Alcohol Lic. Transfer PS I Love You
ABD Licensing - Applicant
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Applicant (WBN000077, P.S. I Love You, Dubuql
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Applicant
Name of Applicant: IpS I Love You, Inc.
Name of Businesslp S I Love You
(D/B/A): .'
Addres.s ofl730 Main Street
Premise: I .
Address Line 2: I
City: I Dubuque
Business Phone: 1(563) 556~ 1308
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j< Transfer Premise
'" New Premise Location Information
P Local Authority Endorsement
It- On-Demand Reporting
>- License History
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County: I Dubuque
CellI Homel
Phone:
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Mailing Address: 1730 Main Street
Mailingl
Address Line 2:
City: I Dubuque
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State: 1 Iowa
Contact Name: I
Phone: 1(952) 653~1033
Email Address: 1
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10/19/2006
ABD Licensing - Transfer Premise
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Transfer Premise (WBN000077, P.S. I Love You,
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~' New Premise Location Information
Licenses may be transferred from one location to another, but only within the bOl
Official.The Transfer Application and all supporting documentation shall be apprc
Iowa Alcoholic Beverages Division before the event takes place. All selling and SE
original licensed location during the period of the transfer. NOTE: If requesting a I
forwarded to the Local Official. If requesting a temporary transfer, a letter of perm
::t' Applicant
:1\- TrClnsfer Premise
'* Local Authority Endorsement
3' On-Demand Reporting
>- License History
Name of Applicant: P.S. I Love You, Inc.
Name of Business (D/B/A): P.S. I Love You
Address of Premise: 730 Main Street
Address Line 2:
City: Dubuque
County: Dubu
>> Reports
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New Premise Address Line 2: Isuite 1
City: I Dubuque -=.J State: Ilowa
(' Temporary Transfer (24 hours through 7 days)
Beginning Date: I
(i' Permanent Transfer
Beginning Date: 13/7/2006
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10/19/2006
ABD Licensing - Transfer Premise
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New Premise Location Information (WBN000077
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Applicant
11
11
# of Bathrooms:
Number of floors where alcoholic beverages will
1> Transfer Premise
:% New Premise Location Information
". Local Authority Endorsement
On-Demand Reporting
Indicate how you have control of premises (Permanent Transfers Only):
r Own
(i" Lease
Submit to the Local Authority a signed copy of the lease/rental agreement for the
or warranty deed.
'J> Lic~nse History
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Submit to the Local Authority a sketch on 81/2 x 11" white paper of the proposed
alcoholic beverages will be sold, served, consumed and stored. Indicate all entra.
bathrooms. If Applicant has Outdoor Service Area Privilege, please include in the
premises.
Outdoor Service Area Dates (if
applicable):
Dates shall correspond with requested outdoor service areas.
From:
MMIDDN
On-Premise Applicant's Only:
1 Select .t..f
Off-Premise Applicant's Only:
10
Is the premise furnished with tables and seats to
time?
Square footage
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10/19/2006
ABD Licensing - Applicant Signature
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Applicant Signature (WBN000077, P.S. I Love Yc
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Se.lrch
Complete the information below and click Finish to complete the application.
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Local Authority Endorsement
On-Demand Reporting
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This application must be completed by a person listed in the Ownership Section.
I hereby declare that all information contained in the Application is true and corn
misrepresentation of material facts in the Application is a crime and grounds for
under Iowa law. I further understand that, as a condition of recieving a license, tn
inspection during business hours by appropriate local, state and federal officials
:t Applicant
:$ Transfer Premise
>> New Premise Location Information
License History
NOTE: The Applicant's Name must match one of the owner's names from the Ownership sc
Applicant's Name: Ipat Mundschenk Date
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Tentative effective date: 13/7/2006
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10/1912006