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r <br />r <br />Liquor Commission <br />Kanikapila Caf6 LLC <br />dba Hale Kanikapila <br />Page 7 <br />DEPARTMENT Of UQUOR CONTROL COUNTY OF HAWAI-I <br />PERSONAL HISTORY AND AFFIDAVIT <br />NAME: <br />Last <br />M <br />F rs' <br />(Type or Print All Information) t L t) <br />!'q-,*n L ' Clh?r'n "Ifli-I'V 077. Ra,irift-t <br />f'�-05e 30,Mlt COPY <br />lk5- <br />of LIVOr Cor-trr". <br />I. wORMATION AS RE0151CRCO WITTI TIIE OlfARTMENtOf COMMCROC At4D CONSUMER Afr Its: <br />iJ <br />UL b P�- �0 F: tc <br />Curew Dff cwi 1� you ho j w *t-w rtqis-ered / Ak,,^nQC Ftfect re F)ntp-. <br />.1 app tcub'u. If16- 6 1S <br />11. LIST PAST OWNERSHIP OF LIQUOR LICENSE <br />LICENSEE NAME 216 &R2&w YEAR <br />Big Island Brewhaus LLC Big Island Brewhaus 64-1066 Klamalahoa Hwy 2008-present <br />III. EMPLOYMENT RECORD: ru*vy <br />FROM to EQRWH N-AMRQf COMPANY It :SLAT <br />A - <br />tic* <br />ac P""Ov" <br />ff adeAcna. space needed use r#Vqrss t6-V <br />IV. CRIMINAL RECORD. IF ANY Check box. <br />Ig have not been ccnwiciG�c c- 001y ferc,"', ChatuL <br />rl have been corivicied ul u teIL;7 ly ci',rw's 1 Ij the x1swet 5 t) tf,e Lift, it U11v e 0 case list <br />Signature of Applicant before Notary <br />Subsciiaed and sworn to neforeme <br />this 21)� clay o'j4jQ44_ 20 C)c;. Dut,, _:32 ii` -,(; n.;; engel. <br />r rev <br />lvcyc <br />N=4 Publi print amel - <br />PJBL <br />STAtEbp Nw-Al � <br />W'( cc,-rm6sorl eKP'rC$:-Jg <br />Revised: 011/20111 PFCUuqiyi5an Equa Op=44rey Provder and Employc <br />1 *14 am I 011w <br />