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<br />5So.CO - APPLICATION FOR BEER IJCENSE _ County <br /> <br />m~~'. <br /> <br />ApPLICATION FOR BEER LICENSE <br /> <br />To the Hon. Board of County Commissioners of <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 describtj..,an9 a~ the~efor makes the fOll.~gCYresentatio~ <br />1. Name 01 ~pAl!canL::::?("atu.u.D.qjl[~uet'::':::.uXu~~'\\I\'j1g[1fAge ~-)= ..y,",s. <br />Citizenship..nV~lT..m..u.n"""_"""""'h.....m... Place of residenceh...E<fJ/(f3..0..:,rm/l...I.I1.mm <br />For how long past have you been a resident, of the State of North Dakota? ....S5:.~y~~...r.._ <br />2. State whether incorporated.....A).O.................... If so, in what State incorporated?...... ......._...00 ....... <br />Date of charteL.................................. ...._00 ......... 00 ............. .._. _................ Name and address of each officer: <br />-:{!lJd J3alliJl/,!)Pr PNJlcI~V!1-11;tcltJ't./"';? <br />SUe L5c.r/(I1Ji/""- YIN] ;Jf/i?JldIA-t-1 S"ec.,r,dt:t.vy <br /> <br />3. State whether partnership .....00 ............ If so, state name, age, citizenship and place of residence of each <br /> <br />uhCc4~S <br /> <br />partner <br /> <br />. 4, In what business are you now engaged?uu}t!.I!1.frynn4~l~1'f(VI1."J~unuuuun. <br />Business addmsff.&UJOh +/tu2Sullh..!:af.(.t':;1....ur(t yq ~ N [) Sf 1& V <br />D.. I' f h'hl' 'd'd J.....d).""tf fl lb' <br />escnptlOn 0 premises or w IC !cense Iii eSlre : ..........f........................ ...m ._... .m.......... oor 0 ullding <br />located on 10t..mC./....nin block.. ..... ..in.....j;-.?l.f(ff..Q. .................. .......... .....Addition to said City_ <br />...r::!.V.. If so, what crime? ...... <br /> <br />6. Have you pleaded guilty to or been convicted of a crime? <br />In what Coun?............................. ........................,......... ............... Whent.... <br /> <br />7. Wilt you personally conduct the business on premises hereinbefore "described and for which license is ap. <br />plied?...y.fI..... If not, l!.tate name, age, citizen!lhip and place of residertce of person who will be in charge thereof <br /> <br />8. Have you received a license to engage in thr.: retail sale of beer at said premises from the Federal Government? <br />When issued?..............................__. .....h........ ............ Number of license.. u.... _.m..._.....m... on........_. <br /> <br />9. Have you received a license to engage in the retail sale of beer off of (and on) said premises from State of <br /> <br />North Dakota?...................... .... When issued? .................m Number of license m........... <br /> <br />10. Do you promise and agree not to permit di.e violation oC any law of the State of North Dakota on said <br /> <br />premises Lye!.......... <br /> <br />11. Do you promise and agree to abide by the rules and regulations passed by the Board of County Com~ <br /> <br />missioners ?.X-e...!.................. <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 thereoH.. ..1-es ....... ......... .......... ........ <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 sale of beer as herein applied for only at the <br /> <br />place and on the premises designated in this application and in such licen~eL.y~.I......__..._. <br /> <br />The applicant herein does hereby consent that the Chairman of the Board of County Commissio~er&, the Sheriff <br /> <br />and any police officer of the County oL......e..(lU .......... n'''.._. u..........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 sa!e 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 sha.ll never be claimed by him, and that such search, seizu're, and inwection may be made at any time <br /> <br />without a search warrant. Do you agree to each provision of this paragraph?..mn!.c:':J......... <br /> <br />The amount of the,lemittance accompanying this application is $....79-;..../...7. .h..... /1-,"J,.-/f- f)(J(' 1/ <br /> <br />Dated aL.,2J2"../.]Q..(/.8..!aYf../v,.., No"h Dakota, on thi'..mm..2.L... U'''mm..mmu'' ............day <br /> <br />oL....Ftb..........n....................u.....h........m.20..0.9. <br /> <br />Applicant. <br />