Application For Liquor License Menard County Illinois Page 3

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a.
If yes, give particulars:__________________________________________________________________
19.
Have you ever been convicted of a violation of any Federal or State law concerning the manufacture, possession
or sale of alcoholic liquor, or have forfeited your bond to appear in court to answer charges for any such
violation?___________________________________________________________________________________
a.
If yes, give particulars:__________________________________________________________________
20.
Is applicant, or any person in the business, a public official?___________________________________________
a.
If yes, give particulars:__________________________________________________________________
21.
a.
Who is in charge of operating the business?_________________________________________________
b.
Name of person(s), address(es), & age(s) of person(s) in charge when person in (a) above is not present:
____________________________________________________________________________________
____________________________________________________________________________________
c.
Have person(s) (a) or (b) ever been issued a liquor license which was revoked for any cause?__________
If yes, give particulars:__________________________________________________________________
d.
Have person(s) (a) or (b) ever been convicted of gambling or a felony under any State or Federal law?
____________________________________________________________________________________
If yes, give particulars:__________________________________________________________________
e.
Have person(s) (a) or (b) ever been convicted of pandering or other crime or misdemeanor involving
moral turpitude?_______________________________________________________________________
If yes, give particulars:__________________________________________________________________
f.
Have person(s) (a) or (b) ever been convicted of a violation of any Federal or State law concerning the
manufacture, possession or sale of alcoholic liquor or has forfeited his/her bond to appear in court to
answer charges for any such violation?_____________________________________________________
If yes, give particulars:__________________________________________________________________
22.
What is the location and legal description of the place where it is proposed that you will operate under such
license?____________________________________________________________________________________
___________________________________________________________________________________________
23.
Do you own or will own the premises for which such license is sought?__________________________________
24.
Name and address of landlord if premise is leased:__________________________________________________
25.
State the Class or Classes of licenses for which the application is made:_________________________________
26.
You are required to attach proof of financial responsibility of the applicant to respond to damages resulting from

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