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Home My WebLink About5G - Liquor License Renewals CITY COUNCIL AGENDA REPORT 16200 Eagle Creek Avenue S.E. Prior Lake, MN 55372-1714 MEETING DATE: AGENDA #: PREPARED BY: JUNE 20, 2005 5G JANET RINGBERG, LICENSE CLERK AGENDA ITEM: CONSIDER APPROVAL OF A RESOLUTION APPROVING 2005-2006 LIQUOR LICENSE RENEWALS DISCUSSION: CurrentCucumSfflnces The Prior Lake City Code provides that the City Council must approve the renewal of On-Sale Intoxicating, Sunday Liquor, Off-Sale Intoxicating, Off-Sale 3.2 Malt Liquor, On-Sale Intoxicating, and Club Licenses. All of the licenses expire on June 30 of each year. Attached is a list of the establishments requesting renewal of their liquor licenses. The Issues The Prior Lake Police Department has completed a background check for each of the licensees and has reported that in the past year Express Gas & Groceries and the Holiday Station on Fountain Hills Drive were both cited for selling alcohol to minors on May 19, 2005. Criminal and civil sanctions in accordance with city code are currently pending. Once they are concluded, staff will return to the City Council with recommendations consistent with city code. All applicants have provided the City with renewal applications, fees and proof of liquor liability insurance. Prior Lake City Ordinance 301.600 states that no license shall be granted for operation on any premises for which taxes, assessments or other financial claims of the city are delinquent or unpaid. The Scott County Treasurer's records show that all property taxes for all renewal applicants are current. ALTERNATIVES: The City Council has the following alternatives: 1. Adopt a resolution as part of the consent agenda approving the renewal of the liquor licenses listed on Exhibit A for 2005- 2006 . 2. Remove this item from the consent agenda for further discussion. 3. Deny the renewals. O:\JANET\LICENSING\LIQUOR \REGULA~?cJt!Q~8r~~~L AGENDA.DOCJanet Ringberg Phone 952.447.4230 / Fax 952.447.4245 RESOLUTION 05-XX 16200 Eagle Creek Avenue S.E. Prior Lake, MN 55372-1714 A RESOLUTION APPROVING LIQUOR LICENSE RENEWALS FOR 2005 - 2006 MOTION BY: WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, SECOND BY: Minnesota Statutes Chapter 340A authorizes the City to issue on and off sale liquor and 3.2 licenses, Sunday licenses, and club licenses, and Prior Lake City Code sets forth the application process for such licenses, and Applicants have submitted liquor license applications as set forth in Exhibit A, and Each of the liquor licenses has been investigated and approved by the Prior Lake Police Department, and Pursuant to the Prior Lake City Code section 301.600, "no license shall be granted for operation on any premises on which taxes, assessments or other financial claims of the City are delinquent or unpaid. NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF PRIOR LAKE, as follows: 1. The recitals above are incorporated herein, 2. Exhibit A referenced above are incorporated herein if fully set forth, 3. The liquor licenses for the premises set forth in Exhibit A are hereby approved for the period July 1, 2005 to June 30, 2006 and, 4. All premises shall comply with Prior Lake City Code 301.600 no later than June 30, 2005 to be eligible for licensure. Passed and adopted this 20th day of June, 2005. YES NO Haugen HauQen Fleming Fleming LeMair LeMair Petersen Petersen Zieska Zieska {Seal} City Manager City of Prior Lake 2005 Liquor Resolution.DOT www.cityofpriorlake.com Phone 952.447.4230 / Fax 952.447.4245 I . 16200 Eagle Creek Avenue S.~., .. " Prior Lake, MN 55372-1714 Exhibit A CITY OF PRIOR LAKE 2004 - 2005 LIQUOR LICENSES NAME AND ADDRESS Captain Jack's 3950 Green Heights Trail SW Prior Lake, MN 55372 (952) 440-2582 Dakota Liquor, Inc. 14065 Commerce Avenue NE Prior Lake, MN 55372 952) 447-6661 Express Gas & Groceries 16176 Main Avenue SE Prior Lake, MN 55372 952) 447-4005 Extra Innings Saloon, Inc. 16299 Main Avenue SE Prior Lake, MN 55372 (952) 447-9900 EZ Stop 16735 Franklin Trail SE Prior Lake, MN 55372 (952) 447-5408 Fong's Chinese Cuisine 4770 Pleasant Street Suite 3 Prior Lake, MN 55372 (952 )447-3664 Holiday Stationstore 16800 Duluth Avenue SE Prior Lake, MN 55372 (952) 447-5051 Holiday Station #521 4460 Fountain Hills Drive Prior Lake MN 55372 (952) 403-0377 Hollywood Bar & Grill 16760 Toronto Avenue SE Prior Lake, MN 55372 (952) 440-9800 