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1 � <br />k <br />r t i if the ...t: of is a at, ni <br />A The a, ^l i tit® Brtlii Thi stret{s-rresidenee address, and phone <br />the appheant. <br />B. Whether the applicant has ever used or has been known by a narne other- than th <br />,-, IL.-..-.m..e or- names used and information eoneerning dates <br />and pla ::he ed <br />C. The name of the business if it iS tO be COndUCtOd Wider a desi OF l <br />-d copy of thel�.4ir4l'' <br />L...E innesota Statutes, Ce.t:�,r. 333.01_ <br />D. The street addresses at whieh the applicant has lived during the pr-eceditig five <br />yeafs. <br />H. The type, name and location ofevery business in whisli !he applieun <br />has been engaged dur-ing the preceding five years, and the name and addFeSS of the <br />appliemit{ <br />years. <br />FLie L'[J <br />!hep nnerchip is required to fire n -c ei4i_ficate as k,-. a aFadt-ffapur-stiant- <br />, <br />i <br />