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! <br />I <br /> <br />a.,ount of ~otl,orized =pita~i.-..oo g I (5C5, ("/3C1 · O O. amount <br />ti' a subsidiary of an), other corporation, so state <br /> <br />I <br />I <br />I <br />! <br />I <br />I <br /> <br />give purpose ol' corporation I ~- <br /> <br />names and addresses of all of liters, directors and stockholders (include persons holding power o[ attorney for proxy) show- <br />lng age, occupation, number of shares held by each, whether shares are held individually or for benefit of others (at- <br />tach additional sheel il' necessary.) <br /> <br /> l¢ incorporated under the Jaws of another state, is oorpration authorized to do business in dais Sbate? <br /> <br /> Number ot certificate of authority <br /> <br /> I1' this applic~lion is for ~ new corporation include a certified cop); o[ ~rtieles o~ inoorporation and by-laws. <br /> <br /> II this appliealion is lot a P~ENEWAI, of license st-ate whcther any chapges have been made in the avtieles of in- <br />corporation and by-laws since the last issue of license and attach certified copy of changes.~,_/,(]_ <br /> <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br /> <br />10. On what floor is the establishment located, or to be located? <br />11. tlow is the building classified under the zoning ordinance? ~/ <br /> Is the building located within the prescribed area for such license? <br /> <br /> Is the establishment Iomted near an academy, college, university, church, grade or high school? <br /> <br /> State the approximate distance of the estsablishment from such school or church <br /> <br />l& State name and nddress of owner of building'~rrle$ ~. Rr<..,u2r-, .qlO.-3 0c~o,c, L0~. <br /> Has owner of building any connection, direotly or Indirectly, with applicant? ~ ~~'~rlqt°- <br /> <br />14. Are the personal property or real estate taxes on the above property delinquent? ' MO <br /> : ' Are there any delinquent electric, water, sewage or city garbage charges in connection with the above premises? <br /> <br />15. <br /> <br />ltas the applicant, or any of ]tis associates in this application, ever had an application for a liquor license rejected by - <br />.~ny numicipalily or slate authorib'; if so, give date and details /k/D <br /> <br />16. <br /> <br />llas the applicant, or any of his associates in this application during the five years immediately preceding this ap- <br /> <br />plication ever had a llqnm license revoked or suspended for rely violation of such laws or local ordinances; if so, <br />give date and details __/{./O <br /> <br />I <br />i <br />I <br /> <br />17. Has the applicant, or any of his associates in this application, during the past five years been convicted of any <br /> <br /> liquor law violations or any crime in this stale, or any uther state, or under Federal laws, and if so, give date and <br />__ details ~J() <br /> <br /> <br />