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NO <br />PART ICI—PE1 SONALENFORYCATIO <br />City of St. Anthony liquor & Wine License Application <br />This section should be completed by each individual, partner, officer, manager, proprietor or other <br />agent in charge, and each person who by coi ned ownersh p or control has an interest in a <br />corporation or association in excess of.fiive percent (5%) <br />-------------- — <br />True Name Kevin Michael Reddy -- _—. — <br />DateofBirth X27/58PI ace Pittsburg, PA <br />-- <br />Cmrent Home Address 8335 Harbor ,'Town: Place— <br />Cit State Zi <br />hittleton, CO 80124 <br />Other Names Used/Alias' <br />Marital Status <br />S no C X. Married . Divorced <br />S Ouse's Uc;Name gh_Overstree_t <br />_�Le: <br />------ -- r Lexington, KY <br />Date ofBirth 2./ 1.4/56 Place or Birth <br />Hoii-ie Address Same _ <br />Crty, State Lip --� — <br />Are you or your spousc a registered voter? Appl.icaut. X Yes . No Spouse X. Yes No <br />7-it,l.eton Location: Littleton <br />Residence Address for Preceding 10 rears: <br />Pl<a5e see attached <br />Li. y, Stat, Z <br />Name Eddies and, Phone, Number of Individ ia' 1,s Tmployers and NaL ncrs for Pry ced _g 10 Yea �s: <br />Please see attached <br />Names, Addresses and Phone Numberof Spous 's Lmploycis andPart.lers for Preceding eats <br />— — <br />— — <br />Has applicant or spouse, or a parent or sibling or child ever been convicted of any, crime or <br />violation of any ordinance other than traffic? If so, please furnish information as to tine time, place <br />and offense for which convictions were had: � <br />N/A <br />Name, home address and business address of each person who is engaged. in Minnesota in the <br />business of selling, manufacturing or distributing liquor and who is nearer to kin to the applicant or <br />than second cousin, whether of the whole or half blood, computed by the rules of civil law, <br />spouse <br />or who is a brother-in-law or sister-in-law of the applicant or the licant's spouse, <br />N 4 AA - --- --- <br />Military Service (Upon request; you may be asked to provide dischargepapers) --� Yes X NO <br />