~ of person who will be in charge thereof 8. Have you received a license to engage in the retail sale of beer at said premises from the Federal Government ? When issued? ............... ~ ......................................... Number of license ................................................... 9. ttave you received a license to engage in the retail sale of beer off of (and on) said premises from State of North Dakota ~ ~)~ ..... ........................... when issueo ......................................... Number of license .............................................. 10. Do you promise and agree not to permit die violation of any law of the State of North Dakota on said 11. Do you promise and agree to abide by the rules and regulations passed by the Board of County Com- 12. Do you promise and agree not to sell or permit the sale of beer on said premises to a minor, incompetent per*on, or a person who is an inebriate or habitual drunkard, or to any one thereof? ......... ~:.~ ..................................... 1~. Doyou understand that any license granted upon this application will not be transferable except by *pecific 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 licenseL The applicant herein does hereby consent ~h~ Chalrmau 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 premise~ 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 ~aid de*cribed 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 ~earche~ and seizures without issuance or u*e of a search warrant, and the applicant does hereby agree that such immunitie~ ~hall never be claimed by him, and that such search, seizure, and inspection may be made at any time without a ~earch warrant. Do you agree to each provision of this paragraphL_.~_~.~ ........... The amount of the remittance accompanying this application is g Dated at .......... .~q~-CZ~.~ .................................... North Dakota, on this ...... ~.-~ ............................. day Applicant.