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Indicate below changes of corporate officers, partners, home addresses or telephone numbers. <br />C <br />Indicate below any direct or indirect interest in other liquor establishments: <br />Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates, offenses fines or other penalties, <br />including alcohol penalties): <br />0 <br />Report below details involving any license rejections or revocations: <br />O /A <br />City/County Comments: <br />S1G* VW "MV'dS\J�e'c) <br />