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List below the names, addresses and business addresses of each person who is engaged in <br />Minnesota in the business of selling, manufacturing, or distributing intoxicating liquor and <br />who is related to the applicant or his spouse closer than second cousin, whether whole or half <br />blood, or who is a brother-in-law or sister-in-law to the applicant or spouse. <br /> <br />10. On what floor is the licensed premises located, or to be located? <br /> <br />11. In what zoning district is the premises located? <br /> Is the building located within the prescribed area f"orffu~l~ licefi;~e?' <br /> <br />Yes .)(' No <br /> <br />12. Is the premises located closer than 1,000 feet to a church, grade or high school? <br /> Yes__ No ,)~ If yes, give approximate distance of the premises from such <br /> school and/or church <br /> <br />13. State name and address of owner of building in which the premises is located <br /> <br />14. <br /> <br />Has owner of building any relationship, directly or indirectly,iwith a~plic~.nt? / <br />Yes /¥' No If yes, state relationshi'p <br /> <br />Are the real estate taxes on the real pr?p,erty on which the licensed premises are located <br />delinquent? Yes NoX If no, attach memorandum statement from <br />County Auditor showing proof of payment of real estate taxes for the first half of the <br />current year and all previous years. <br /> <br />15. <br /> <br />Has any one of the officers/shareholders eve? had an application for a liquor license <br />rejected by any municipality or state authority? Yes__ No ~ If yes, give <br />date and details. <br /> <br />16. <br /> <br />Has any one of the officers/shareholdersT~uring the five years immediately preceding this <br />application, ever had a liquor license revoked or suspended for any violation of such laws <br />or local ordinances? <br />Yes No ?. If yes, give dat~ and details <br /> <br />Page 3 of 6 <br /> <br />-231- <br /> <br /> <br />