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Indicate below chances of corporate officers, partners, home addresses or telephone numbers: <br /> <br />Indicate below any interest whatsoever, directly or indirecttv ln'i)ther liquor establishments: <br /> <br />Report below details of liquor law violations (civil or criminal) that have occurred within the last five wears. (Dates, offenses, fines or <br />other penalties, including Liquor Control Penaltie.s): <br /> <br />Report below details involvine any license reiections or revocations: <br /> <br />I <br /> <br />.City/County Comments: <br /> <br />I <br /> <br />P! <br /> <br />.! <br /> <br /> <br />