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I <br />I <br />I <br />I <br /> <br />5) Bas any one of the Offioers/shareholders ever uaed or been known by a <br /> <br />name other than his true name? Yes ~/ No <br /> · <br /> <br />If yes, state what <br /> <br />was such name or r~es an~ state information concer~/ng dates and, places <br />where ,,,,,~: r~ -~ {3/$. ~c ~l ~ ~ _~ OrO <br /> <br />I <br />I <br />I <br />I <br /> <br />6) List occupations each officer/shareholder has followed for the past <br /> <br />five years? <br /> <br /> (O~ ~ ice r ) <br /> <br />(Attach additional sheet if necessary) <br /> 5 .--5-. 7 ~i-~c_ - <br /> <br />(Officer) <br />(Officer) <br /> <br />_.~. tiSn <br /> (Occu~tion) <br /> <br />(Officer) (Occup~tion) <br />(Officer) (Occupation) <br />(officer) (Occul~ tion) <br />(officer) (Occupation) <br />(officer) (Occupation) <br /> <br />I <br />I <br />I <br /> <br />7) Has any one of the officers/shareholders ever been in the military <br /> <br />service? Yes No i ' If yes, state which officer(s)/share- <br />holder (s) <br /> <br />8) State trade name to be used for the licensed praises: <br /> <br />9) List below the names, addresses and business addresses of each person <br />who is engaged in Minnesota in the business of selling, manufacturing or <br />distributing intoxicating l~guor and who is nearer in relation to any of <br />the officers/shareholders or his/her spouse than second cousin, whether <br />whole or half blood, or who is a brother-in-law or sister-in-law to any of <br />the officers/shareholders or his/her spouse. <br /> <br />Page 3 of 8 <br /> <br /> <br />