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GENERAL INFORMATION <br />Page 10 <br /> <br />17. <br /> <br />Are any real estate taxes, personal property taxes, special assessments, or other financial claims <br />delinquent or unpaid for the premises to be licensed? If yes, give details: <br /> <br />18. <br /> <br />State full names, residence and business addresses, telephone numbers and dates of birth of three <br />residents of Minnesota of good character, not related to the applicant or financially interested in <br />the premises or business, who may be referred to as the applicant's character: <br /> <br />Full Name: DOB: <br /> (Last) (First) (Middle) <br />Residence Address: PH: <br /> <br />City/State/Zip:. <br /> <br />Business Address: <br />City/State/Zip: <br /> <br />PH: <br /> <br />Full Name: DOB: <br /> (Last) (First) (Middle) <br />Residence Address: PH: <br /> <br />City/State/Zip: <br /> <br />Business Address: <br />City/State/Zip: <br /> <br />PH: <br /> <br />Full Name: DOB~: <br /> (Last) (First,) (Middle) <br />Residence Address: PH: <br /> <br />City/State/Zip: <br /> <br />Business Address: <br /> <br />PH: <br /> <br />City/State/Zip: <br /> <br /> <br />