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who is related to the applicant or his spouse closer than second cousin, whether whole or half <br />blood, or who is a brother-in-law or sister-in-law to the applicant or spouse. <br /> <br />10. On what floor is the licensed premises located, or to be loCated? <br /> <br />1 i. In what zoning district is the premises located? <br /> Is the building .located within the prescribed area for such license? <br /> <br />12. Is the premises located closer than 1,000 feet to a church, grade or high sch6ol? <br /> Yes__ No ,~ If yes, give approximate distance of the premises <br /> school and/or church <br /> <br />from such <br /> <br />13. State name and address of owner of building in which the premises is located <br /> <br />14. <br /> <br />15. <br /> <br />Has owner of buildingany. relationship, directly Or indirectly, with applicant? <br />Yes No X' If yes, state relationship <br /> <br />Are the real estate taxes on the real property on which the licensed premises are located <br />delinquent? Yes No~~.~ If no, attach memorandum statement from <br />County Auditor showir~g proof of payment of real estate taxes for the first half of the <br />cnrrent year and all previous years. <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 />16. <br /> <br />Has any one of the officers/shareholders, during the five years immediatelY preceding this <br />application, ever had a liquor license regoked or suspended for any violation of such laws <br />or local ordinances? <br />Yes No ~,~ If yes, give date and details <br /> <br />Page 3 of 6 <br /> <br /> <br />