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<br />550-CO - APPLICATION FOR BEER LICENSE - County <br /> <br />ApPLICATION FOR BEER LICENSE <br /> <br />To the Hon. Board of County Commissioners oL..__..___..~..a.~~.......--..-..-....-..-..................-........----............--.. <br />County, North Dakota: <br />The undersigned applicant hereby makes application for license to engage in the retail sale of beer off of (and on) <br />the premises hereinafter desC{ibed, and as a f"asis there(cy makes tht ,following representations: <br />1. Name oj aHPlicanL.)n~...~...LlY.\.Y.:'\..-.UY\.'t1.~O!Y..-...-.--.............-...---...-. Age.~J.~f__.years. <br />Citizenship.. t.)..~I\-....... ........... - -....... -.. - --....., ..-. -. Place of residence.Y.533... ---.}.I[Z-.JfA... -1J..v.{.-~-.. ,HOm~ --Nb D7 <br />For how long past have you been a resident of the State of North Dakota? --.-..-..--.......-.......---...-.....~.,----.--..-..-....... <br />2. State whe~e~ il!-yrporated..._._....\f\J.D_............ If so, in what State incorporated ?..---1\.l...L-.?...-----.---.......... <br />Date of charter_....U{J.rI......_..._.c:tJOO.7_..____..................,.___.___..._.............__.......___.._..._. Name and address of each officer: <br />JDluA.- ~ L{'3~~ lltt+Y'\. kW. 7:E ffo'{IJ.-U ~b ~07 <br />~V\. ~~~ l\~~ J\o7-1t^- aW c;;b Hofa.U. Nt:> ~7 <br /> <br />3. State whether partnershiP.._~.tf.o If so, state name, age, citizenship and place of residence of each <br />partner <br /> <br />4. In what business are you now engaged?.,___..Q_YY\~~.~~.........--......... <br />Business address.._.ld.~5.?__....1.lil.fh-....a-v...t--0b.....t.\:r>.ra:-t.Q. N b ~~LfO{ <br /> <br />Description of premises for which license is desired: __._...L~.._............_...___._..___..................___......f1oor of building <br /> <br />located on 10L...._.._.........in block....................inPr.bf..N6_./4'...-'-O'.':':I'5r.':".~~.O..A.ddition to said City, <br /> <br />6. Have you pleaded guilty to or been convicted of a crime?_H.b.._. If so, what crime?_.....__..._.._._.._._____..__.__..h <br /> <br />In what Court ?u............................ ......._... ............ ..... ._..... _ _.., _.._ .__ _ _. When ?- ...- _ -' -. -...-....... ...-.....- -.... - -"---" --- ....... <br /> <br />7. Wi.ll ~u personally conduct the business on premises hereinbefore described and for which license is ap- <br />plied ?...~.\JU..)u. If not, state name, age, citizenship and place of residence of person who will be in charge thereof <br /> <br />--......-..........................................................................................................................-..--......----.......---.......................--.....................-....--.....---.......................-.. <br /> <br />8. Have you received a license to engage in tht; retail sale of beer at said premises from the Federal Government? <br />When issued ?...............NQ............-........-..........-... N um ber of license__ ...--.........-..--.....--------....-...-------.... <br /> <br />N ort: D::~: ~~:..I:I.l).~.~.i.~e::e: :::::~..i.~__ ~.~e._ ~.~~~_~~. ~~l~. ~f_ ,~~_~r ~= :~e~:: I ~c:~::i~.. ~~~.~ ~~.~~. ,f~_O.~, _ ~~~ t.~. .~~ <br /> <br />10. Do yO~p, omise and agree not to permit the violation of any law of the State of North Dakota on said <br />. ? \1 <br />premises. ........f... ......... <br /> <br />11. Do you promise and agree to abide by the rules and regulations passed by the Board of County Com- <br />.. ? ,/,fJr'\ <br />missioners. .........'Y.~.......-... <br /> <br />12. Do you promise and agree not to sell or permit the sale of beer on said premises to a minor, incompetent <br /> <br />person, or a person who is an inebriate or habitual drunkard, or to anyone thereOf?.........-\.f--uA----...-------......-.-......-..--. <br /> <br />13. Do you understand that any license granted upon this application will not be transferable except by <br /> <br />specific authority of said governing body, and will authorize the retail saleof beer as ,hrin applied for only at the <br /> <br />place and on the premises designated in this application and in such license?_._.___~-lJJ.-~...... <br /> <br />The applicant herein does hereby consent ~at the Chairman of the Board of County Commissioners, the Sheriff <br /> <br />and any police officer of the County of..__.......C~........-..----....---...-.-.aforesaid, or any person or persons duly <br />authorized by the Board of County Commissioners of said county may enter upon the premises described <br />in this application at any hour of the day or night, and that they and anyone of them shall have free access to the <br />said described premises and every part thereof for the purpose of inspecting the said premises and the records of this <br />applicant relating to the purchase and sale of beer, and applicant does hereby waive any and all rights that he may <br />have under the Constitution of the United States and the Constitution of the State of North Dakota relative to <br />searches and seizures without issuance or use of a search warrant, and the applicant does hereby agree that such <br />immunities shall never be claimed by him, and that such search, seizure, and ins~~c?,\n may be made at any time <br /> <br />without a search warrant. D~ you agree to each. provi~ion of.thi~ pa~agraph ?--...~.~l... <br /> <br />The amount of the remittance accompanymg this appltcatlOn IS $.-....~....U.V.. <br /> <br />Daxd at.....~o:::r-~.O...--........-...-...-...-...-..., North Dakota, 0 this....__........_.~_D___.....___..___.....__.............day <br /> <br /> <br />OLu....lL\):r.::..L...............20D7 . . ...I~h'h"'hAPpii;~~;:" <br /> <br />