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<br />I. I <br />,t " <br /> <br />Indicate below ~hangP.!l of col1lorate officers. partners. home addresses or te1~phone numbers: <br /> <br />. , . .' <br /> <br />Indicate below any interest whatsoever. directly or"indirectly in other liqnor estabHJlhments: <br />. .: 'J" ..... ' - . <br /> <br />S~t"l1l W ZO()'! J~~t ""NJ€(,~QA> <br />:S-l'_9. ~, 141..;' ~ I/~tf - Setrl~ """"""-7 <br /> <br />. r.~~i~~' ~~~,J!~~y~ s.k~ flloJo& <br /> <br /> <br />1~,Qo <br /> <br />ReDPrt below detailJl involving any license rejections or revocations: <br /> <br />'eB,,'Cmmf,. Comments: <br /> <br />~.(, IlL.. htJ I,. l , <br />. tJ€#!-/c. of ';J() if. <br /> <br />. <br />. \ <br /> <br />hc,/ael ~s <br />:/'tJ' <br /> <br />du,J$"r:if' <br />