G L to169/o.
LICENSE NO.
Liquor Legislation Enforcement, United States
APPLICATION FOR DRAMSHOP LICENSE
METROPOLITAN POLICE DEPARTMENT
office of BOARD OF POLICE COMMISSIONERS
To the City Auditor and the Police Commissioners of Kansas City, Missoari:
STATE OF MISSOURI
CoNTY OF JACKsN
191
Metropolitan Police Department
The undersigned
ORD OF POoaCE CONOUES83ONERS.
years last past has resided in Kansas
being duly aworn, upon oath states that he now resides and for
City, Missouri, and has pald taxes therein for the pest year, and hereby makes application for a lioanse to koep
P
LUrense No.
of lawfol sg, belng dely sworn, on his oath states that he has
dramshop (e
a serson of good meral charmeter, and that he is not disqualiied under
From
-years and is well aoqainted with
known for
this state to receive a license to keep a dramshoe: that be is not the agent or representative of, non
any law
Street
s not the agent
r representative of any brewery on
, keen
dramahon (or saloen) a
o disqualified: that he
nortner with, any person
who is an aelicant.
APPLICATION FOR TRANSFER OF
he said
any person or eorporation engaged in the manufarture or sale of intoxioating liqucrs, and thet he
No
Street
is the sole ouner of the said dramhop an
Kansas City, Mo. and krow
DRAMSHOP LICENSE
s character; affiast further states
license is made:
, for whieh this application
No.
that said
and that soeh lieense is applied for and, If used, will be held and used for the sole use and benefit of this applieant
is a person of good moral charaeter and a peaceable eltioen, and
Applicsnt further states that the balding numbered
that
has lived in Ksnsas City, Mo., cortinously for
Street No
stery buildinr, and that the part of said building not to be
in whieh such drimahop is to be located is a.
the last
years, and has paid taxes theerein foe the
used for amid dramshop is ceeupled se folows:
(8tate fer what purpose or business
ax Recelpts
past vear.
Filed
First Resling
191
Suharribed and awom to befere me this
and that the smid belding has the following entranoes
Granted
day of
Refused
91
r any room or portion thereof, in not used for a bawdy house,
Afant further states that said building
coemission expires
assignation house, nor for any other immoral or unlawful parpose, and that said roos in whleh said dramsbop
Prdent Bont of Pelice em s
located is not eoenected by any entrance, eaxit or other means of commaniention with any room or place usod
as a bawdy hous, assignation house,
r for any other immoral or unlawfel rarnose
Babecribed and swom to before me this.
Jaekson County, Missou
Notary Pabie
Foraa fi1led out by 1icensees for operation of saloons in
Commia-
191
My commisaion expires
