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<br /> D4;01(�V•'w'*f ate,` ` STATE OF COLORADO - il
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<br /> •1 DIPARTMINT Of !IVINU• _ ,-
<br /> v ItE,�eE11I111L APPLICATION 1011 MALT MNIQIM r ------ -- WWI molt 04 T•tr wale
<br /> 5 44116Y
<br /> A110>I�Nlf101J_ 1 LIQUOR EkPOlelrttlEpR f,'M P ICli►7 ACTUOa
<br /> ('tillTllKlIOy11L01e 1OC11i Ia�IW'T'1MOIflf1 arills'1)
<br /> mowsemos _.. _ _ 1 nM110r110
<br /> CCLACI:.;; McESTIiNT Lit. 13-11.19215
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<br /> SEE INSTRUCTIONS
<br /> ON 111E RIVERS! MAKE CHECK OR 111000EY ORDER PAYAsLE TO
<br /> #bE• COLORADO DEPARTMENT Of REVENUE.
<br /> RENEWAL APPLICATION POh LUQUO11 L)CURS!FO11 THE LICEPilloNO PtAIO0 CAROM -•--•—� TOTAL PEE(
<br /> 1'- up*CCarrr *rot rwiurV wrow�T•oti _ r" •, y•
<br /> wutwrtvr is:.71 c•.. a_.+w.. Sire., ,;.r.rt
<br /> 1u-0.7:25 . .. 7 X41 5 ;1 .1 , ; `_. ,; 123130 4 301.25
<br /> •SS No 1- % •Is••• ,,CO • SSNo.2 _'FLIN
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<br /> AI CERTIFY THAT THERE ARE NO CHARGES TO MY ORIGINAL AML1CATgM
<br /> •,1,:•` tit 1' i : t„.[J(c*PT CHANGE OF MANAGER. TRADE MAW OR CORPORATE STRUCTURE.ii
<br /> f M TRADE NAME _� .R.. ,,s,%%%%11i,•'�r..ri
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<br /> r fo t'., y V. LI• t _ .. ._ . ._ . _ Mtlliwa xidrom_ . w_ -.1<..��'•,`r—I'-"-= f '4.---
<br /> ,'; ..r, HP Tlr{I t$ CHANGE IN OWNERSHIP DO NOT USE THIS FOAM.WE AN ORIGINAL APf/1AI4ON Jp , •..i 1 ._
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<br /> -•'f r;.i.i/NI NAGERS NAMtf • • . . . ---_t' 11 1, II 4 • t
<br /> 1F APPLiCANT ill A CO$POAATtOM,FILL or Ai**ASS MOS. 1. 4- 't
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<br /> FT"(PE_l V NAME AND DESCRIPTION OF LICENSE - 4 t T FEE
<br /> r yfHUFEL _AIr:. .:SY4Utt•k�!T L1;.�l ., LtCt�N. ..� - ._ --.:4v +i../$4.1).--,
<br /> �_ -- CITY _85 ,�Y 1 , 1- _ ___ __ ~rr/ t1 1.1• • ,•_
<br /> ��_atit;�., 1 . -.: 276 si fr
<br /> O.vow N AN MO Oesso MNt Of the prlrslsr*for n!r MM asmoNc trerl tor Naomi Is pltlsF - _ . __ _
<br /> Ara die promos*tidal M Ittrtl o14414� ._tf rooted.atlritlw&Nara11Mt Awn of
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<br /> Is appbctntIi!or WI o ficlfW Of tar.CSt50,dorl.chi wrtd or p.uneror+ twili.+ttw of t .Un4M4 Soma of Asr'Mislw nod Cwrtld t v
<br /> M the avpiito tt,or/ay M the Fatrrri,or any 0f Om 04ficers.lbtretheidets M di+ORM of.r1/O/p$leant Of It M i M+p+athwl.
<br /> of nnolone.s of seiy MI%wady tx..l,..f moony-ono vows? - - _—Y«._ - . Si. . ...
<br /> Mfrs tM aoplioNtr. w any 04 Me minors.M any of shit encore.slockholshos M ihnocNn of Sold»/ironol {If M N a a.r/rluMi A)ow,Yoh*ow
<br /> +►ktld 011 purr.M NI/SW*M C.1.rid.Oe il>,wMr.► Vie • -
<br /> If so.s%Ms lull OMNI
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<br /> Hits the lolObe-wIL IN ill 04 1h0 Mywlwrt,or any Other.director or stack/NOON of Laid iprliosol{11 I1 11•woocwitbnl roe:
<br /> Iif Wen drnhd i I1Ct1lw tardy tA.1 lipatO'Mwt YM - If+_�
<br /> SO taut an atc0N.0,c bowies latame wsp0' d a revoked? YIN 110 le...'
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<br /> the ironer u yet.14I.11 n fully{WW1 some**IMft.If q..dedl.
<br /> Do you w any ownben of your firmly ly hew.financaM inllenr t In try other 1111010r Liter&(sisal finaltciM Intir,,l Wr WOW* L• .—
<br /> any wooly inWyrel Or mow?,If the ortgv.r ia y*s implon fully tattier maws*shot,If ro drill, Yes If•
<br /> Dow any person.firm Of cosporas ion Nana frnarlcao urter.st.Md.nt:Od OINK by loans or thrifty owrnrthip In Matsui/mu
<br /> for which this kayo, lr moni m& If the armor is yM,salta moos and .ddwu,s aid onsount Of such IH►an Sal anMrr.t
<br /> **prow/with"-in dopers or MINN hint of valve,such or ir•rntorm,faar'1tarrr.futwtw INS wto.PnrsiL Yes 141
<br /> L naw.in Nth of thi • t ration are anrArstd. ���1�
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<br /> •If ,5 l IF EI*Itloyfrs IdMtif.itttiora Hwmbr. NF UM if pe.-Prrlt.d M the*Uwe row.past*shack your words to sic •l yaw
<br /> nunstser If ylu tidy..a cl.ttarint numh.r COrrifI IN'one 4f..vy•0 the.t cn.i..DOnrts r~.th ynur rn Inds 11 no number Jopedrt.n t
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