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5.j) Meister's App for Temp Liquor Licensej J ,SCANDIA City of Scandia 14727209 th Street North Scandia, Minnesota 55073 (651) 433-2274 www.ci.scandia.mn.us APPLICATION FOR TEMPORARY OFF -PREMISE SALES LIQUOR LICENSE Minnesota Statute 340A.404 allows that the governing body of a municipality may authorize a holder of a retail on -sale intoxicating liquor license issued by the municipality to dispense intoxicating liquor off premises at a community festival held within the municipality. The authorization shall specify the area in which the intoxicating liquor must be dispensed and consumed, and shall not be issued unless the licensee demonstrates that it has liability insurance as prescribed by section 340A.409 to cover the event. Attach a drawing of the alcohol sales area with scaled dimensions. Indicate how the area will be enclosed, the location of tables and chairs, alcohol serving area, and other important features. Applicant Signature City Administrator: I Date: Liquor Liability Insurance on file: Date APPROVAL �f ,— � f � c �S 1 r' , E" Fee Paid: A, 5, W Applicant: e� e� Business Name: l Address: Phone: — — E-mail Address: Name of Community Event: Event 9 Date: Hours of Operation: Rvo ay-YN &0() PN Sponsor of the Event: S CI _ E-mail Address: Organization Officer's Name: Phone: Attach a drawing of the alcohol sales area with scaled dimensions. Indicate how the area will be enclosed, the location of tables and chairs, alcohol serving area, and other important features. Applicant Signature City Administrator: I Date: Liquor Liability Insurance on file: Date APPROVAL �f ,— � f � c �S 1 r' , E" Fee Paid: A, 5, W �n a T��.n ►� �•rG r-��--ti • O � t3�cl_4NL s c�1 t a'Y rZ fi -� T QD 1,4 T 1,