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13. State name and address of owner of building in which the premises is located <br /> <br />15566 Kiowa st, NW, Andoyer, _EIN 553Aa <br /> <br />Has owner of building any relationship, directly or indirectly, with applicant? <br />Yes. x No If yes, state relationship Same Owr~ers <br /> <br />14. <br /> <br />Are the real estate taxes on the real property on which the licensed premises are located <br />delinquent? Yes. No x 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 ever had an application for a liquor license <br />rejected by any municipality or state authority? Yes No x If yes, give <br />date and details. <br /> <br />Has any one of the officers/shareholders, during 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 date and details <br /> <br />I <br />I <br />I <br /> <br />I <br />I, <br /> <br />I <br />I <br />I <br />I <br /> <br />! <br /> <br />16. <br /> <br />Has any one of the officers/shareholders, during the past five years, been convicted of any <br />liquor law violations, gross misdemeanor or felony, or any Federal laws. <br />Yes _. No x If yes, give date and details <br /> <br />17. <br /> <br />18. <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 /> <br />reference. <br /> First National Bank <br /> <br />Name <br /> C & H Distributing <br /> <br />NalR~ <br /> All Sea Sun 208 E <br /> <br />Nam~ <br /> <br />of <br /> <br />633 <br /> <br />Main <br /> <br />Elk River 1121 w Hwy Tn inoea; MM 55303 <br /> Ad,ess <br /> E M~(B S~ Annk~..MM 55303 <br /> Ad,ess <br /> <br /> Address <br /> <br />Page 4 of 5 <br /> <br />I <br />I <br />I <br />I <br /> <br /> <br />