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<br />, <br /> <br />Indicate below l!hangP.-CI of cOl:porate ofiicers. partners. home addresses or telephon~ nnmhen;: <br /> <br />.~ <br /> <br />. . <br />Indicate below any ~terest whatsoever. directly or indirectly in other liquor establishments: <br /> <br />Report below details of liquor law violations (civil or crfminal) that have occurred within the last five years. (Dates. offenses. <br />ftnP.-CI or other pP.Da1ties. includinr Liquor Control Penalties): <br />. . . <br /> <br />........":" 00 <br /> <br />Report below details involving any liCense ~ections or revocations: <br /> <br />City/County Comments: <br /> <br />\1 <br />