RETAIL "ON SALE"
----------------
State of Minnesota, County of ________________________

_________________ OF __________________

To the ______________________ of the _________________ of ___________

_____________________________ State of Minnesota:

_____________________________________________________________________

hereby apply _____________ for a license for a term of _______________

_____________ from the _______________ day of ____________, 20____, to

sell AT RETAIL ONLY, 3.2 PERCENT MALT LIQUORS, as the same are defined

by law, for consumption "ON" those certain premises in the __________

____________________ of _____________________ described as follows,

to-wit: _____________________________________________________________



at which place said applicant _________________ operate _________ the

business of _________________________________________________________

and to that end represent ______________ and state _____________ as

follows:

  That said applicant _____________________ citizen ______________ of

the United States; of good moral character and repute; and ha _______

attained the aged of 21 years; that ______________________ proprietor

____________ of the establishment for which the license will be issued

if this application is granted.

  That no manufacturer of such 3.2 percent malt liquors has any

ownership, in whole or in part, in said business of said applicant

_______ or any interest herein;

  That said applicant ________ make ________ this application pursuant

and subject to all the laws of the State of Minnesota and the

ordinances and regulations of said __________________________________

applicable thereto, which are hereby made a part hereof, and hereby

agree ____________ to observe and obey the same: ____________________

_____________________________________________________________________
     (Here state other requirement, if any, of local regulations)








  Each applicant further states that by the commencement of business
and by July 1 of each succeeding year said applicant will have paid
the Federal Special Occupational tax to the Bureau of Alcohol, Tobacco
and Firearms for a retail dealer.





Dated _______________, 20________        ____________________________

                                         ____________________________

                                                 Applicant __________

                                         P.O. Address _______________

                                         ____________________________