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<br />tf06 <br />Number of Shares: m""* <br /> <br />;'HELl) IN THE 1'1'1' TRUST, A GRANTOR TRUST OF WIIICH PATRICK <br />FLAHERTY IS THE GRANTOR. <br />""FROM TIME TO TIME IT IS POSSIBLE THAT SHARES HELD BY PATRICK <br />FLAHERTY AND RICHARD FLAHERTY MA Y BE TRANSFERRED TO DANIEL <br />FLAHERTY AND THOMAS FLAHERTY. <br />H"IIELD IN TIlE RICHAIW G FL\HERTY REVOCABLE TRUST, A GRANTOR <br />TIWST OF WIIICH RICHARJ) FLAHERTY IS THE GRANTOR <br /> <br />Buildin2; Information <br /> <br />In what floor(s) of the establishment will liquor be served or located: FIRST FLOOIX'01\d-6U-Ch..- <br /> <br />etlWt..0JWt0 ~.ti'\L ~ ~ ~ ~ ~ iJ\.G ~ . <br /> <br />In what zoning district is the building located: COMMERCIAL. <br /> <br />Is the location within area where such license is allowed: <br /> <br />00 Yes <br /> <br />DNo <br /> <br />Is the location near an acadcmYicollcgc.:univcrsity/church or high school: <br />00 No <br />D Yes, list approximate distance from such building: <br />Owner of Building: <br />Relationship to I.icense Applicant (if any): <br /> <br />Arc the taxes. assessments and other elaims of the City on the property delinquent: DYes OONo <br /> <br />Slate if you arc in possession of a retail dealer's identification card issued by the liquor control <br />commissioner with an expil"ation date of December 31" of this year and list the number: <br /> <br />00 Yes. Identification N: 421 <br />DNo <br /> <br />Docs applicant intend to sell intoxicating liquor to other than the consumer: <br /> <br />D Yes, explain: <br />00 No <br /> <br />City Liquor Licell'" Applicatloll - FL\IIERTY'S ..\HDEN BOWL L1Q08-04 <br /> <br />Page 5 <br />