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Indicate below changes o f corporate officers, ,partners, home r r telgphone num hers; <br />elo �1 +- 4 — <br />Neu; -�v Gratid 41;6k-4- M#vk- Ne, /��a3 �54-4'114vai4 Ave - &0 #%3 r i " Ile- , JVA) T'�l /-3 <br />&S-1 - t3/ - +92- -7 <br />N e, CO --r fZIP? a n C: to al frea Ve4axv- K - a. 0. i & - -- <br />Report below details of liquor, law violations (civil or criminal) that have occurred within the <br />last five ears. Dates offenses fines or other venalties, including Uquor Control penalties. <br />Depart below details involving any license rejections or revocations. <br />City /County Comments: <br />