O:\JANET\Licensing\LIQUOR\REGULAR\2005 LiQ~'\AA~~orlake.com TYPE OF LICENSE On-Sale Intoxicating Off-Sale Intoxicating Sunday On-Sale Off-Sale Intoxicating Off-Sale Non-Intoxicating On-Sale Intoxicating Off-Sale Intoxicating Sunday On-Sale Off-Sale Non-Intoxicating On-Sale Intoxicating Sunday On-Sale Off-Sale Non-Intoxicating Off-Sale Non-Intoxicating On-Sale Intoxicating Sunday On-Sale Phone 952.447.4230 / Fax 952.447.4245 I " O'Malley's On Main, Inc. 16211 Main Avenue SE Prior Lake, MN 55372 (952) 440-8600 On-Sale Intoxicating Off-Sale Intoxicating Sunday On-Sale Perron's Sui Lago 16154 Main Avenue SE, Suite 135 Prior Lake MN 55372 (952) 440-1411 On-Sale Intoxicating Sunday On-Sale Prior Lake VFW #6208 16306 Main Avenue SE Prior Lake, MN 55372 (952) 447-5108 Sunday On-Sale Club License T.J. Hooligan's 16731 Highway 13 South Prior Lake, MN 55372 (952) 447-6668 On-Sale Intoxicating Sunday On-Sale Viking Liquor Barrel 16290 Highway 13 Prior Lake, MN 55372 (952) 447-2127 Off-Sale Intoxicating Village Liquor 16731 Highway 13 South Suite 102 Prior Lake, MN 55372 (952) 447-8830 Off-Sale Intoxicating The Wilds Golf Course 3151 Wilds Ridge NW Prior Lake, MN 55372 (952) 445-3500 On-Sale Intoxicating Sunday On-Sale O:\JANET\Licensing\LIQUOR\REGULAR\2005 Liquor Licenses.doc No. 05-01 Fee $ 150.00 THIS CERTIFIES THAT: LICENSEE Dockside LLC Captain Jack's on Prior Lake 3950 Green Heights Trail TRADE NAME STREET ADDRESS OR LOT AND BLOCK NO STATE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY ALCOHOL AND GAMBLING ENFORCEMENT OFF SALE LIQUOR LICENSE City Prior Lake County Scot t Is authorized to sell intoxicating liquor at off sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 / 1 /05 to 6 / 30 / 06 THIS LICENSE IS APPROVED Alcohol & Gambling Enforcement Director PS9008-03 (2/00) No. 05-02 Fee $ 150.00 THIS CERTIFIES THAT: Mayor or President Given under my hand and the Municipal Corporate Seal City of Prior Lake Date CLERK or Recorder STATE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY ALCOHOL AND GAMBLING ENFORCEMENT OFF SALE LIQUOR LICENSE TRADE NAME Dakota Liquor Dakota Liquors Inc. LICENSEE STREET ADDRESS OR LOT AND BLOCK NO 14065 Commerce Avenue NE Date 6/20/05 City Prior Lake County Scott Is authorized to sell intoxicating liquor at off sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 / 1 /05 to 6 / 30 / 06 THIS LICENSE IS APPROVED Alcohol & Gambling Enforcement Director PS9008-03 (2/00) Mayor or President City of Given under my hand and the Municipal Corporate Seal Date 6/20/05 Prior Lake Date CLERK or Recorder No. 05-03 150.00 STATE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY ALCOHOL AND GAMBLING ENFORCEMENT Fee $ THIS CERTIFIES THAT: OFF SALE LIQUOR LICENSE LICENSEE Extra Innings Saloon Inc. Extra Innings Saloon TRADE NAME 16299 Main Avenue/ Box 411 STREET ADDRESS OR LOT AND BLOCK NO City Prior Lake County Scott Is authorized to sell intoxicatin$, liq,uor at off sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 /1/05 to 6/30/06 THIS LICENSE IS APPROVED Mayor or President City of Given under my hand and the Municipal Corporate Seal 6/20/05 Alcohol & Gambling Enforcement Director PS9008-03 (2/00) Date No. 05-04 150.00 STATE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY ALCOHOL AND GAMBLING ENFORCEMENT Fee $ Prior Lake CLERK or Recorder THIS CERTIFIES THAT: OFF SALE LIQUOR LICENSE LICENSEE O.Malley's On Main Inc O'Malley's On Main TRADE NAME STREET ADDRESS OR LOT AND BLOCK NO 16211 Main Avenue SE/PO Box 669 Date County Scot t City Prior Lake Is authorized to sell intoxicatir liquor at off sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 1 /05 to 6 / 30 / 06 THIS LICENSE IS APPROVED Mayor or President City of Given under my hand and the Municipal Corporate Seal 6/20/05 Alcohol & Gambling Enforcement Director PS9008-03 (2/00) Date Prior Lake CLERK or Recorder .....+--.-........- .. _....~_.~..._-......._..._..........._.._.._._...._._-_..._.~-,.... -....----.--.--......-------.-.-...-....--..-..-....