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PART III <br /> <br />a. State whether applicant, or any of his associates in this application, have ever had an application for a liquor license rejected <br /> by any city or State authority; if so, give date and details <br /> <br />bo <br /> <br />Has the applicant, or any of his associates in this application, during the five years immediately preceding this application ever <br />had a license under the Minnesota Liquor Control Act revoked for any violation of such laws or local ordinances; if so, give <br />date and details /~J~ <br /> <br />State whether applicant, or any of his associates in this application, during the past five years were ever convicted of any <br />Liquor Law violation or any crime in this state, or any other state, or under Federal Laws; if so, give date and details <br /> <br /> Applicant, and his associates in this application, will strictly comply with all the Laws of the State of Minnesota governing the <br />taxation and the sale of intoxicating liquor; rules and regulations promulgated by the Liquor Control Director; and all ordinances <br />of the City; and I hereby certify that I have read the foregoing questions and that the answers to said questions are true of <br />own knowledge. <br /> <br /> (si~tfJre of applicant) ' z <br /> <br />this <br /> <br />Subscribed and sworn to before me <br /> day of ,19 <br /> <br /> (Notary PublicJ <br />My commission expires. <br /> <br /> REPORT ON APPLICANT OR APPLICANTS BY POLICE DEPARTMENT <br /> <br />~ This is to certify that the applicant, or his associates, named herein have not been convicted within the past five years for any <br />violation of Laws of the State of Minnesota, or City Ordinances relating to Intoxicating Liquor, except as hereinafter stated <br /> <br /> ~ ~ I~ Je' '~ POLICE <br /> Inarne o~'.~'~ 7/~ DEPARTMENT <br /> <br /> C I C ~ TITLE <br />(If you have no police depa.ment, either the Marshal or the <br />Constable shall execute this re~rt on the applicant.) <br /> <br /> <br />