Application For Branch License | Pdf Fpdf Doc Docx | Minnesota

 Minnesota   Statewide   Alcohol And Gambling Enforcement Division 
Application For Branch License | Pdf Fpdf Doc Docx | Minnesota

Last updated: 5/16/2016

Application For Branch License

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Minnesota Department of Public Safety ALCOHOL AND GAMBLING ENFORCEMENT DIVISION 445 Minnesota Street, Suite 222, St. Paul, MN 55101 (651) 201-7507 TDD (651) 282-6555 FAX (651) 297-5259 APPLICATION FOR BRANCH LICENSE Wholesaler of: Intoxicating Liquor $3,000 Wholesaler of: Malt Beverages $25 Wholesaler of: Wine - No Fee License Expiration Date: I, for and in behalf of License Number: Date Approved: as (Owner, Partner or Officer) (Trade Name) (Home Office Address) (City) (Zip Code) Phone Number , Fax Number hereby apply for a wholesale branch license to sell alcoholic beverages containing more than 3.2 % of alcohol by weight, as herein designated, at: The branch establishment shall be under the management of Name of Firm Signature of Affiant MAKE CHECK PAYABLE TO: ALCOHOL & GAMBLING ENFORCEMENT DIVISION AMOUNT RECEIVED *Office of Enterprise Technology American LegalNet, Inc.

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