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Indicate below chan2es of corporAte officers,partners,he e addresses or telephone numbers: <br /> Woo ge, <br /> ..................... ................................................................................................................................................................................................................................................................................................................................................................. <br /> Indicate below any d'rect indirect interest in other Ii uor estabUshmeats: <br /> gi7_or indi..................... �7;c <br /> A 0 (1 <br /> 0 1) : <br /> 4 �5 <br /> 0 vvn q <br /> Report below detail e occurred within the last five years <br /> (pates.offenses fines or other penalties, including alcohol penalties): <br /> ,A 0 <br /> ............................................................. ................ ............. ....................... <br /> Report below details invokin g any license rejections or revocations: <br /> ............... <br /> . ... ........—-----.....................-—--------............... .............. <br /> Ci_q/County Comments: <br /> .............................................................................................................. .................. ............................................................................................................................................................................................................................................................................................................................................................................. <br /> 43 <br />