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-154- <br /> <br />17. <br /> <br />18. <br /> <br />19. <br /> <br />Has the appticant, during the five years immediately breceding this application, ever had <br />a [iquor license revoked or suspended for any violation of such laws or local ordinances? <br />Yes No / If yes, give date and details <br /> <br />Has the applicant, during the past five years, been convicted of any liquor law violations <br />~oss misdemeanor or felon,y,, or any Federal laws? <br />Yes No v/ If yes, give date and details <br /> <br />Has the appl!cant any interest whatsoever, directly or indirectly, in any other liquor <br />establishment in the State ofMi~mesota? Yes~ No ~ If yes, state name <br />and address of' each establisln-nent(s). <br /> <br />I <br />I <br />I <br /> <br />20. Furnish the name and address of at least three business references, including one bani( <br /> reference. <br /> <br /> Name Address <br /> ,~.a.~,x~. L.~,c ~,~ro.\ 2D~ ¢~,0;,) ~c cn,~.,~J>v,'c% ;,n,,o b-5'flZ. '7~- 7~-¢~2-~' <br /> Name Address <br /> <br />21. Does the applicant possess ~ unexpired retail dealer's identification card issued by the <br /> Liquor Control Commissioner? Yes No '~ rfyes, give number <br /> <br />I <br />Im <br /> <br />22. <br /> <br />I <br />I <br /> <br />23. <br /> <br />Are the premises now occupied, or to be occupied, by the applicant entirely seParate and <br />exclusive from any other business establishment? Yes 7 No ~ If no, state <br />details about other occupants. <br /> <br />I <br />I <br />I <br />I <br /> <br />i <br /> <br />Give Federal Retail Liquor Dealer's Tax Stamp Nttmber, if any. <br /> <br />Page 3 o1'4 <br /> <br />I <br /> <br />I <br />I <br /> <br /> <br />