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East STATH OF =10=0= IYOR BOARD USE ORLI <br /> SAD AUT PAID <br /> �-R-MUS JPZXTX <br /> L021 FFR E'RI_ <br /> rf <br /> LICENSE 3�02069#OOS EFFSI DATE. 07/01/97 STRATI DATE. 06/30/98 <br /> NAME OF SATI t TUX <br /> OF ESTAELI MKERLE GAMBLIM WILL BE <br /> 01 mmdao <br /> 17541 AVO <br /> V <br /> RosevL110 53113 <br /> ila IS THE pjUpaSjjS LCK20W TE THE CITY LIKE T <br /> DOES YOUR OKK THIS S ITZ?: No <br /> �F j LIST THE LESSORIS <br /> John Pavliak <br /> 1754 AVG <br /> Ron rille 55123 <br /> m OF jpERT'1 LESSOR) <br /> IF <br /> 5 Mum FRET PER 48 AWMNT PAID FAR RENT PER MOUTH: 5 0 O <br /> w FERT P$R D ASI ANOMM SAID PER OCCASION: 0 <br /> y <br /> s nm IS COICUCTED ON THIS P ISES: No IF YSl REFER To n STRUCTXMIS FAR REQU ATTA <br /> 1754 Lazingt= JLVO <br /> Roseville UK 35113 <br /> W= XErORMMgff <br /> 1st Bank of Little <br /> 2 830 Iff R1" St <br /> Litt1 W 55117 <br /> SLIM RAW ACCOMU : 173100293514 <br /> LIST T= gAM# ADDRESS AND TITLE OF AT LSAST TWO PERSONS <br /> do- RI TD SION C=MB AM. KM DZPW I'IS AM WjL% <br /> -as ORGMMZATICK,S EDT GMMML=G <br /> - Rsi11 * 55113 Cesis�at/CBD <br /> Phillip C. Saari 027 Rice St t# <br /> Daniel W. Rietz 2027 Rice Street, Roseville, IN 35 113 vice ryes 1dent <br /> (zz Sum TO CONPLWZZ REVARSZ S OF ISIS APPLICATION) <br /> IN AL T T (1*E. LARGE PRINT+ SRAIIJ UPON RE=% <br /> S FORM .Es DNS ALAI . <br />