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I <br />I <br />I <br /> <br />21) Circle which license classification this application is being applied <br />for~ exclusive liquor store, ~stauran~t, hotel <br />22) If this application is also for a l~ecial Sunday license, state the <br />number of guests that may be aerved with food on the pre~nises at any one <br /> <br />23) Are the preuiaes now occupied, or to be occupied, by the applicant <br />entirely separate and exclusive frc~u any other business establishment? <br />Yes '~ No ~ If no, state details of other occupants <br /> <br />24) Has applicant applied for an on-sale liquor license in conjunction <br /> <br />with an off-s~le liquor license for the same preuises? Yes No ~' <br /> <br />25) Give Federal Retail Liquor Dealer's Tax Stamp Number, if any <br /> <br />26) If this application is for a transfer, give name of former licensee <br />and state whether any consideration, money or property has been paid, or <br />will be paid, given or exchanged by any one, and by whom and to whom for <br />the purchase or transfer of the license; also state the amount of <br />consideration RI/~ <br /> <br />I hereby verify the above stats~ent <br /> <br />Page 6 of 8 <br /> <br /> <br />