--.. Date No. 05-05 ST A IE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY ALCOHOL AND GAMBLING ENFORCEMENT Fee $ 150.00 OFF SALE LIQUOR LICENSE THIS CERTIFIES THAT: LICENSEE Casey, John R. Viking Liquor TRADE NAME STREET ADDRESS OR LOT AND BLOCK NO 16290 Highway 13/Box 68 City Prior Lake Scott County Is authorized to sell intoxicatir liquor at off sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 1 /05 to 6 / 30 /06 Mayor or President THIS LICENSE IS APPROVED Given under my hand and the Municipal Corporate Seal City of Prior Lake Alcohol & Gambling Enforcement Director PS9008-03 (2100) Date CLERK or Recorder No. 05-06 150.00 STATE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY ALCOHOL AND GAMBLING ENFORCEMENT Fee $ OFF SALE LIQUOR LICENSE THIS CERTIFIES THAT: LICENSEE Junction Liquor Inc. TRADE NAME Village Liquor STREET ADDRESS OR LOT AND BLOCK NO 16731 Highway 13 S/Suite 102 City Prior Lake County Scott Is authorized to sell intoxicating liquor at off sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 /1 /05 to 6 / 30 / 06 Mayor or President THIS LICENSE IS APPROVED Given under my hand and the Municipal Corporate Seal Date 6 / 20/05 City of Prior Lake Alcohol & Gambling Enforcement Director PS9008-03 (2/00) Date CLERK or Recorder ..._..........."..~...... '"'' _............ .........._, . -....--~--~..._..........,...- ...---..... -............ "~-"-------""""~-""'''''''''''''OO _.~...._.. No. 05-07 Fee $ 650 . 00 ~ TInS CERTIFIES THAT: CLUB ON SALE LIQUOR LICENSE LICENSEE TRADE NAME VFW 6208 Prior Lake VFW Post STREET ADDRESS OR LOT AND BLOCK NO 16306 Main Avenue SE/Box 116 City Prior Lake County Scot t Is authorized to sell intoxicating liguor at on sale subject to the laws and regulations of the State of Minnesota and municipal ordinances for the period beginning 7 /1 /D5 to 0/20/06 THIS LICENSE IS APPROVED Alcohol & Gambling Enforcement Director PS91JO-02 (2100) Date Mayor or President City of Given under my hand and the Municipal Corporate Seal Date 6/20/05 Prior Lake CLERK or Recorder , '_.__O>._..-...-....o.......-.--"_____.._._,___,~.__._~.._,,. ,_________._........._.. 00 o I It) o ci z ro .w o rn OJ r::: r::: -r-I :E o o o o C") .. It) ~ ~~ o 8 C/) OJ'Q ~~ .w ~ U) 0 () CD ~ ctl -./ '- .0 t::: Q "t... a .0 C3 ::: Q) r-I Cd 00 s:I o ~ I Q) m s:I Q) t) -" ...:I H o ::J tJ1 -" ...:I ~ o (],) co c..:> en C'- (],)"'O "'O(],) .- .0 > .- (],) "- ~~ o (],) ... 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CJ.)en- W 0 c~~ > ....M 0 .QQ) CO co ..... .... - ID C> ..... s:: O>ID1;) o..::s rJ)..c c W I+- ., .- .... . co I OC) ID I+- ..... t- o.... ~.= en . .... CJ) c rJ) 0 0 On; IDCZ CJ) 0 u 0 W . 0).: =:;:;~ Z 0 f;E rJ) is e in .... .- C Q) t- ~ C (1) ..co..c S - .. t-u.... Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will. be approved or lCeleased until the $20 RetailerID Card feeis received 'by ~..Liquor Control Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code CMBS City/County where license approved. License Period Ending Pt"' i Or"' Lal{ e 6/30/2005:D# 3284 Licensee Name Extra Innings Saloon Inc. Trade Name Extra Innings Saloon Licensed Location address 16299 Main Ave/Box 411 City, State, Zip Code Prior Lake, MN 55372 Business Phone 612/447-9900 LICENSE FEES: Off Sale $ 150. 00 On Sale $ 5300.00 Sunday $ 200.00 Bv sienim! this renewal aooIication. aooIicant certifies that there has been no chanl!e in ownershio on the above Indicate below changes of corporate officers. partners. home addresses or telephone numbers: tJ(t Indicate below any interest whatsoever. directly or indirectlv in other liquor establishments: jJ!II , Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. inc1udine Liquor Control Penalties): I I :J-j I /01 c..5/ ffll& ~/E/2/1rJ ~)J 13dArc~i/~/Z CITe-I? I / ?o/2- Je/2V.f~ ~ ~/~ .?1f/J o~ Indicate below changes of corporate officers. partners. home addresses or telephone numbers: .;J It Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: iJ/1 . Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. including Liquor Control Penalties): I I :l/ I /01 c..5/ f.AJt O/?/<.IfTf 4')J 13#Arc~p~/Z Cf/eO I J ~C)/2- J.efiV.c.Ai ~ ~ ~f/J o/(.. Report below details involving any license reiections or revocations: JJl1 City/County Comments: .'" -r'''. --..-. ..~--'" ......_.,.. .- ._..___..._...._..~._o..._..,.._... ,..._,........,.,. ...._._.... .,_..,_. .........._~,_..._....__._._....._..~_.. ___''_,,_ ._______._------,-_ ~Oas-6D34~ Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will, be approved or released until the $20 Retailer 10 Card fee is received by MN Liquor Control Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code ONSS License Period Ending City/County where license approved. Pt"' i Ot"' La I-< e 6/30/200SD# 3288 Licensee Name T.J. Hooligan's Inc. Trade Name T.J. Hooligan's Pub & Grub Licensed Location address 16760 Toronto Ave BE City, State, Zip Code p.,... i 0.,."' La k e , MN C"C" ....