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LOUIS)SUBSCRIBED AND SWORN BEFORE ME, THISDAY OFYEARNOTARY PUBLIC SIGNATURE MY COMMISSIONUSE RUBBER STAMP IN CLEAR AREA BELOW.EXPIRESNOTARY PUBLIC NAME (TYPED OR PRINTED)FOR OFFICE USE ONLY - DO NOT WRITE IN AREA BELOWBased on the information contained herein, the undersigned forward this application for consideration by the Supervisor ofAlcohol and Tobacco Control and hereby recommend that this application be approved and the license issued.AGENTAGENTSTATE SUPERVISORMO 829-A0110 (Rev

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