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17. <br /> <br />Has the applicant, during the five years immediately preceding this application, ever had <br />a liquor license revoked,, or/j,uspended for any violation of such laws or local ordinances? <br />'/'es . No ~ ff yes' give date and details <br /> <br />I8. <br /> <br />Has the applicant, during the past five years, been convicted of any Iiquor law violations <br />gross misdemeanor or fet,,°ny, or any Federal laws? <br />'Yes No - / If yes, give date and details <br /> <br />19. <br /> <br />Has the applicant any interest whatsoever, directly or indir, e~i'y, in any other liquor <br />establishment in the State of Minnesota? Yes__ No If yes, state name <br />and address of each establishment(s). <br /> <br />20. <br /> <br />21. <br /> <br />22. <br /> <br />Furnish the name and address of at least three business references, including one bank <br /> <br />reference. <br /> <br />N e <br />Namiei <br /> <br />Name <br /> <br />Address <br /> <br />Address <br /> <br />Does the applicant possess an unexpired retail dealer's identification card issued by the <br />Liquor Control Commissioner? Yes No '----'If yes, give number <br /> <br />Are the premises now occupied, or to be occupied, by th,~,~.icant entirely separate and <br />exclusive from any other business establishment? Yes ' No If no, state <br />details about other occupants. <br /> <br />I <br />I <br />I <br /> <br />23. <br /> <br />Give Federal Retail Liquor Dealer's Tax Stamp Number, if any. <br /> <br />-104- Page 3 of 4 <br /> <br /> <br />