-r.-. ...J...J~/c. Business Phone 512/447-5558 LICENSE FEES: Off Sale $ 0.00 On Sale $ 5300.00 Sunday $ 200.00 Rv ~ip'ninp' thi~ renewal annJic.ation. annJicant certitie.~ that there ha~ heen no c.hanp'e in owner~hin on the ahove Indicate below chanf:es of corporate officers. partners. home addresses or telephone numbers: N0 Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: NjA Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): N{A "~----"-----r-- ....-...,' Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: N~ Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: NbA Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includine Liquor Control Penalties): -L:L {A Report below details involvine any license rejections or revocations: NfA City/County Comments: ~C05-C{)3Y\.02- Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No.license will, be approved orreleased.until the .$20 Retailer JI)Card fee is . received~YMN Eiquoric:ontro1. ..... Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code OFSL City/County where license approved. License Period Ending P t"' i 0 t"' La I.{ e 6/30/200::ID# 3283 Licensee Name Dakota Liquor Inc. Trade Name Dakota L i qual'"' Licensed Location address 14065 Commerce Ave NE City, State, Zip Code Pt"' i Ot"' Lal.{ e, t"1N C:f:" -;--,.-, .J ...J.-/ ( Co Business Phone 612/447-5661 LICENSE FEES: Off Sale $ 150.00 On Sale $ 0.00 Sunday $ 0.00 Bv shminl! this renewal annlication. annlicant certifies that there has been no chanl!e in ownershin on the above Indicate below chanees of corporate officers. partners. home addresses or telephone numbers: h.,).) ,J.-L Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: }J,:)~L Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includinl: Liquor Control Penalties): A..J ~~~. Indicate below chanl:es of corporate officers. partners. home addresses or telephone numbers: \.\)-.) I~'~ Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: tJ..:>,->L. Report below details of liquor law violations (civil or criminal) that have occurred within the last five vears. (Dates. offenses. fines or other penalties. includine Liquor Control Penalties): IJ ~~ ....l\....--. Report below details involvin~ any license rejections or revocations: r.:n ~ ~ City/County Comments: ~OOS-Cf) r 403 Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 No license will. be approved or released until the $20 Retailer ID Card fee is received by MN Liquor Control RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code 3. 20FSL City/County where license approved. Licensee Name Trade Name Licensed Location address City, State, Zip Code Business Phone License Period Ending Pt" i at.. Lak e 6/30/2005D# 16967 North American Inc. Holiday Station #521 4460 Fountain Hills Dr N Prior Lake, MN 55372 952/403-0377 LICENSE FEES: Off Sale $ 50. 00 On Sale $ 0.00 0.00 Sunday $ Rv ~oiJminfJ this rpnpw~1 ~nnHc~tion_ ~nnHc~nt cprtifips th~t thprp h~s hppn no ch~nfJP in ownprshin on thp ~hovp Indicate below chanl:es of corporate officers. partners. home addresses or telephone numbers: 761-4 Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: )PC ;.. IAltl'S( IAI 1JIJ bQhofl~ f1,lllt~ I,) Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin2 Liquor Control Penalties): f.~ /I 7r/,Jb LIIJtt,tt. tJPtlMl,,; . 41idlt #/JIJ ~1}1 /!JtJl41ifJJ W'/r,l(tJItP A- ~;,(f(, ~" tLItlJ:..' - it ~ l' 1'1/,,- OrJlt tl<t ~ ()WAJ4R.. . ...... ...._..._.~~~... ..._..._...._-~--_.._..-....__.. Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: "ld l,r(Al,S( /lJ 1iJfJ b~tioYl' f~It'~ 1,1 ~I() ,. Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): t~1I ?ft,Jb LIIit,1L tJPttrrfi,; . 411 lilt III; f} 1J~1t "'1# tl<~ ~ I!JtJl41i(} ,J J,J'IJLt,J~p ,4 ~1A1l1 J'l6 tLletK - k ~~ 1'1//, IHVAI4Il... Report below details involvin~ any license rejections or revocations: City/County Comments: ".-.....-.--.-.o.....--...-----r----.---......-...._..._.o~.-.".."." Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · 1TY 651-282-6555 · Fax 651-297-5259 y RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will, be approved or released until the' $20' Retailer ID Card fee is received by MN Liquor Control Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code OFSL City/County where license approved. License Period Ending Pt"' i Ot"' Lak e 5/ .3121 / 2 121 121 5D# .3293 Licensee Name Junction Liquor Inc. Trade Name ViII age L i quo t"' Licensed Location address 15731 Hwy 13 S/Suite 11212 City, State, Zip Code Prior Lake, MN 55372 Business Phone q5~/447-8830 LICENSE FEES: Off Sale $ 150. 