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<br />Indicate below chanKes of coroorate officers. partners. home addresses or telephone numbers: <br /> <br />Indicate below any interest whatsoever, directly or indirectly in other liquor establishments: <br /> <br />Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. oft'enses. <br />fines or other penalties. includin2 Liquor Control Penalties): <br /> <br />Report below details invo1vinll any license rejections or revocations: <br /> <br />City/County Comments: <br /> <br />~7 <br />