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APPLICATION FOR STATE RETAIL ALCOHOLIC BEVERAGE …

APPLICATION FOR STATE RETAIL ALCOHOLIC BEVERAGE LICENSE NORTH DAKOTA OFFICE OF ATTORNEY GENERAL LICENSING SECTION SFN 11066 (04-2020)Please type or print. The undersigned applicant states that the following information is true and NumberLicense Year New License Re-ApplicationIndividualCorporationLimit ed Liability CompanyPartnershipCooperative AssociationOther (Please Explain)Name of Individual Applicant, or Applicant's Legal Business NameName of Person Completing and Signing Form (must be person listed in ownership information or manager) Your TitleName of Manager (must have on file already or complete SFN 10866 "Personal Information Form")Telephone NumberDBA (Doing Business As) NameBusiness Telephone NumberBusiness Street AddressCityZIP CodeCountyCityStateZIP CodePerson to Contact Regarding APPLICATION QuestionsName Telephone NumberE-mail AddressOwnership or Governing Board Information (required section).

APPLICATION FOR STATE RETAIL ALCOHOLIC BEVERAGE LICENSE NORTH DAKOTA OFFICE OF ATTORNEY GENERAL LICENSING SECTION SFN 11066 (04-2020) Please type or print. The undersigned applicant states that the following information is true and correct. License Number License Year New License. Re-Application Individual. Corporation. Limited Liability ...

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