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Before an on -sale Intaalcating liquor license Is Issued under this division to an Individual who Is a nonresident of the city, to <br />more then one Individual whether or not they are residents of the city, or to a corporation, partnership or association, the <br />applicant shall appoint In writing a natural person who lives within 25 miles of the licensed establishment In the city as Its <br />manager or agent. Such manager or agent shall, by the terms of his written consent, take full responsibility for the conduct of <br />the licensed premises and serve as agent for service of notices and other process relating to the license. Such manager or <br />agent mast be a person who, by reason of age, character, reputation and other attributes, could qualify Individually as a <br />licensee. if such manager or agent ceases to live within 25 miles of the city or ceases to act In such capacity for the licensee <br />without appointment of a successor, the license Issued pursuant to such appointment shall be subject to revocation or <br />suspension. (Oran* Minnesota Citi/ Code 24-85) <br />3. Complete the following information for the manager of the above-named business: <br />First Name Middle Name Last Name of Pi.'L <br />Paul Robert Gustafson <br />HomeAddr+ess City state Zip Code <br />1721 Mayapple Pass Chanhassen MN 55317 <br />Phone Email <br />612-382-2131 sus@woodhilla.com <br />4. Has there been a change of manager, operating officer or agent in charge of the licensed premises since <br />the date of the last renewal application? This is defined as the person responsible for day-to-day <br />operating decisions of the premises.) "A, No; Yes. <br />If yes, describe the changes and the date of City Council approval (if required). <br />5. Have there been any changes in ownership or control of the licensee or enlargement or alteration of the <br />licensed premises since the date of the last renewal ppllcation? (This includes any transfer of stock or <br />change of officers or directors of a corporation.) No; Yes. <br />If yes, describe the changes and the date of City Council approval (if required). <br />6. Have there been any other changes to the Information contai ped 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 assepsynents or other financial claims of the <br />City of Orono 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 sale of liquor filed under your dram shop insurance.) _X, No; Yes. <br />If yes, attach a copy of each summons received. <br />Page 3 <br />