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-----.1111111.1111101"1111111111M111"11114"1"11r. • - • <br /> STATE,Ofr COLORADO.DEPARTMENT Of REVENUE •,..it', <br /> ucapoot MEN'S APPLICATION A!liENOUM • <br /> To be oostplewd Wallah indlaidud,partrhanhlW or oorporadon liquor dolmen. NO tiynor fisem a sanaebai adder-•- <br /> prooseasd unisssalt woolens ore aoompleesly answered. Any 1tAUG mower r excess ens mai W OPPliaa 11 caw∎ • <br /> stigmas POMMY,and the parasol shaking such taloa or swam wbaaiact s any theme isws.dlherebt ion V <br /> 1. Maisie let • .1 j 1 44.1 { ; - <br /> 2. Trade*NM a1*iili a' • -.Jar•\3 <br /> a. os you here issaiti+ansaadaorl d the~famed preen Mail . 9}- <br /> I S <br /> S. Mw the plumes d aewad-wt wsaaR rr � //V� <br /> 7. If ranted,from whom l 1�!?<Y _Sara v. ..�.:,ii.�r � • .s.."�-� <br /> S. Effaatira dote at the ham. NQ _ 1•%*ca- . lbeissrs dams , • <br /> S. Do you or my osem tar atII your Imrshedaaee family amber,modes,brasher,mows,abildtsili basso•finer as.V <br /> lntonna b asp other Now-loan a in any oorporaliaa diet holds*liquor lio serial Ouch iwbnrst • <br /> to include any qty,Inswaat or began If entrant is yes,strpisin is deta i. 0 Yoe No <br /> Name the other liquor tfi torn nt ft your answer Is yaw <br /> • r <br /> 10. Does any person,flea►or corporadcn heirs a ananeciai interest be your boomed' 0 Yea MKS* <br /> 11. If the gnawer Is yak etsia the nand.and the addna4 of the person holding yeah financial inlsrwI.and alum <br /> the aanosmt of such fl eanoiatt Mssn ur <br /> t•� ( tai <br /> 12 .Artlbhwntt of youf lthiisiwlatnt In the badmen: Are Y° :-WA 4r l" .O°° <br /> 0!1J loam <br /> 13. Patcanmos.o:ownanhip the*hose will repesasnnt <br /> 14. Al.yoti tiaw al active participant In the manaprrnsrt arhd operation of your lioansed prsrshisea■ <br /> f. ,. <br /> 15. If acenebody site will mange your alstaWlatin arht. Qhe•barns,address.dam of birth of the MANAGER,and <br /> subunit away of lie"Mrugenw+t Aoiaamant"with this guaatlonaire: <br /> 16. Did you enter 15 ho•"blanaPRSnt- Lear"ay.nnhsnt with your man.rryar or any other prson? • <br /> 0 Yea rer No. If the aawmant is in writing.attach a copy. <br /> • <br />