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i~ suhsidia~ of any other ~o~lion. so Sidle <br /> <br />pu~s,' of ~oc~6,,n .... ~ ~ <br /> es and addresses of all of[ice~, directors and slockholders (include persons holding ~wer of attorney for proxy) sh~- <br /> <br /> age. occupation,'nu,nber of shares held by each, whether shares are held individually or for benefit of others (ai- <br />ladditional sheel if nccessary.) <br /> <br />If incorporah'd u.der lhe laws of anolher state, is corporation authorized to do business in this State? <br /> <br /> Number ol ccrlificatc of authority. <br /> <br />If this appliculinn is for n new coq~oralion incl.cte a ccrlificd copy of articles of incorporation and by-laws. <br /> <br />I If this applicatioa is for u RENEWAL of licoose state whether aay chapgcs have been made in the articles ct in- <br />eorpor,,tioa and by-laws sinc'e thc last issue of license a.d alt;Ich certified copy of changes <br /> <br />On what floor is Ibc cstalllishme:tt loc;lied, or Io he localed? /~'( tq ,' <br /> <br />/tow is Ihe lmihling classified nndcr the zooing ordinance?_ <br /> <br /> Is the building located within the prescribed area for such license? <br /> <br />'1 <br />_. . ~ ., culed near an academy, college, university, church, grade or high school? <br /> <br />Stare the approximate distance of lhe cslsablishment from such school or church <br /> <br /> State name and address of owner of building ~ O~ ' <br />IHas owner of building any connection, directly or indirectly, with applicant? <br /> <br />Are tile pt'rsonal propcrly o, real es(ale taxt. s on the above property delinquent? <br /> <br />Arc there any delinquent eh'title, water, sewage or city garbage charges in connection with the above premises? <br /> <br />llas thc applicant, or ;lily Of his assnciates in this applicalioa, ever had an applicalion for a liquor license rejected by <br />an), m,o,icipality or stale a.,thority; if so, give dale and details /iL)d> <br /> <br />11 llas thc applicaat, or any of }lis associates in this application dnring the five years immediately preceding this ap- <br /> plicatioo evor h.ul a liq.oj license rev&cd or suspended for aay violation of such laws or local ordinances; if so. <br /> ire date and details /~,/~9 <br /> <br />l'ln= me applicanl, or any of his associates in this application, during the past five years been convicted of any <br /> liquor law violgtions or any crisne in this state, or any other state, or under Federal ]aws, and if so. give date and <br /> <br /> details <br /> ! <br /> <br /> <br />