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<br />Jun,1S, 2002 10:47AM <br /> <br />No 6611 PSIS <br /> <br />D. Ust the full (middle initials not acceptable) names and dates of birth of all individuals <br />to be licensed and working for the applicant in New Brighton. <br /> <br />a. <br /> <br />b. <br /> <br />c. <br /> <br />d. <br /> <br />* <br /> <br />E. <br /> <br />Have you ever been denied a license by any community to conduct the type of <br />business for which this license ill sought? [ ] No [] Yes <br />Ii yes, list all communities, dates, and reason. for denial.. (Attach acIcIitional pages if <br />necesaary) <br /> <br />a. <br /> <br />b. <br /> <br />c. <br /> <br />d. <br /> <br />* <br /> <br />F. <br /> <br />List the names, residential, and. business address. of three :Ramsey County IC!idents of <br />good moral character> not related to the applicant or financial1y interested in the <br />premises or business, who may be referred .to as to the applicant's character. <br /> <br />NAME <br /> <br />RESIDENTIAL ADDRESS BUSINESS ADDRESS PHONE <br /> <br />/ <br /> <br />Go Please provide a description and address of the premises for which the license h <br />requested. Attach blueprints or a certified scallI drawing of the interior. <br />