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!.7. <br /> <br />I8. <br /> <br />19. <br /> <br />20. <br /> <br />21. <br /> <br />22. <br /> <br />23. <br /> <br />24. <br /> <br />25. <br /> <br />-178- <br /> <br />Has any one of the officers/shareholders, during the past five years, been convicted of any <br />liquor law violations, grg, ss..misdemeanor or felony, or any Federal laws. <br />Yes No .)('. _ If yes, give date and details <br /> <br />Has any one of the officers/shareholders any interest whatsoever, directly or indirectly, in <br />any other liquor establishment in the State of Minnesota? Yes No ,.X/ If yes, <br />state name and address of each establishment(s). <br /> <br />Furnish the name and address of at least three business references, including one bank <br />re!,erence. /- <br />~Nan~e a '' ' ~'Addres~ <br /> <br />Name ~ Address <br />Na~ ' / " 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~nse classification the application is being applied for: Exclusive liquor <br />stor~-hotel, or club. <br /> <br />If this appIication is also for a special Sunday license, state the number of guests that may <br />be served food on the premises at any one time. .~/_9 <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 .X". No If no, state <br />details about other occupants. <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 FederaI Retail Liquor Dealer's Tax Stamp Number, if any. <br /> <br />Page 4 of 6 <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br /> <br />