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17. <br /> <br />Has an), one of the officers/shareholders, during the past five years, been convicted of any <br />liquor law violations, ~oss misdemeanor or felony, or any Federal laws. <br />Yes No ..~ Ifyes, give date and details <br /> <br />18. <br /> <br />Has any one of the officers/shareholders any interest whatsoever, directly or indirecI:[y, in <br />any other liquor estabtish.ment in the State of Minnesota? Yes No. .~ If yes, <br />state name and address of each establishment(s). <br /> <br />19. <br /> <br />20. <br /> <br />21. <br /> <br />22. <br /> <br />23. <br /> <br />Furnish the name and address of at least three business references, including one bank <br />reference. . {~zz-c =~'7) <br /> <br />Name Address ' E ~;~ a- ?~S- I-~i ) <br />Name ~ Address ~ ~-5'F~ t~uj <br />Name Address <br /> <br />Do any of the officers/shareholders possess an unexpired retail dealer's identification card <br />issued by the Liquor Control Commissioner? Yes No . /~ <br />If yes, give number <br /> <br />Circle which license classification the application is being applied for: Exclusive liquor <br />store~st~ hotel, or club. <br /> <br />if this application is also for a special Sunday license, state l:he number of guests that may <br />be served food on the premises at any one time. ~ ~ <br /> <br />)..re the premises now occupied, or to be occupied, by the applicant 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 />I <br />I <br /> <br />24. <br /> <br />25. <br /> <br />Has applicant applied for an on-sale liquor license in conjunction with any off-sale liquor <br />license for the same premises? Yes No <br /> <br />Give Federal Retail Liquor Dealer's Tax Stamp Number, if any. <br /> <br />Page 4 of 6 <br /> <br />-71- <br /> <br /> <br />