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CHECK LIST: <br />The following should be submitted as part of this license application: <br />Completed License Application Form <br />License Fee* <br />Certificate of Insurance evidencing liquor liability coverage to include the premises where die <br />liquor will be sold and consumed <br />Description and diagram of the area in which the activity is to occur <br />Signed Hold Harmless Agreement <br />2�hC,V-0a C,j" G -a l -/ o <br />( FOR OFFICE USE) <br />LICENSE FEE PAID <br />CHECK NO. <br />DATE <br />LIQUOR LIABILITY INSURANCE RECEIVED <br />LICENSE GRANTED BY THE CITY COUNCIL ON <br />CITY CLERK <br />�. COMMENTS <br />Page 3 of 3 <br />