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� � r <br />A �i��.�t In�or�atit�� <br />Ja��s R. Hu��, �ssi star�t Sec�^e�ar� <br />A���ica�t l�an�e: fln be�a� f�� ��� � da� �t��i o�stflres, I�c . <br />�o�e Addr�ss: �4�2 �r��d �ve S <br />�'ho�e I��b�r: <br />Mi n�ea o� i s�N ��4�.9 <br />Date af B�rth: :- P�a�e of $ irt�: `�- <br />�ir��esota �Zesiden�: � Yes <br />� ��o; I�d�cate S�ate of Resi���ce. <br />���tec� Stat�s C it�ze�: � Yes <br />� No <br />I� na�ra��zed, sta�e �.nd ��a�e of na�uralizatio�: S�a�e: <br />Pl�.ce: <br />Spc�use �a�e: Na��� B�rke �up� <br />�I��n� A�d�-ess: 5�22 ��an� �ve S <br />M��neapo��s �N ����.9 <br />�as ap�l�can� �r a�y associa�e in ��e appticatior� �v�� been �e�ecte�l a�i�uor �icense by any <br />�ur�icipa�ity or s�a.�e a�tho��ty? <br />� �� <br />� Yes; Ex��ai�: b�.caus�__of I..o�a_� _� ssues__i nvo� v� ��._�.��_.��---_�.�m�.u.�.i.t..._._.�� ` <br />,� � oca i � o� <br />��.s a��lica�t or a�y associa�e �� the applicatio� ever be�� �o�v�c�e� of any li��or �aw v�ola�ion <br />�r any cr��e in ���s ��ate, o�- any ot�e�- st�.te, or ���d�r federal �av�s? �o , f Q r� n�� v i t� � a� o� f i c e�^ s- <br />�o� �da� Stat�or�s�o��s, �n�., �is s�bs�d�ar�es a�d aff� ��at�s o�n <br />��nver� � e�ce s to�e - • • l��era te ove r 3fl� <br />�7 �-� s�gas�� ��e st�t�ons �� �� sia��s, r�ost of w��r_� a�P ��cen��� <br />to �e� � a� cohfl� � c �evera�es . ��l � day a�d��r� � is ������fl�e�s ��ve b.eer� c� �e� �� <br />❑ Y�s; ��ve State and �etails: sa� es of a� co�fll �� �� ��rs �t c�t��r l o�,���.ons . � <br />�as a�plican� or a�y assac�ate in the ap}�l�c�tion bee� a r�e�b�r o���e gaverr�i�g body �f t�e <br />����ci�ality �� �v�ich th�� �icense is �o be issu�d? <br />�3 �� <br />� Ye�; �� w�at ��.�acity: <br />�(� 1 fl �ity Li�quor �,��e�se App�ication <br />Page i of i S <br />