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I,idi�ate be9ow ctaan�es of cor$orate officers partners home addresses or telephone numbers: <br /> Indicate below anv interest whatsoever directiv or indirectiv in other liquor establishments: <br /> I�e�ort)selow cleCails of liquor law violations (civil or criminall that have occurred within the last five vears. (Dates,offenses. <br /> fia�es o�'ot�ier�aeaaalties estc�udin�I.iquor Con�rol Penalties): <br /> Ite�ort below d�tan6s involvin�v li�:ense rejections oe-revocatious: <br /> City/Countv Coanaeaents: <br /> _� <br />