00 On Sale $ 0.00 Sunday $ 0.00 Rv silmin~ this renewal annlication. annlicant certifies that there has heen no chan~e in ownershin on the ahove Indicate below chanees of corporate officers. partners. home addresses or telephone numbers: Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. including Liquor Control Penalties): .f)ec6+e.Qd read rn ~ n or bu.:t- I don '+ If- m4 huUi b-€~ t-fc(L rem p mtw- more.. ~ 0- / ILEnSL Lt.)~ O1d &:J(~to a- wM Lj ef.)r ~ LLl:l S c> S ~r5 Q90~ Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): ffc{JtL fJecMe.Qd Il1 ~ n or bed- :P :c+- mCu.{ hu ~ don ~+ ~~ cel1A 0- I i'cE1<;;l. !.d.2~ aJd ~2kLto a.. rertl Pfnho;- WM Lj -001 ~ LLn s.. m{)r~ ~n S Lfr$ Q90 ~ Report below details involvin~ any license rejections or revocations: City/County Comments: ",..-.. ,.._,._-,.~ <. Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · ITY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license win; be approved or released until the $20 Retailer ID Card fee is received by MN liquor Con~l Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code CMBS City/County where license approved. License Period Ending Pl""' i Ot"' Lak e 6/30l200~D# 3424 Licensee Name O'Malley's On Main Inc. Trade Name O'Malley's On Main Licensed Location address 16211 Main Ave BE/PO Box 669 City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/440-8600 LICENSE FEES: Off Sale $ 150.00 On Sale $ 5300.00 Sunday $ 200.00. Rv siPTlin9 this renewal annlication. annlicant certifies that there has heen no change in ownershin on the ahovp. Indicate below chanl:es of corporate officers. partners. home addresses or telephone numbers: 1316l.f S }I()ye~ ide C,'rue ~5Q.l!Q(jfl fVl JIl . 553 78' Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: Nit Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. tines or other penalties. includin~ Liquor Control Penalties): }tf\- ..<....--.........._"_..."-"--.._'-,..._-_..~'-~'~_._,._--~-~----~._.~-....._--_._-_.._.. Indicate below chanees of corporate officers. partners. home addresses or telephone numbers: 1316Lj S Aove6 ide C,'rcle ~5({lJa9fl fVl JI) . 553 78' Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: NR Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. including Liquor Control Penalties): rttr Report below details involving anv license reiections or revocations: ~ft City/County Comments: ~Jt ..~ ,.. .""'" ~..._..__.," ' .oO- ....,.... ']' Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by ~I.S. 340A.404 S. 3 to report any license cancellation. L~emeCo& nNR~ City/County where license approved. License Period Ending Pr"' i 0 r"' Lal.( e 1=. ./ .? 01 ./ ;='!7l L71 9D# 1 .~~!=; .-;:"; Licensee Name Perrons' SuI Lago Ltd Trade Name Perrons' SuI Lago Licensed Location address *16154 Main Ave/Suite 135 City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/44QI-1411 LICENSE FEES: Off Sale $ 121.. 1211Z! On Sale $ 53 Quo.. !ZI !ZI Sunday $ 200.. 12110 Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: ri fA . interest whatsoever directl Re )ort below details of Ii uor law violations civil or criminal that have occurred within the last five ears. Dates offenses tines or other penalties. incllldin~ Liquor Control Penalties): rJV+ ,c._"..__._._..._________._~-----" Indic"te b;~iAan~es of corpor"le officers, D"rtners, home addresses or telephone numbers: interest whatsoever directl. Re )ort below details of Ii nor law violations civil or crimimd that have occurred within the last fiVe ears. Dates offenses fines or other penalties. inclndin~ Liquor Control Penalties): rJ~ City/County Comments: ...-......____..,...... .. ,.._..~..........h........._......_..~ __....._..o......,..' Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · ITY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will. be approved or released until the $2(} Retailer 10 C~ fee ~ receiv~ by, MN Liquor Cotltrol, Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code ONSS City/County where license approved. License Period Ending Pt.. i Ot"' Lak e 5/30/2005D# 15599 Licensee Name Pomodori Italian Cafe Inc. Trade Name Pomodori Italian Cafe Licensed Location address 15750 Highway 13 City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/225-2740 LICENSE FEES: Off Sale $ 0. 