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WARNING: Section '10169 of the Texas Alcoholic Beverage Code states. '_,a person who Itmkes, a false Statement or' false
<br />ropresentatlon #ri an application for a Permit or license or in a statoment, report, or other instrurrient to be f0ed with the Conirnission and
<br />reqLhred to be sworn commits an offense 1)Unishable by Irnpnsonrnent in the Texas Department of Criminal Justice for not less than 2
<br />nor more than 10 years.'
<br />UNDER PENALTY OF I.AW, HEREBY SWrAR THAT I HAVE READ ALL THE INFORMATION PROVIDED IN THE APPLICATION AMD ANY ATTACHMENTS AND
<br />THe INFORMATION is TRUE AND CORRECT. I ALSO UNDERSTAND ANY FALSE STATEMENT OR REPRESENTATION IN THIS APPLICATION CAN RESULT IN
<br />MY APPLICATION BrING DENIED ANDIOR CRIMINAL CHARGES FILED AGAINST POE. I ALSO AUTHORIZE THE TEXAS ALCOHOLIC BEVERAGE COMMISSION
<br />TO USE ALL LEGAL. MEANS TO VERIFY THE INFORMA 1 104 4 PROVIDED.
<br />PRINT
<br />114AME
<br />Ermir Metaflaj
<br />SIGN
<br />HERE . ..... .. . .....
<br />Member
<br />TITLE
<br />Before me, the undersigned authority, an this day of(A _., 20_1j, the person whose mane is signed to
<br />the foregoing application personally appeared arid, duly sworn by OeKtateS Under oath that he or she has read the said
<br />application and that,all -4,p tar therein set forth are true and correct.
<br />SIGN
<br />HERE
<br />N04,RY PUBLIC
<br />S E A L
<br />CERTIFICATE OF CITY SECRETARY (FOR MB, RM, V & Y)
<br />Section 1137
<br />I hereby certify on this clay of 20-, that the location for which the
<br />license/permit is Sought is onside the boundaries of this city of town, Ina "'wet" area for Such license/permit, and riot
<br />prohlbftcd by charter or ordinance in reference to the sale Of Such alcoholic beverages,
<br />SIGH,rEXAS,
<br />HERE cily Serrotary/Clerk cily
<br />S E A L
<br />CERTIFICATE OF CTY SECRETtion 11.37 & 61 37
<br />I hereby, certify on this d'ay of 20_, that tl"je location for which the
<br />license/permit is souqlht is jTl_slrje the boundaries Of this city or town, in a "'wet" area for such lice nselperm it, and not
<br />prohibited by charter Or ordinance in reference to the sale of such alcoholic beverages.
<br />Election for given Jocatioll vvas field for:
<br />legal sale of all aIcoliolic beverages
<br />legal sale of all alcoholic beverages except mixed beverages
<br />legal sale of afl alcoholic beverages inClUding mixed beverages
<br />legal sale of beertwine 17%) on-prerrdse AFTER Sept. 1, 1999
<br />-j
<br />al safe of beer/wine (14%) on -premise BEFORE Sept. 1, '1999 leq� OR IF ABOVE DOES NOT APPLY� action 69. V7 of the TABC Cade. One for boor
<br />Be advised the location must have had two Oecfion passages per Section 25.14 or 3
<br />and wine off -premise and One far mixed bevynge
<br />E] legal sale of beer and wine for off-prernise consumption only
<br />AND EITHER:
<br />legal safe of mixed beverages
<br />OR
<br />negal sale of mixed beverages in restaurants, by food and beverage certificate holders
<br />(applicant must apply for FB with BG or BE)
<br />-SIGN
<br />TEXAS
<br />HERE
<br />City
<br />S E, A L
<br />Page 3 of 5 Form L -ON (1212017)
<br />IF APPLICANT IS SHOWN AS-
<br />O MUST SIGN:,
<br />WHw.
