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home addresses or telephone HUM <br /> below �haME of corporate offi ers aartners. z <br /> Indicate below any interest whatsoever. directly or indimctly in other I" or establishments: <br /> Report below details of liquor law violations (civil or criminal) that have occurred within the last five years o <br /> fines or other penalties, including! Liauor Control Penalties): <br /> Ckk <br /> [ L. ck- <br /> Report below details involving anv license relections or revocations: <br /> .City/County Comments: <br />