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r ^ <br />J <br />* <br />i» \t ' <br />Compl6t0 the following for the mahaoer of the above-named business: <br />____________^mr»t _______Ruticl i________u)?nr^4tr;vaindMduaiNami^ . (Middi*) {\m\) <br />") Io )]/. Share, U • rn/.an.t, So tW <br />DateofBirth <br />Homt Addrtu (SlTMt)(Oty)(Zip)HomePtiona <br />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 />Has there been a change of manager, operating officer or agent in charge of the licensed premises <br />since the date of the last renewal application? (This is def ned as the person responsible for day-to- <br />day operating decisions of the premises.) V- No;____Yes. <br />If yes, describe the change arxl the date of City Council approval of the change? <br />3. Have there been any other changes to the information contained in the original or previous renewal <br />applications which have not been submitted to the City? X-... No;-------Yes. <br />If yes, describe these changes and/or include floor plan. <br />7. Are any real estate taxes, personal property taxes, special assessments or other financial claims of the <br />City of Omno delinquent or unpaid for the premises licensed? _ No;-------Yes. <br />If yes, give details. <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 sate of liquor filed under your dram shop insurance.) _XL. -------Yes. <br />If yes, attach a copy of each summons received. <br />9./applicant and his associates in this application will strictly comply with all the laws of the State of <br />Minnesota governing the taxation and the sale of intoxicating liquor, wine, or 3.2 percent malt liouor or <br />beer and the Orono City Code, and I hereby certify that I have read the foregoing questions and that <br />the answers to said questions are true of my own knowledge. <br />-I <br />i