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Indicate below chaeages of corporate off'icers partners home addresses or telephone numbers: <br /> � i � <br /> }�G'i'�C <br /> Indicate below arcy interest whatsoever directiv or indirectiv in other liquor establishments: <br /> ��/��,�/:� <br /> I2eport belo�v�etails o�'liquor law violations(civil or criminall that have occurred withfln the last five vears. (Dates,offenses, <br /> fiaaes or other�senalties includiug I,iquor Control Penalties): <br /> �!G�l`/,C <br /> IZepo�k beiow cletails anvolvin�anv license rejections or revocations: <br /> ` /`j�r <br /> y <br /> City/�oaamm�v Conaanents: <br />