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s <br /> I^R 1101, ?$7) ar: - - .y . <br /> ,: . • 1 2 :eye•Rem/ma 4ppuee en 7. a ireec ecr 1 aaropt:w.i 1. v•-e :c4-' 011111110 111111 <br /> 1, 1. ,o you-KiH •;,,j:.iiaiiin a:;IP p or„.s r+�1 i�tl PO GMrVraet1 c^ �21 WI d MO . /iA <br /> fhhie ahl>prrtalron khr kertsa»made? r NOC Idl PrrrrclM owe ar mow• �i*mu <br /> Ant the p'a+rnas: OWNED <br /> Lrt <br /> *tolled,Mtecsq and ugrrian dal d leaver (q OW or tan irr,ar mrowsa • <br /> rient- <br /> coe.Swim d Sr, <br /> (a)11x1 4 epp.icat,et d the partners.a o4 YEs n do et NW,o<ewdi oKar hew bttr+r • <br /> cm ltadiAoklsrs or dlreaors of said appicss(il a <br /> s+o+parabori)owe bs'sn*omitted at a carol ll an- <br /> seer IOW a+rPlrn in detail and attach. . <br /> hamilMitillinnirranilliill <br /> (b)New persons*Wig metatarsal or financial YES Q POI <br /> support to IN appkcart.ar"NNW.or Nnpbleel, <br /> ever be cocorroded d a crutch N mum w Yee' r• <br /> an <br /> eatpair in dwtai ind mach+. <br /> 1 Flit the sppicarx or arty of tM partners.or dicers, . .r r. <br /> incurs or stoddodwrs d said appkcort(I a oat- <br /> port ion)or mane"weer: e <br /> (a)been denied an alaoSaric trams Sc*w? MO NOM <br /> (b) karts had aal er <br /> bararo suspen r <br /> ded C NOW <br /> (c)had intuit in airy anity NS had an ak+olrolc • <br /> bewraps license urspended or reYokedl PESO 110 5) VIIIIiiii <br /> II crusher is"yes'w aro of tna above question. `a""'"�6000 S. Jamaica Circle, Lht91 gah¢Qd, <br /> io Cell f Vt4 a i^+t_ (e)till■SOCW.ds I%err«..II 411141C cerperary nowt'err errer err <br /> 4. Does or did aplicarrt,or ant f of the Wen ar MS KC . I a. . . r. ....a ...I. <br /> a isms,drsaors or mob**,or said**kW Of Applicant wriliff <br /> a cceporatat),have a d'rel cr indirect:Most in any .i ••. <br /> other Colorado kiwi tom*Lod* to or hart/ha; MwIr 'G <br /> any lianeee,or itenel in a loan to any Ionia)? K 3.As 6eatr e <br /> anew is Yes.'avian in decal and ytadi. Llamas 1011111110111111111111111111111111111 iii kid I <br /> i IdrldY the persons,inn or aarporaliorn IMO nos or ar#how a <br /> inroad kited.eedwued Ober by a Watt a equity o+wwntti o A <br /> the business tar ehidn Mee foeres he recamis4 SI*the cavern and <br /> addralua sod IN MOW and~or of such inarrdal malt Ile, <br /> • <br /> bank Wiwi.kwhdl,pri- +e mews.sic.).Oepnu <br /> Md in dollars or ,, , • <br /> oar Awns of via.such ea~tom lwrtbun or aqup is d.We <br /> se *s sheet iI necessart tfit•era <br /> i <br /> Wilt <br /> 41 wean I severe yew e�+M tat•want err t <br /> Ow W awroirrt 41 re•w: Ws 15110 fib* <br /> alliA ism Ole•t a+ <br /> a Laren a wi nae Mat see raT.w are meson$Is a M bang:wow in w•. Owe Is <br /> l „sof or re Wier*A a error Has we Ta�rsl r+wos t N/A - <br /> • <br /> THIS PAGE MUST BE COMPLETED AND ATTACHED TO <br /> YOUR SIGNED RENEWAL APPLICATION FORM. <br /> FAILURE TO INCLUDE THIS PAGE WITH SAID APPUCATFON MAY RESULT <br /> IN YOUR LICENSE NOT BEING RENEWED. <br />