0121 On Sale $ '5300,00 II ~ -4 7 111-0 Sunday $ 21210.00 Rv signing this renewal annlication. annlicant certifies that there has heen no change in ownershin on the ahove Indicate below chan~es of cOlllorate officers. partners. home addresses or telephone numbers: tiff' Indicate below anv interest whatsoever. directly or indirectly in other liquor establishments: (VIA- I , Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. tines or other penalties. includinJ: Liquor Control Penalties): fY ,ft ' .A.~""."~.~,, .."~..-."-,,,, ,-_t_,~,,~;"_,~_'."4.. .-.,..,_......_-~.....~~~''''t'-~~''._'_.,~~'~-....".~."'.,- ,. .."....--,., , ... Indicate below chanfles of corporate officers. partners. home addresses or telephone numbers: riA, Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: (VI ft I , Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includine Liquor Control Penalties): f}I,A ' Report below details involvine any license rejections or revocations: IV ifJ- t , City/County Comments: c._"......""_'~_.."..~__".~...,,____.....,.--______..........""__.,-"....".... Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 -1TY 651-282-6555 - Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license ~ be approved or released until the $20 Retailer In Card fee is rece,ived bYMN Liquor ~ontro1 < Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code OFSL City/County where license approved. License Period Ending P t"' i 0 t"' La h: e 6/30/200~D# 3282 Licensee Name Casey, John R. Trade Name Viking Liquot.. Licensed Location address 16290 Hwy 13 SE/Box 68 City, State, Zip Code Prior Lake, MN 55372 Business Phone 612/447-2127 LICENSE FEES: Off Sale $ 150.00 On Sale $ 0.00 Sunday $ 0.00 Bv silminl! this renewal annlication. annlicant certifies that there has been no chanl!e in ownershin on the above Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: piA , I Indicate below changes of corporate officers. partners. home addresses or telephone numbers: I//A , I City/County Comments: 8tOOs-ro 3L-f laC] Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TTY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will be approved or released until the $20 Retailer ID Card fee is received by MN Liquor:Control." Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report ~y license cancellation. ' License Code MCLONSS City/County where license approved. License Period Ending P)""'iot"' Lal-<:e 6/3J21/2J211213D# 1237 Licensee Name VFW 6208 Trade Name Prior Lake VFW Post Licensed Location address 1631216 Main Ave BE/Box 116 City, State, Zip Code Prior Lake, MN 55372 Business Phone 612/447-5108 LICENSE FEES: Off Sale $ 0. 1210 On Sale $ 650.1210 Sunday $ 21210.00 Bv sil!l1ine this renewal aoolication. aoolicant certifies that there has been no chanee in ownershio on the above Indicate below changes of corporate officers. partners. home addresses or telephone numbers: IV/A- Indicate below anv interest whatsoever. directly or indirectly in other liquor establishments: ;v/A Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses, fines or other penalties. includin~ Liquor Control Penalties): / Cot/I1/- fi;r17/5 h/J1.11 q/C.C}kCl/ /rGr Ot f?1)YJOr ~d,A0r- :;;v//;7 Com~I&/~1 W0 ~dvc~/ Iv c.c P?~h m;sd Indicate below changes of corporate officers. partners. home addresses or telephone numbers: IN/A- Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: fI/A Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. including Liquor Control Penalties): / COt/I1/- {brl7t5jJ/Y1.J1 qL@t7/ ~r OJ. mJYJOr PeLffir- -:;tV// ~ COI?pI&IP1I U/CL...J ea'Vce/ Iv C(/~I} 177JSd. <::: ( V l L: :s E:E:,. L.e-vr6-L- - Report below details involving any license rejections or revocations: )///1- City/County Comments: /1//A aoo5-COsy 1 0 Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TTY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license w~ be approved or released until the $20 Retailer 10 Card fee is received by MN Liquor ~ontrol . Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code .3. 20FSL City/County where license approved. License Period Ending Pt.. i Ot.. Lake 5/30/2005D# 15958 Licensee Name Holiday Stationstores Inc. Trade Name Holiday Stationstore #198 Licensed Location address 15800 Duluth Ave SE City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/447-5051 LICENSE FEES: Off Sale $ 50 n 00 On Sale $ 0.00 Sunday $ 0. 