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Indicate below changes of corporate officers, partners, home addresses or telephone numbers: <br /> <br />RepOrt below details of liquor law violations (civil or criminal).that have occurred within the <br />last five years. (Dates, Off.en~es, fines or other penalties,.including Liquor Control Penalties). <br /> <br />I <br />! <br /> <br />I <br /> <br />Report below, details involving any license rejections or revocations. <br /> <br />City/County.Comments; <br /> <br />.! <br /> <br />! <br />! <br /> <br /> <br />