<br />WARNING AND
<br />Pa:lnei�
<br />Ccuparalpon
<br />01rcel
<br />SIGNATURE
<br />Lln,fLGprieraI
<br />Padner
<br />Perm! "11j,"'a rifler
<br />WARNING: Section '10169 of the Texas Alcoholic Beverage Code states. '_,a person who Itmkes, a false Statement or' false
<br />ropresentatlon #ri an application for a Permit or license or in a statoment, report, or other instrurrient to be f0ed with the Conirnission and
<br />reqLhred to be sworn commits an offense 1)Unishable by Irnpnsonrnent in the Texas Department of Criminal Justice for not less than 2
<br />nor more than 10 years.'
<br />UNDER PENALTY OF I.AW, HEREBY SWrAR THAT I HAVE READ ALL THE INFORMATION PROVIDED IN THE APPLICATION AMD ANY ATTACHMENTS AND
<br />THe INFORMATION is TRUE AND CORRECT. I ALSO UNDERSTAND ANY FALSE STATEMENT OR REPRESENTATION IN THIS APPLICATION CAN RESULT IN
<br />MY APPLICATION BrING DENIED ANDIOR CRIMINAL CHARGES FILED AGAINST POE. I ALSO AUTHORIZE THE TEXAS ALCOHOLIC BEVERAGE COMMISSION
<br />TO USE ALL LEGAL. MEANS TO VERIFY THE INFORMA 1 104 4 PROVIDED.
<br />PRINT
<br />114AME
<br />Ermir Metaflaj
<br />SIGN
<br />HERE . ..... .. . .....
<br />Member
<br />TITLE
<br />Before me, the undersigned authority, an this day of(A _., 20_1j, the person whose mane is signed to
<br />the foregoing application personally appeared arid, duly sworn by OeKtateS Under oath that he or she has read the said
<br />application and that,all -4,p tar therein set forth are true and correct.
<br />SIGN
<br />HERE
<br />N04,RY PUBLIC
<br />S E A L
<br />CERTIFICATE OF CITY SECRETARY (FOR MB, RM, V & Y)
<br />Section 1137
<br />I hereby certify on this clay of 20-, that the location for which the
<br />license/permit is Sought is onside the boundaries of this city of town, Ina "'wet" area for Such license/permit, and riot
<br />prohlbftcd by charter or ordinance in reference to the sale Of Such alcoholic beverages,
<br />SIGH,rEXAS,
<br />HERE cily Serrotary/Clerk cily
<br />S E A L
<br />CERTIFICATE OF CTY SECRETtion 11.37 & 61 37
<br />I hereby, certify on this d'ay of 20_, that tl"je location for which the
<br />license/permit is souqlht is jTl_slrje the boundaries Of this city or town, in a "'wet" area for such lice nselperm it, and not
<br />prohibited by charter Or ordinance in reference to the sale of such alcoholic beverages.
<br />Election for given Jocatioll vvas field for:
<br />legal sale of all aIcoliolic beverages
<br />legal sale of all alcoholic beverages except mixed beverages
<br />legal sale of afl alcoholic beverages inClUding mixed beverages
<br />legal sale of beertwine 17%) on-prerrdse AFTER Sept. 1, 1999
<br />-j
<br />al safe of beer/wine (14%) on -premise BEFORE Sept. 1, '1999 leq� OR IF ABOVE DOES NOT APPLY� action 69. V7 of the TABC Cade. One for boor
<br />Be advised the location must have had two Oecfion passages per Section 25.14 or 3
<br />and wine off -premise and One far mixed bevynge
<br />E] legal sale of beer and wine for off-prernise consumption only
<br />AND EITHER:
<br />legal safe of mixed beverages
<br />OR
<br />negal sale of mixed beverages in restaurants, by food and beverage certificate holders
<br />(applicant must apply for FB with BG or BE)
<br />-SIGN
<br />TEXAS
<br />HERE
<br />City
<br />S E, A L
<br />Page 3 of 5 Form L -ON (1212017)
<br />
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