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• license Fee: $25.00 Per Event <br /> • Checks may be made payable to: <br /> THE CITY OF PEQUOT LAKES <br /> Mailing Address: 4638 Main Street, Pequot Lakes, MN 56472 <br /> Questions regarding this application may be addressed to Administrative Assistant Jennifer Peterson at <br /> 568-5222 <br /> CHECK LIST: <br /> The following should be submitted as part oft is license application <br /> Completed License Application Form <br /> license Fee* <br /> >< Certificate of Insurance evidencing liquor liability coverage to include the expanded area <br /> 71,, License from Minnesota Department of Health, if applicable (this is only required if food <br /> served at the event is not prepared by the permanently licensed premises). <br /> ,7� Description and diagram of the area in which the temporary expansion activity is to occur <br /> >4- Certificate of Compliance - Minnesota Worker's Compensation <br /> (FOR OFFICE USE) <br /> LICENSE FEE PAID <br /> CHECK NO. ' COVVN,try <br /> DATE <br /> LIQUOR LIABILITY INSURANCE RECEIVED c' <br /> LICENSE GRANTED BY THE CITY COUNCIL ON <br /> CITY CLERK <br /> COMMENTS <br /> Page 3 of 9 <br />