00 Rv sifJ11infJ this rpnpw~1 ~nnJj("~tion_ ~nnJj("~nt ("priifips th~t thprp h~s hppn no ("h~nfJP in ownprshin on thp ~hovp Indicate below changes of corporate officers. partners. home addresses or telephone numbers: No chanqes Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: HOLIDAY STATIONSTORES, INC. owns and/or operates 167 Holiday Stationstores in Minnesota, 80 of which hold licenses for an Off Sale 3.2 Malt Liquor License. Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): HOLIDAY STATIONSTORES, INC. owns/operates 167 Holiday Stationstores in Minnesota. To the best of Holiday's knowledge, there have been no citations issued related to the sale of alcohol in Prior Lake, Minnesota. Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: No chanqes Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: HOLIDAY STATIONSTORES, INC. owns and/or operates 167 Holiday Stationstores in Minnesota, 80 of which hold licenses for an Off Sale 3.2 Malt Liquor License. Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): HOLIDAY STATIONSTORES, INC. owns/operates 167 Holiday Stationstores in Minnesota. To the best of Holiday's knowledge, there have been no citations issued related to the sale of alcohol in Prior Lake~ Minnesota. Report below details involvin~ any license rejections or revocations: None City/County Comments: 'c_,~".,".~.<_"......,...,.__..~.,~_",.,,_"'.'. ~__""_"_'-"~~"^"""'___'.~""'~~'~ ~,.'. .~. ,.,_......_.~~___~~..._~___"...........___~_.~,."._o otoo:r 003Yl1 Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will be approved or released until the $20 Retailer ID Card fee is received by MN Liquor Control Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code 3. 20FSL City/County where license approved. License Period Ending Pt"' i 0 t"' La 1-< e 6/30/2005D# 16966 Licensee Name Ct"'own Coco Inc. Trade Name Prior Lake EZ Stop Licensed Location address 16735 Franklin Tr SE City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/447-5408 LICENSE FEES: Off Sale $ 50. 00 On Sale $ 0.00 Sunday $ 0.00 Bv shmin2: this renewal annlication. annlicant certifies that there has been no chan2:e in ownershin on the above Indicate below chanf:es of corporate officers. partners. home addresses or telephone numbers: NtA Indicate below any interest whatsoever. directly or indirectlv in other liquor establishments: ~q tfTy-W~ stp~S ~ G\l=f ~ h~ lY)-t6f~C-~t CU~~S Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines Of other penalties. includin~ Liquor Control Penalties): Se.~ -+0 vvU-n ()1r I;) -/4--0) Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: N~ Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: -.lq C::A7r~~ stpl'(.S ~ at+=' ~ h6"Y\ ch-k4~C~t LM~<;S Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines Of other penalties. includinl: Liquor Control Penalties): Se.~ +0 YvU-nCJ1r Id-/4--OJ Report below details involvin\: any license rejections or revocations: ~ fA City/County Comments: Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TIY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license ~ be approved or released until the $20 Retail.er ID Card fee is received by ~ Liquor Control. .. Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. L~~seCo~ 3.20FSL City/County where license approved. License Period Ending Pt... i Ot... L.ak e 6/30/2005D# 16965 Licensee Name Express Gas & Grocery Inc. Trade Name Express Gas & Grocery Licensed Location address 16176 Main Ave City, State, Zip Code Pt"' i Or"' La\-!: e, MN c:- C" -;; -r .-, ...J ..J -..J I .::. Business Phone 952/447-4005 LICENSE FEES: Off Sale $ 50.00 On Sale $ 0.00 Sunday $ 0.00 Rv si9l1im~ this rp.np.w~1 ~nnli("~tion. ~nnli("~nt ("prtifips th~t thprp h~s hppn no ("h~mrp in ownprshin on thp ~hovp Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: rJb4 Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: NIA Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other genalties. includin~ Liquor Control Penalties): 5~~~ +0 ~OYS 1;)-/4-01 Indicate below changes of corporate officers. partners. home addresses or telephone numbers: rJ[A Indicate below anv interest whatsoever. directly or indirectly in other liquor establishments: NlA Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includinl: Liquor Control Penalties): S~~~ -to .. ~mr..s f d -14 -0 I Report below details involvine any license rejections or revocations: -NtA City/County Comments: ._-~-~l'- ..... ,-_..,...--- ...._,. 