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amount of' paid in capital t/t~ Ooo. , . <br /> <br /> subaldlary of any other corporation, ao 'stat~ <br /> <br />i purposs of corpor,,tton <br /> <br />name and address of aD officers, directors and stockholders and the number of shares held by each <br /> <br /> If 'incorporated under' the iaW~ of another state, is 'corporation authorized Lo do business in this 8'rate7 <br /> <br /> Number of certificate of authori~'y_ " ' .... <br /> <br /> It' thia application ia for' a new Corporation include a certified copy of A~lcl~ of Inoorporai. ion and <br />By-Law~. ' _ <br /> <br />IIf thi~ application is for a RENEWAL of license state .whether any changes have been made in the <br />"~a4icles of Incorporation and By-Laws since the last Issue of License ,~'0 <br /> <br />i Describe premises to which license applies; such as (fit:st floor, second floor, basement, etc.)_ <br /> <br />If operating under a zoning ordinance, ho.w is the location of the building classified? <br /> <br /> Id. Is establishment located near academy,'state College, university? - /.JO '- ...... ; <br /> <br /> late approximate distance from such establishment ~>O ~'D}/¢-~ '. <br /> 11. State name and address of owner of. building ~h /?}ol/~'r -.~q~'O '/~o~/3.,'.'' ,0,[0 <br />l~s owner of building ~y connection, directly or indirectly, with applicant? /,.)o ; <br />you do not own building, state type'rental agreement .-~/';~' g'¢,qa~-' ": ; submi't copy of such <br />agreement (need only be submilted with original application for liquor license --~ not necessary for yearly <br />2dewal of license. . .. . <br /> · State whether applicant, or any of the associates in this application, have ever had an appllcalion for a <br /> <br /> Liquor License rejected by any mpnicipality or State authority; if so, give date and details <br />!3. Has the applicant, or any of the a~oclates in this application, during the five years immediately preced- <br /> <br />l ng this app)ication ever }lad a license under tike Mi,roseola Liqueur Conlrol Act revoked for any violation of <br /> nch laws or local ordinances; if $o, give date and delails <br /> <br />4alp4~licant durlag tile past five years were ever convicted of any Liquor Law violations or any crime in this state, <br /> <br /> $1ale whether applicant, or any of thc associates in this application and employees while employed by <br /> <br /> or m~der Federal Laws, and if so, give date and details l) 0 <br />I . <br /> <br /> 15. <br /> <br />./ <br />I <br />I <br /> <br />Is applicant, or any. of the associates in this application, a nmmher of tike governing body of the munici- <br /> <br /> <br />