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<br />MAR-26-01 MON 1 :55 PM cry OF FOREST LAKE <br /> <br />FAX KQ 651 464 4968 <br /> <br />OPERATOR'S NAME <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />LiST TWO (2) CHARACTER REFBRBNCES WHO RESIDB IN WASHINGTON COUNTY fOR <br />EACH OF THE ABOVE: <br /> <br />NAME <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />HAS APPLICANT AND OR MANAGER EVER. BEEN CONVICTED OF A CRlME, OTHER THAN <br />A TRAFFIC VIOLATION: <br /> <br />o YES <br /> <br />o NO <br /> <br />IF YES, GIVE SXPLANATION ON A SEPARATE SHEET OF PAPER, INCLUDING TIME. PLACE <br />AND NATURE OF EACH CRlME OR OFFENSE AND DISPOSITION nmREOF, <br /> <br />LIST ALL CREDITORS INVOL YED IN THE CONSTRUCTION AND MAINTENANCE IN ANY <br />WAY PROVIDING DE8T Of EQUITY FINANCING TO SAID OPERATION: <br /> <br />LISTCORPORATI:; OIlPARTNERSHlP TITLE. IF ANY <br />CORPORATE OR. PARTNERSHIP ADDRESS: <br />LIST ALL OFFICERS. MANAGERS OR DIRECTOR.S, IF COIU'ORA nON: <br /> <br />NAMES: <br /> <br />ADDRESSES: <br /> <br />2 <br /> <br />DATE OF BLRTHS: <br /> <br />~ , <br />" " <br /> <br />. <br /> <br />, <br />