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<br />MAR-25-0t MON 1:55 PM Cry OF ~OF.EST LAKE <br /> <br />FAX N~ 651 454 4368 <br /> <br />P 2 <br /> <br />~ <br /> <br />" <br /> <br />OPERATOR'S N,AMe <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />LIST TWO (2) CHARACTER REiERBNCES WHO RESIDB IN W ASHINQTON COUNTY fOR <br />EACH OF THE ABOVE: <br /> <br />NAME <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />HAS APPLICANT AND OR MANAGER BVBR BBEN CONVICTED OF A CRlMB, OTH5:R THAN <br />A TRAFFIC VIOlATION: <br /> <br />o YES <br /> <br />o NO <br /> <br />IF YES, GIVE BXPLANA nON ON A SEP ARA TB SHEET OF PAPER-INCLUDING TIME, PLACE <br />AND NA'I'URE OF EACH CRIME OR OFFENSE AND DISPOSITION THEREOF, <br /> <br />UST ALL CREDITORS INVOL YEP IN THE CONSTRUCTION AND MAlNTENA."'CB IN ANY <br />WAY PROVID!NG DEBT OF EQUITY FINANCING TO SAID OPERATION: <br /> <br />LIST CORPORATE OR PARTNERSHIP TITLE, IF ANY <br />CORPORATE OR PARTNERSHIP ADDRESS: <br />LIST ALL OFFICfRS. MANAOEl<S OR DIRECTORS. IF CORPORATION: <br /> <br />NAMES: <br /> <br />ADDRESSES: <br /> <br />DATE OF BIRTHS: <br /> <br />2 <br />