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Indicate below chain, es of corporate officers, partners, home..addresses or telephone numbers: <br /> <br />Indicate below an,( interest whatsoever~ directly or indirectly in other liquor establishments:' <br /> <br />Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates, offenses, fines <br />.other penalties, includine Liauor Control Penalties): <br /> <br />Report below details involvine any license rejections or revocations: <br /> <br />City/County Comments: <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br /> <br />