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3. Complete the foilowing for the manaqer of the above-named business: <br /> �' L�(J �tJ 1���ll��..(' <br /> a, i���:��-�1� <br /> Individual Name (First) (Middle) (Last) Date of 8irth <br /> i�>�=,,� t�� ����1 ���� }-� �:��1 �i�.�r�c,����n� .S���S�� <br /> Nome Address (Street) (City) (Zip) Home Phone <br /> 4. Have there been any changes in ownership or control of the licensee or enlargement or alteration of <br /> the licensed premises since the date of the last renewal application? (This includes any transfer of <br /> stock or change of officers or directors of a corporation.) � No; Yes. <br /> If yes, describe the changes and the date of City Council approval of these changes? <br /> 5, Has there been a change of manager, operating officer or agent in charge of the licensed premises <br /> since the date of the fast renewal application? (This is defined as the person responsible for day-to- <br /> day operating decisions of fihe premises.) No; ,_}�_Yes. <br /> Ifyes, desc.CibIe the change and the date onf City Council approval of the/,change? <br /> � \r, -,� lfl� ��� �.� ��--..�'.�.��.ni•� �, ^./! I�� `f)\(�\r,�r..'— ' \ fL .,� Z1""\� -�, Y .��� � '-�. <br /> � c�`�J �S Y I'�l't `�E� l• 1 '11� { ,�� �V i l 1S. �. r�.���' i <br /> -I�,�, i-, '� i i y,; r � "�n, k / ` <br /> �'�r�.. <br /> �i l'1 L� I r l'>���(''F'(\ ('� C i'�'i's"l� � � l��='{�(C'`v�' y`i'f;�f 1���i��i'�����1� -�)t�`-��a ' ���.�'t i �� ,: b_� <br /> ,J <br /> 6. Have there been any other changes to the informatian contained in the original or previous renewal <br /> applications which have not been submitted to the City? � No; Yes. <br /> li yes, describe these c'r�anges and/or inciude fioor plan. <br /> 7. Are any real estate taxes, personal property taxes, special assessments or other financiai claims of the <br /> City of Orono delinquent or unpaid for the premises licensed? � No; Yes. <br /> es,�:ive details. <br /> �,- <br /> .. _ � <br /> 8. Have you received any summons during the past year under M.S. 340.951? (This is a claim for injury <br /> resulting from the sale of liquor filed under your dram shop insurance.) �C No; Yes. <br /> copy of each summons received. <br /> ��� �`'s associates �n this application will stricti;� comply �vith all the laws of the St�te of <br /> V1ini. overning the taxation and the sale of intoxicating liquor, �nfine, or 3.2 percent malt liquor or <br /> - � ��rono City Code, and � hereby certify that I have read the foregoing questions and that <br /> �aid questions are true of my o��in kno!�iledge. <br /> . .:�.�. <br /> �����' <br /> � °:��_ '� '�,..�° <br />