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<br />9, If a corporation, date of incorporation
<br />amount of authorized capitalizatiou
<br />if a suhsidiary of auy olher corporalion, so state
<br />
<br />, state in v,,hich incorporated
<br />amount of paid in capital
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<br />names and addresses of all officers, directors and stockholders (include persons holding power of attorney for proxy) show-
<br />lng age, occupation, nn,nber of shares held by each, whether shares are held individually or for benefit of others (at-
<br />tach additional sheet if necessary.)
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<br /> If incorporated under the laws of another state, is corporation at. thorized to do business ia this State? ,t, ) [, ¥
<br /> Number of certificate of authority__ ,~ ,)J ~
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<br /> If this application is for a new corporation inch,dc a certified cop>, of articles of incorporation and by-laws.
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<br /> If this application is for a RENEWAL of license state whether auy cha,'gcs have been made in the articles of in-
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<br />corporation and hy-laws siucc thc last issue of license aud attach certified cop), of changes __~.,? [,/~-'
<br />
<br />10. On what floor is the cstablis},me:~t located, or to be located? ___(,'~2.0 t t k)~) L C~ V' ~"_C-
<br />
<br />11. llow is the b,dhling classified hurler the zouing ordiuanee? ~] I 'It'l ['- ', (]]'t~O (:.'~' k_
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<br /> Is the building located wilhiu the prescribed area for such license?
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<br />12, Is the cstahlishmcnt located near all academy, college, uuiversity, church, grade or high school? /k*~ ~'
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<br /> Stat'e the approximate distance of thc estgablishmeut from such school or chureh
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<br />13. State name and address of owuer of building · I J'~'l- ('~ tff-'c~ ~ ~"t>t'&/
<br /> )las owner of bulling any ~nneetion, dir~tly or in~rectly, with appli~nt? ~ (~(%~ ~ ~ O t e k- .~ ff~'i~
<br />
<br />14. Arc thc pe,sonal propcrty or rcal estatc taxes on the a~ve property delinquent? &t4>~ ~ ~4-~ t~(~
<br /> Are there a.y delinqueut electric, ~vatcr, sewage or city garbage charges in ~unection with the a~ve prem~?
<br />
<br />15.
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<br />llas the applicant, or any of his associates in this application, ever had an application for a liquor license rejected by
<br />any mm~icipality or state a.thurity; if so, give date and details . ~'}~,..~
<br />
<br />16.
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<br />Ilas thc applic;mt, or any of his associates in this application during the five years immediately preceding this ap-
<br />plicalion ever had a litp:or license revoked or suspended for auy violation of such laws or local ordinances; if so.
<br />give date and details ___~'~ (-") ____
<br />
<br />17. Has the apPlic,.ant, or any of his associates in this application, during the past five years been oonvlcted of an)'
<br />
<br /> liquor law violations or any crime in this state, or any other stat?, or under Federal laws. and if so, give date and
<br />-- details ~ k~)
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