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Indicate below chimes of corwrate of n-r#nem addresses or tele one numbers <br /> Indicate below any interest whatsoever. directly or indirectly othe r liouor e"sta • <br /> ELmrt below details of liauor law violations (civil or criminal) that have occurred within the last five years. (Date& offe j j§g% <br /> fines or other penalties. including Liauor Control Penalties, <br /> % µ <br /> _ OL <br /> Report below details involving any license reiections or revocations: <br /> .City/County Comments: <br />