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I <br />I <br />I <br />I <br /> <br />.%) Bas arty one of the officers/shareholder~ ever'used or been known by a <br /> <br />name other than his true na~e7 Yes No L-- If yes, state what <br /> <br />was such ~ or r~nes anO state information concernin9 dates and places <br />where used: <br /> <br />I 6) List occupations each officer/shareholder has followed for the past <br /> five years? (Attach additional sh,eet if necessary) <br /> <br />I <br />I <br />I <br /> <br />(Officer) <br /> <br />{OCCUl~tion) <br /> <br />(Occ-'u~tion) <br /> <br />(Officer) (Occupation) <br />(Officer) (Occup~tion) <br />(Officer) (Occupation) <br />(Officer) (Occupation) <br /> <br />7) ~as any one of the officers/shareholders ever been in the military <br />service? Yes ~. No .. . If yes, state which officer~s)/share- <br /> <br />I 8) State trade name to be used for the licensed premises: <br /> <br />I 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 liquor 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 ~~shareholders or his/her .use. <br /> <br />Page 3 of 8 <br /> <br /> <br />