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Part 1 - General Information (off Sale Intoxicating) <br />4.(b) continued <br />Residence Address <br />Phone <br />(c) <br />The full name, residence ad3ress and <br />telephone number of the assist- <br />ant manager. <br />4ssistant Manager <br />Phone <br />Residence A+ddress <br />(A Part 11 - Personal History form <br />must be filled out and <br />attached for each of the individuals <br />in 4a, 4b, and 4c.) <br />5.(a) <br />If the applicant is a partnership, state <br />full names, residence and <br />member <br />business addresses, telephone nurrl-ers, <br />and interest of each <br />of the partnership. <br />Interest 9 <br />Full Name <br />Phone <br />Residence <br />Business Addressr <br />Phone <br />Full Name <br />Interest ! <br />Residence <br />_ Phone <br />Business Address <br />Phone _ <br />Full Name <br />_Interest e <br />Residence <br />Phone_ <br />Business Address — <br />Phone <br />Full Name <br />Interest <br />Residence <br />Phone <br />Business <br />Phone <br />(b) <br />The managing partner will be: <br />Name <br />Phone <br />Address <br />(c) <br />The full name, residence ad,'ress and <br />telephone nujr er of the assist- <br />ant manager and any other indivic:ual <br />with management responsibilities <br />of the partnership's premiss to be <br />licensed: <br />Full Name <br />Phone <br />PeF i aence Address — -_-__- <br />