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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 suspended for any violation of such laws or local ordinances? <br />Yes No <br /> .. If yes, give date and details <br /> <br />18. <br /> <br />Has the applicant, during the past five years, been convicted of any liquor law violations <br />gross misdemeanor or felony, 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 indirectly, 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. i <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 />Name,~ <br /> <br />Name J j <br /> <br />Address <br /> <br />Address ~ <br />Address <br /> <br />Does the applicant possess an unexpired retail dealer's identification card issued by the <br />Liquor Control Commissioner? Yes No ,5~N. If yes, give number <br /> <br />Are the premises now occupied, or to be occupied, by the applicant entirely sepa/:ate and <br />exclusiT,,e from any other business establishment? Yes .~'s No If no, state <br />details about other occupants. <br /> <br />23. <br /> <br />Give Federal Retail Liquor Dealer's Tax Stamp Number, if any. <br /> <br />-108- Page 3 of 4 <br /> <br /> <br />