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I <br />r <br />Liquor Commission <br />Kanikapila Cafd LLC <br />dba Hale Kanikapila <br />Page 8 <br />DEPARTMENT OF LIQUOR CONTROL c c "-C9 Fj A$ Cmf <br />w,0 'rj' A jpj.11l Ir u-i'23G. 440 Now. 2j,796726 ' F-1 or ie- f6108)�6' 82'8 ' FoA: 4,X-)6I 862 <br />n.),, C 2h,,hc if Kowa. ty. go PERSONAL HISTORY AND AFFIDAVIT F F � U 2 202:* <br />(Type or Pdrtf All Irdotirnafton), Dept, of L"-q--,or Control <br />NAME <br />It . iol :j Lf.Over- L,:,u- ritp fj p- n! Visry Al �P�r C'cvo C4 follt; ti" of r+r: Ds�rxlrk tE rf M, <br />r,. 10SE. C ov} <br />1. INFORmAltONAS REWTERED WITH THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS <br />I --t rpqiitered ciu5 vz�m -Iuvie unu coc: kj -- 8+t A I <br />puwp/?c vz-,� f&#XL)P--- a tees c C,url . 1/1,-V2026 <br />f 2le <br />(I. LAST PAST OWNERSHIP OF LIQUOR LICENSE: <br />UaKEHLBAN DBA ADDRESS IFM <br />Big Island Brewhaus LLC Big Island Brewhaus 64-1066NIamalahoaHwy 2008-present <br />III EMPLOYMENT RECORD <br />EM TO POSITION NAMLQf C-9-*TAN—Y CITY/STATE <br />4<aK LvIel, <br />vi-I(A o* Ittlo. F-3,1 1,6k L 0 1-LC X Lcx, " <br />ff ytftbrxnj x2cice is npedpd use reverse side <br />IV CRIMINAL RECORD. IF ANY: Check box. <br />5d I have not been uur,v-,!vd of criv Iekniy [Jimpe jil <br />0, havo been :Oriv c ted cl crmrq+e 151 f ihf- nr;voer,s III tl`- aMtgnur.w._� PIL'une:-v <br />I 061-a first duty Sworn Oecoses and soys tro, 'he, arovu is inrl I_.c TC-' <br />Signature4f Applicant befoft Notary <br />$-IMC* bit c una 5w,),n to hpf-re <br />me <br />-h 2nd ony of Fcj,)yu 11 <br />Doc. D a * e: C 2 1,' 2 <br />N.Jcrf 4WAC �,qnaTulell <br />7�— <br />ct- <br />bCc Desvip,io?" t=21-111- 111 <br />IS <br />- <br />T A -i *r ' . - ;VfirAliV <br />,ir knc3rne , <br />N Dto#.b <br />S1 ATE OF <br />w1d;u I-- <br />,V Cumrr4sior r-xpIrej <br />.-4.- N0iC3rY <br />- <br />C) F I <br />it 3n EqIjW OwartuWy Pvo-.Wet and E MP <br />