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Indicate below changes of corporate officers, partners, home addresses or telephone numbers: <br />Indicate below anv interest whatsoever, directly or indirectly in other liquor establishments: <br />Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. ofTenses. fines nr <br />other penalties, including Liquor Control Penalties): <br />Report below details involving anv license rejections or revocations; <br />Citv/Countv Comments: