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I <br />I <br />I <br /> <br />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 />Y'es No X' If yes, give date and details <br /> <br />I <br />I <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 }K If yes, give date and details <br /> <br />I <br />i <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 ,K 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 />reference. <br /> <br /> ' Address i J ' <br />Name : . . . <br /> <br />Name Address <br />Name <br /> <br />Does the applicant possess an unexpired retail dealer's identification card issued by the <br />Liquor Control Commissioner? Yes No ){ If yes, givenumber <br /> <br />Are the premises now occupied, or to bd 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 />23. <br /> <br />Give Federal Retail Liquor Dealer's Tax Stamp Number, if any. <br /> <br />Page 3 of 4 <br /> <br /> <br />