RETAIL "OFF 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 IN ORIGINAL PACKAGES ONLY, 3.2 PERCENT MALT LIQUORS, as the same

are defined by law, for consumption "OFF" 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 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 _______________

                                         ____________________________