Minnesota > Statewide > Alcohol And Gambling Enforcement Division
Application And Permit For A 1 To 4 Day Temporary On Sale Liquor License - Minnesota
| Application And Permit For A 1 To 4 Day Temporary On Sale Liquor License Form. This is a Minnesota form and can be used in Alcohol And Gambling Enforcement Division Statewide . |
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Minnesota Department of Public Safety Alcohol and Gambling Enforcement Division 444 Cedar Street, Suite 222, St. Paul, MN 55101 651-201-7500 Fax 651-297-5259 TTY 651-282-6555 APPLICATION AND PERMIT FOR A 1 DAY TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE Name of organization Address Name of person making application Date set ups will be sold City Date organized State Minnesota Business phone Type of organization Club Organization officer's name City Charitable Religious State Minnesota Add New Officer Location where permit will be used. If an outdoor area, describe. Other non-profit Zip Home phone Tax exempt number Zip Code X If the applicant will contract for intoxicating liquor service give the name and address of the liquor license providing the service. If the applicant will carry liquor liability insurance please provide the carrier's name and amount of coverage. APPROVAL APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL AND GAMBLING ENFORCEMENT City/County City Fee Amount Date Fee Paid Date Approved Permit Date Signature City Clerk or County Official Approved Director Alcohol and Gambling Enforcement NOTE: Submit this form to the city or county 30 days prior to event. Forward application signed by city and/or county to the address above. If the application is approved the Alcohol and Gambling Enforcement Division will return this application to be used as the permit for the event. Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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