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Indicate.beWmw chow of corDOrate officers. NOW& home addresses or telephone numbers; <br /> WdiClIte below any interest whatsoever, directiy or indimcf in other lauor establishments: <br /> Remit below details of liauor law violations (civil or criminal) that have occurred within the last five nears, (Dates. offenses, <br /> fines or other penalties. including Liauor Control Penalties,: <br /> 7 dzuF <br /> Resort below details involving anv license reieetions or revocations: <br /> .City/County- Comments: <br />