6\OOS-OOSLl58 Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TTY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will be approved or released until the $20 Retailer ID Card fee is received by MN Liquor Control:. Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code ONSS City/County where license approved. License Period Ending Pt"' i at"' La~: e 6/31Z1/201Z1SD# 6379 Licensee Name Fong-Le Inc. Trade Name Fang's Chinese Cuisine Licensed Location. address 4770 Pleasant St SE City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/447-3664 LICENSE FEES: Off Sale $ 0. 00 On Sale $ 5300.00 Sunday $ 200.1210 By si2nin2 this renewal application. applicant certifies that there has been no chanee in ownershiD on the above Indicate below chanl:es of coqtorate officers. partners. home addresses or telephone numbers: no ck.llM-~{5 Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: (\ I '^'- Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): Y10~~ . _____..__.__o''. ". "", ,~..~___"._.." ,... ,,_."" ".. "..___+.~.,...oo . ..._.00,...., ".."["". '" ..,.." ..........".,_. . ..... , Indicate below changes of corporate officers. partners. home addresses or telephone numbers: no ck~~{5 Indicate below any interest whatsoever. directly or indirectlv in other liquor establishments: (\ I "'- Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. including Liquor Control Penalties): Ylot\-(; Report below details involvine any license reiections or revocations: W>~~ City/County Comments: Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TrY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license will, be approved or released ~ the $20 Retailer ID Card fee is received by MNLiquor Contrc?l Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code ONSS City/County where license approved. License Period Ending Pt"' i at" Lak e E./ 31Z1 / ~'1ZI1Z1 SD# B377 Licensee Name Redhds Inc. Trade Name The Wilds-Restan LLC Licensed Location address 3151 Wilds Ridge City, State, Zip Code P1''' i 01''' La k e, MN 55372 q5~ Business Phone ~/445-3500 LICENSE FEES: Off Sale $ 121. 1210 On Sale $ 5300.00 Sunday $ 200.00 Bv sismilU! this renewal annlication. annlicant certifies that there has been no chan!!e in ownershin on the above Indicate below cham!es of corporate officers. partners. home addresses or telephone numbers: ~ l-A Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or 0 er enalties includin Li uor Control Penalties : ...--".._"...._-_.-"..'.I......._'-_.->....__.~._~'-_._...,_.--..--.-....-..,,- -,._.._._.._~..._,._--,_._".,..~--,-,_.._. Indicate below chan~es of corporate officers. partners. home addresses or telephone numbers: N \-A Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or 0 er enalties indudin Li uor Control Penalties : Report below details involvin~ any license rejections or revocations: i'i/A Citv/County Comments: Minnesota Department of Public Safety Alcohol and Gambling Enforcement 444 Cedar Street, Suite 133 St. Paul, MN 55101-5133 651-296-6979 · TTY 651-282-6555 · Fax 651-297-5259 RENEWAL OF LIQUOR, WINE, OR CLUB LICENSE No license. w~ be approved or released until the $26 Retailer lDCard fee is r~vedbYMNLiquor Con~l_:.'::.~ Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license cancellation. License Code ONSS License Period Ending City/County where license approved. Pt"' i 0 t"' La 1-<: e 6/30/200SD# 13643 Licensee Name North Grove Holdings Inc. Trade Name Hollywood Bar & Grill Licensed Location address *16701 Toronto Ave SE City, State, Zip Code Prior Lake, MN 55372 Business Phone 952/440-9800 LICENSE FEES: Off Sale $ 0. 00 On Sale $ 5300.00 Sunday $ 200.1210 Bv siminl!' this renewal annlication. annlicant certifies that there has heen no cham~e in ownershin on the ahove Indicate below chan&:es of corporate officers. partners. home addresses or telephone numbers: ~/A- I Indicate below any interest whatsoever. directly or indirectly in other liquor establishments: J 1ft . I Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. including Liquor Control Penalties): rJlff I Indicate below chanl:es of corporate officers. partners. home addresses or telephone numbers: ~it1 I Indicate below any interest whatsoever. directlv or indirectly in other liquor establishments: J /;4- . I Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses. fines or other penalties. includin~ Liquor Control Penalties): rJllt / Report below details involvin~ any license rejections or revocations: /0 /4 I City/County Comments: