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2002-02-04 CC PacketALBERTVILLE CITY COUNCIL AGENDA February 4, 2002 7:00 PM 1. CALL TO ORDER — ROLL CALL — ADOPT AGENDA 2. MINUTES (a) January 22, 2002, City Council Meeting 3. CITIZEN FORUM - (io Minute Limit) 4. CONSENT AGENDA (a) Approve payment of claims (Check #'s 15742—15775) (b) Coborn's Incorporated — Liquor License Application 5. DEPARTMENT BUSINESS a. Fire Department b. Public Works (1) Public Works/Parks Report - Discuss getting a Parks Committee together C. d. Engineering (1) Northwest Commercial Park — streets & utilities e. Legal E Administration 6. ADJOURNMENT ALBERTVILLE CITY COUNCIL • January 22, 2002 Albertville City Hall 7:00 PM PRESENT: Mayor John Olson, Councilmembers LeRoy Berning, Scott Wallace, Keith Franklin and John Vetsch, City Attorney Mike Couri, City Engineer Pete Carlson, and City Administrator Linda Goeb Mayor Olson called the regular meeting of the Albertville City Council to order. The agenda was amended by removing the Kollville Estates 2nd Addition plat and Developer's Agreement. Franklin made a motion to adopt the agenda as amended. Berning seconded the motion. All voted aye. Wallace made a motion to approve the minutes of the January 7, 2002, meeting. Berning seconded the motion. All voted aye. Mayor Olson asked if anyone wished to address the Council under Citizen Forum. No one present wished to address the Council. Check #'s 15708, 15713, 15723, 17526, and 15696 were pulled from the Consent Agenda. Berning made a motion to approve payment of all claims, except the check numbers referenced above. Franklin seconded the motion. All voted aye. Berning made a motion to approve a reduction in the Letter of Credit for the Towne Lakes development to $136,000. Franklin seconded the motion. All voted aye. Berning made a motion to approve the Minnesota Lawful Gambling Premises Permit Application for the Knights of Columbus to sell pulltabs at Smackdown Sports Bar & Grill by adopting RESOLUTION #2002-3 titled A RESOLUTION APPROVING A CLASS B (TIPBOARDS, PADDLEWHEELS, RAFFLES) FOR THE KNIGHT OF COLUMBUS #4174 AT SMACKDOWN BAR & GRILL. Franklin seconded the motion. All voted aye. Berning made a motion to approve the Application to Conduct Excluded Bingo for the Catholic Aid Association at St. Albert's Parish Center on March 17, 2002, and November (date to be set), 2002. Franklin seconded the motion. All voted aye. Berning made a motion to approve the Trunk Water & Trail Reimbursement in the amount of $29,730.50 to Leuer-Munstertieger for costs of additional improvements in the Heuring Estates development. Franklin seconded the motion. All voted aye. Berning made a motion to approve the 2002 Curbside Recycling contract with Wright Recycling as presented. Franklin seconded the motion. All voted aye. 'The Council reviewed and accepted the Fire department's 2001 Call Volume Report. Albertville City Council Minutes January 22, 2002 Page 2 of 3 Franklin made a motion to approve changing the new snow plow from a trip mowboard to a trip cutting edge, to change the wing from a fixed cutting edge to a trip cutting edge, and to offset the plow by six inches to the right to prevent windrows when making corners. The total cost of the changes is $1,005 plus tax. Wallace seconded the motion. All voted aye. Berning made a motion to accept the Public Works Department Report as presented. Wallace seconded the motion. All voted aye. The Council discussed the WTTF/Water Report the operator's concerns with the amount of water being discharged from the Joint Powers Water Treatment Facility when the filtering screens are cleaned. The Council requested that John Middendorf and a wastewater engineer from S.E.H. attend the Joint Powers Water Board meeting to address this concern. Franklin made a motion to accept the WWTF/Water department Deport as presented. Wallace seconded the motion. All voted aye. Berning made a motion to return the balances in the escrow accounts for the CUP's requested by Laurie Jacobson and Steve Long. Vetsch seconded the motion. All voted aye. Wallace made a motion to refund the $300 CUP application fee submitted by Laurie Jacobson for a temporary Coffee Cubby drive through shop. Beming seconded the motion. All voted aye. Shane Bullough and Bob Morse, representing JMJ Properties, addressed the Council with a concept plan for the development of Phase III of the Outlets at Albertville. The proposed Phase II will be located on the 15 acres of land immediately east of the Phase I and Phase II outlets. The concept plan consists of several individual buildings, designed with a European Village theme. The concept plan meets thel50' setback from School Lake and leaves a natural buffer at the shoreline. Impervious coverage of the site is less than 75%. Staff was directed to proceed on developing shoreland regulations that deal with commercial property. The Council expressed concerns over the traffic generated by another addition. Morse explained that having additional parking lots (in excess of the number of stalls required by ordinance) would help all phases of the mall. In addition, he stated that a right turn into Phase III would alleviate some of the congestion at the signaled intersection. If the parking remains a problem after Phase III opens, the developers agree that they will work out a solution for the problem. Concerns were also expressed about the site line and pedestrian traffic. The developer will be required to provide the County with a widened right of way to the west along County Road 19 for future construction. Another trolley will shuttle shoppers between the outlet stores. Since the intersection is already signalized, pedestrians will have the opportunity to cross County Road 19 safely. Albertville City Council Minutes January 22, 2002 Page 3 of 3 Some Council members are concerned that the height and the configuration of the buildings may be detrimental to future commercial sites to the north. Morse explained that he has been in contact with the property owner to the north and have discussed JMJ's proposal. The property owner indicated he would have no problems with the plan. Curt Crotty, representing the Wiley's who own Welcome Furniture, asked the Council to consider the letter from the Wiley's to purchase between 3-5 acres of city owned land located directly north of Otsego Tool. The letter of intent states a $3.00 per square foot purchase price. City Engineer Pete Carlson presented information that the amount of special assessments for the street, sanitary sewer and water cost would be approximately $1.08 per square foot. Crotty pointed out that the owners will locate a store in Albertville and are looking at other property within the city that would have freeway visibility. Crotty indicated that the Wiley's would be willing to pay $3.75 per square foot, with an additional $1.08 per square foot in assessments. Mayor Olson stated he would consider selling the property for $3.75 per square foot, plus $1.08 per square foot in assessments. He then called on each Council member for input on the proposed sale price. Frankin, Vetsch, and Berning indicated they would be willing to consider a $5 per square foot total price. Wallace indicated he would consider a sale price of around $4 per square foot. Council members Franklin and Wallace were appointed to a committee to meet with the Wiley's and Crotty to negotiate the selling price. Mayor Olson scheduled a special City Council meeting on Monday, January 28, 2002, at 6:30 PM to hear the committee recommendation regarding the negotiated sale. Berning made a motion to adopt ORDINANCE #2002-2 titled AN ORDINANCE RELATING TO REMOVAL OF SNOW AND ICE ON SIDEWALKS AND WALKING PATHS WITHIN THE CITY OF ALBERTVILLE, amended to include 57th Street sidewalks north of Main Avenue under Priority 2. Franklin seconded the motion. All voted aye. Franklin made a motion to approve payment of Check #'s 15708, 15713, 15723, 17526, and 15696 as presented. Wallace seconded the motion. All voted aye. aye. Wallace made a motion to adjourn at 9:30 PM. Berning seconded the motion. All voted John Olson, Mayor Linda Goeb, City Administrator CITY OF ALBERTVILLE 01/31/02 3:42 PM Page 1 *Check Detail Register© February 2002 Check Amt Invoice Comment 10100 Security State Bank Paid Chk# 015742 2/1/02 ACTION RADIO & COMMUNICATIONS E 101-42000-404 Repair/Maint - Machinery/Equip $3,572.01 7159 Repair Radio mobile unit Total ACTION RADIO & COMMUNICATIONS $3,572.01 Paid Chk# 015743 2/1102 ALLINA MEDICAL GROUP E 101-42000-305 Medical - Physicals $249.25 01/09/02 Fire Dept. Physicals/exams Total ALLINA MEDICAL GROUP $249.25 Paid Chk# 015744 211/02 BARTHEL, MARY E 101-45000-596 Friendly City Days $250.00 2001-2002 Albertville - Princess Total BARTHEL, MARY $250.00 Paid Chk# 015745 2/1/02 CHOUINARD OFFICE PRODUCTS E 101-41400-200 Office Supplies (GENERAL) $32.96 51416 Coding Labels E 101-41400-200 Office Supplies (GENERAL) $30.87 51424 Erasable Calendar Total CHOUINARD OFFICE PRODUCTS $63.83 Paid Chk# 015746 2/1/02 DANKO EMERGENCY EQUIPMENT E 101-42000-584 C/O - Trunout Gear $827.73 54351 misc - equipment E 101-42000-584 C/O - Trunout Gear $61.45 54389 name patch - let/num Total DANKO EMERGENCY EQUIPMENT $889.18 Paid Chk# 015747 2/1/02 DAVIES WATER EQUIPMENT CO. E 461-49470-300 Professional Srvs (GENERAL) $440.43 3099573 Towne Lakes Lift Station Total DAVIES WATER EQUIPMENT CO. $440.43 Paid NO 015748 211/02 DELTA DENTAL E 601-49450-130 Employer Paid Ins (GENERAL) E 101-45100-130 Employer Paid ins (GENERAL) E 101-41300-131 Employer Paid Health E 101-43100-130 Employer Paid Ins (GENERAL) E 602-49400-130 Employer Paid Ins (GENERAL) E 101-41400-131 Employer Paid Health R 101-32210 Building Permits Total DELTA DENTAL $51.90 February 2002 Dental - John/Mike $51.90 February 2002 Dental - Tim/Mike $51.90 February 2002 Dental - Linda $51.90 February 2002 Dental - Ken/Mike $51.90 February 2002 Dental - John/Mike $51.90 February 2002 Dental - Bridget $51.90 February 2002 Dental - Jon $363.30 Paid Chk# 015749 211/02 ESCHELON TELECOM, INC. E 101-41940-321 Telephone $22.45 February 2002 Phone - E-mail CH Total ESCHELON TELECOM, INC. $22.45 Paid Chk# 015750 2/1/02 FERN GRAVEL & EXCAVATING E 452-49000-310 Other Professional Services $475.00 5985 Cleaning Ditch near Mall Total FEHN GRAVEL & EXCAVATING $475.00 Paid Chk# 015751 2/1/02 GRANITE ELECTRONICS E 601-49450-404 Repair/Maint - Machinery/Equip $438.24 56044 Repair Radio AlamVnew Battery Total GRANITE ELECTRONICS $438.24 Paid Chk# 015752 211/02 HARVEST PRINTING R 101-32210 Building Permits $78.88 8566 Inspection Notice Forms E 101-41100-300 Professional Srvs (GENERAL) $668.82 8761 Printing - Newsletter E 101-41400-200 Office Supplies (GENERAL) $64.54 8866 Window #10 Envelopes E 101-41400-200 Office Supplies (GENERAL) $94.23 8866 Regular #10 envelopes Total HARVEST PRINTING $906.47 Paid Chk# 015753 2/1/02 JACOBSON, LORI G 101-22800 Landscaping Escrow $77.50 Zoning Erscrow Refund CITY OF ALBERTVILLE *Check Detail Register© 01/31/02 3:42 PM Page 2 February 2002 Check Amt Invoice Comment R 101-34103 Zoning and Subdivision Fees $300.00 Zoning Application Refund Total JACOBSON, LORI $377.50 Paid Chk# 015754 2/1/02 LANO EQUIPMENT E 101-43100-404 Repair/Maint - Machinery/Equip $11.72 36661 Parts for Bob Cat Total LAND EQUIPMENT $11.72 Paid Chk# 015755 2/1/02 LARSON PUBLICATIONS E 101-41100-351 Legal Notices Publishing $489.60 Advertising - Sec/Rec Total LARSON PUBLICATIONS $489.60 Paid Chk# 015756 2/1/02 LONG, STEVE G 101-22800 Landscaping Escrow $55.20 2001 Zoning Escrow Refund Total LONG, STEVE $55.20 Paid Chk# 015757 211/02 MEDICA E 601-49450-130 Employer Paid Ins (GENERAL) E 101-41400-131 Employer Paid Health E 101-45100-130 Employer Paid Ins (GENERAL) E 101-43100-130 Employer Paid Ins (GENERAL) E 602-49400-130 Employer Paid Ins (GENERAL) E 101-41300-131 Employer Paid Health R 101-32210 Building Permits Total MEDICA $824.60 February 2002 Medical - John/Mike $824.61 February 2002 Medical - Bridget $824.60 February 2002 Medical - Tim/Mike $824.60 February 2002 Medical - Ken/Mike $824.60 February 2002 Medical - John/Mike $624.61 February 2002 Medical - Linda $824.60 February 2002 Medical - Jon $5,572.22 Paid Chk# 015758 2/1/02 MIDWEST ANALYTICAL SERVICES E 601-49450-218 Testing Expenses E 601-49450-218 Testing Expenses E 601-49450-218 Testing Expenses Total MIDWEST ANALYTICAL SERVICES $156.00 123491 January 17 Testing $116.00 123525 January 18 Testing $116.00 123601 January 24 Testing $388.00 Paid Chk# 015759 2/1/02 MINNESOTA COPY SYSTEMS E 101-41400-413 Office Equipment Rental $124.83 103448 Copy Machine Maintenance Total MINNESOTA COPY SYSTEMS $124.83 Paid Chk# 015760 2/1102 MINNESOTA RURAL WATER ASSOCIAT E 601-49450-208 Training and Instruction $125.00 MRWA Technical Conference Total MINNESOTA RURAL WATER ASSOCIAT $125.00 Paid Chk# 015761 2/1/02 NCPER S GROUP LIFE INSURANCE G 101-21710 Other Deducations $12.00 February2002 Insurance Premium -Linda Total NCPER S GROUP LIFE INSURANCE $12.00 Paid Chk# 015762 2/1/02 NEXTEL COMMUNICATIONS E 101-41400-323 Nextel Radio Units $88.57 February 2002 Two-way/cell-CH E 101-42000-321 Telephone $44.30 February 2002 Two-way cell- Fire R 101-32210 Building Permits $44.30 February 2002 Two-way Cell- Bldg. E 101-41100-200 Office Supplies (GENERAL) $44.30 February 2002 Two-way/cell - Mayor E 101-41400-323 Nextel Radio Units $44.30 February 2002 Two-way/cell-inspct E 101-45100-323 Nextel Radio Units $44.30 February 2002 Two-way/cell-Parks E 101-43100-323 Nextel Radio Units $44.30 February 2002 Two-way/cell-PW E 602-49400-323 Nextel Radio Units $44.30 February 2002 Two-way/cell-Water E 601-49450-323 Nextel Radio Units $44.30 February 2002 Two-way/cell-WWTF Total NEXTEL COMMUNICATIONS $442.97 Paid Chk# 015763 2/1/02 P.E.R.A G 101-21704 PERA $1,125.35 2nd PP Jan 20 Jan. 12 to Jan. 25, 2002 CITY OF ALBERTVILLE *Check Detail Register© 01/31/02 3:42 PM Page 3 February 2002 Check Amt Invoice Comment Total P.E.R.A $1,125.35 Paid Chk# 015764 2/1/02 RELIANT ENERGY/MINNEGASCO E 601-49450-383 Gas Utilities $581.32 WWTF Gas Utilities Total RELIANT ENERGY/MINNEGASCO $581.32 Paid Ehk# 015765 2/1/02 SENTRY SYSTEMS, INC. E 101-42000-405 Repair/Maint - Buildings $50.96 293511 Security Fire Hall Total SENTRY SYSTEMS, INC. $50.96 Paid Chk# 015766 2/1/02 SPRINT- GA E 101-42000-321 Telephone $13.14 Phone - FD-Main E 101-41940-321 Telephone $17.68 Phone CH - Main Total SPRINT- GA $30.82 Paid Chk# 015767 2/1/02 SPRINT -MO E 101-42000-321 Telephone $44.01 Phone - FD-Fax E 101-41940-321 Telephone $68.63 Phone CH - Main E 101-41940-321 Telephone $53.06 Phone - CH2 E 101-41940-321 Telephone $42.15 Phone - CH -Fax E 101-42000-321 Telephone $51.06 Phone - FD-Main E 101-41940-321 Telephone $124.94 Phone - tax/surcharge E 101-43100-321 Telephone $42.15 Phone - PW Fax E 101-41940-321 Telephone $42.15 Phone - CH-Intemet E 601-49450-321 Telephone $30.50 Phone - WWTF E 101-45100-321 Telephone $28.15 Phone - Park Shelter E 101-43100-321 Telephone $42.15 Phone - PW E 101-41940-321 Telephone $44.01 Phone - CH3 Total SPRINT -MO $612.96 Paid Chk# 015768 2/1/02 UNLIMITED ELECTRIC E 101-41940-405 Repair/Maint - Buildings $521.83 5316 Remodeling @ City Hall Total UNLIMITED ELECTRIC $521.83 Paid Chk# 015769 2/1/02 VERIZON E 101-42000-321 Telephone $16.15 January 2002 Fire Dept. Wireless Phone Total VERIZON $16.15 Paid Chk# 015770 2/1/02 WRIGHT COUNTY HIGHWAY DEPT. E 101-43100-226 Sign Repair Materials $154.62 3265 24 7-foot post/polls E 101-43100-226 Sign Repair Materials $44.83 3266 Misc. Nuts/Bolts for Sign Post Total WRIGHT COUNTY HIGHWAY DEPT. $199.45 Paid Chk# 015771 2/1/02 WRIGHT COUNTY TREASURER E 101-41100-351 Legal Notices Publishing $172.55 2002-TNT 2002 Truth In Taxation Notices Total WRIGHT COUNTY TREASURER $172.55 Paid Chk# 015772 2/1/02 WRIGHT HENNEPIN ELECTRIC E 101-43160-381 Electric Utilities E 101-43160-381 Electric Utilities E 101-43160-381 Electric Utilities E 101-43160-381 Electric Utilities Total WRIGHT HENNEPIN ELECTRIC Paid Chk# 015773 2/1/02 WRIGHT RECYCLING $7.30 St.Lighting-58th & MacKenzie $7.30 St.Lighting-59th & MacKenzie $7.30 St.Lighting-60th & MacKenzie $20.16 Electric-61st St Signal $42.06 E 101-43200-308 Recycling Contract Fee $2,849.00 January 2002 Recycling Contract Total WRIGHT RECYCLING $2,849.00 CITY OF ALBERTVILLE 01/31/02 3:42 PM Page 4 *Check Detail Register© February 2002 Check Amt Invoice Comment Paid Chk# 015774 2/1/02 2 MBERGE, KEITH E 604-49960-300 Professional Srvs (GENERAL) $320.00 01/23/02 Inspect Landspreading- WWrF Total -ZUMBERGE, KEITH $320.00 10100 Security State Bank $21,791.65 FILTER: None CITY OF ALBERTVILLE 01/31/02 3:58 PM Page 1 *Check Detail Register© February 2002 Check Ant Invoice Comment 10100 Security State Bank Paid chK#7 315775 214102 DIVERSIFIED INSPECTION SERVICE G 101-20801 Inspection Fees Payable $7,137.53 1685 G 101-20801 Inspection Fees Payable $6,889.57 1686 G 101-20801 Inspection Fees Payable $6,559.66 1687 G 101-20801 Inspection Fees Payable $4,711.38 1688 G 101-20801 Inspection Fees Payable $7,607.06 1689 G 101-20801 Inspection Fees Payable $6,679.59 1.690 G 101-20801 Inspection Fees Payable $8,096.71 1691 G 101-20801 Inspection Fees Payable $9,328.34 1692 G 101-20801 Inspection Fees Payable $11,958.99 1693 Total DIVERSIFIED INSPECTION SERVICE $68,968.83 10100 Security State Bank $68,968.83 FILTER: None Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee Bldg Inspection Fee co®owvis I N C O R P O R A T E D January 17, 2002 Ms. Linda Gold City of Albertville PO Box 9 Albertville MN 55301 RE: Liquor License Apllication Dear Linda: Enclosed is an off sale liquor license application for Coborn's, Incorporated. I believe I have included the necessary information I need at this time. We would like to be included on the City agenda as soon as possible for approval. If you need anything further or have questions, please do not hesitate to contact me. My direct line at Coborn's is (320)203-6205. We look forward to hearing from you. Sincerely, COBORN'S, INCORPORATED Diane Clay Administrative Assistant Enc. 1445 East Highway 23, St. Cloud, MN 56304 P.O. Box 6146, St. Cloud, MN 56302 (320) 252-4222 Fax: (320) 252-0014 Minnesota Departrnent of Public Safety +tl LIQUOR CONTROL DIVISION j 444 Cedar St., Suite 100 L. R. Paul. MN 55101-2156 � ���:! (612)29b-643U-t"IY(612)282-6555s'uti. APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE No license will be approved or released until the $20 Retailer ID Card fee is received by MN Liquor Control. Workers compensation insurance company. Name Sentry Insurance ' Policy# 90-03061 LICE.NSEWS SALES & USE TAX II) # MN#8058647 To appl►- for sales tax #, call 2%-06181 or I-800-657-3777 If a corporation, an officer shall execute this application If a partnership, a partner shall execute this application. Licensee Name (Individual, Corporation, Partnership) Trade Name or DBA Coborn's, Incorporated Coborn's License Location (Street Address & Block No.) licence Period Applicant's home Phonc Property ID# R101-065-000020 From To /.2. • 31- O / City County State Zip Code Albertville Wove A MN S S S 6 1 Name of Store Manager Business Phone Number DOB (Individual Applicant) Mike Kosloske pending If a corporation, state name, date of birth, address, title, and shares held by each officer. If a partnership, state names, address and date of birth of each partner. Partner Ofliccr (First. middle, last) DOB Title Shares Address, City, State, Zip Code see attached Partner Officer (Firsi. middle, lad) DOB Title Shares Address, City, State, Zip Code Partner Officer (First. middle, last) DOB Title Shares Address, City, State, Zip Code Partner Officer (First, middle, last) DOB Title Stares Address, City, State, Zip Code 1. If a corporation, date of incorporation 12-15-58 , state incorporated in Minnesota , amount paid in capital . If a subsidiary of any other corporation, so state N/A and give purpose of corporation --, If incorporated under the laws of another state, is corporation authorized to do business is the state of Minnesota? ❑ Yes [I No N/A 2. Describe premises to which license applies; such as (first floor, second floor, basement, ctc.) or if entire building, so state. a 3. Is establishment located near any state university, state hospital, training school, reformatory or prison? 0 YesxG No If yes state approximate distance. 4. Nane and address of building rni-ner: i:TJ Lim; ♦ ar ,ur - S1,3s A-'k� t01 s3'[S" flan owner of building any connection, directly or inAiircctlp, with applicant? Cl es O No 5. Is applicant or any of the associates in this application, a member of the governing body of the municipality in which this liccusc is to be issued? i Yes ® No If yes, in what capacity? 6. State %%bother any person other than applicants has any right, title or interest in the furniture, factures or equipment for which license is applied and if so, give name and details. No 7. Have applicants any interest whatsoever, directly or indirectly, in any other liquor establishment in the state of Minnesota? fd Yes ", No Ifyes. give name and address of establisluucut. store list attached 8. Arc the premises umi occupied or to be occupied by the applicant wtirely separate and exclusn•e from any other business establislunum? x Yes No 9. State whether applicant has or will be granted, an On sale Liquor License in conj wictiou %% ith this 01T Sale Liquor License and for the same premises. U Yes 9 No D Will be granted 10. Stalc whether applicant has or will be granted a Sunday (fin Sale Liquor License in conj unction with the regular On Sale Liquor Liccux:. "; Yes rkNo IJ Will be granted 1 t. If this applicatiat is for a County Board Qr Sale License. state the distance in miles to the nearest municipality. 1. State whether applicant or any of the associates in this application, have ever had an application for a liquor license r4 ected by any municipality or state authority; if so, give dates and details. —No 2. 1las the applicant or any of the associates in this application, during the fae years immediate)}• preceding this application ever had a license under the Minnesota i.iquor Control Act revoked for an• violation of such laws or local ordinances; if so, give dates and details. No 3. Has applicant• partners, oliicc rs. or employees ever had soy liquor law violations in Minnesota or elsewhere, including State Liquor Control penalties? Z: Yes J No Ifycs, give dates, charges and final outcome. 4. During the past license year, has a sununons been issued under the Liquor Ch. it Liability Law (I)ram Strop) M.S. 340A.802. Yes 9. No Ifycs. attach a copy of the summons. Ibis licensee mud have one of the following: (ATTACH CERTIFICATE OF INSURANCE TO THIS FORM.) Me& me U A. Liquor liability Insurance (Dram Shop) - S30,000 per person, S 100.000 more than one person; S 10.000 property or dcsiructionn; 550,000 and S 100.000 for loss of means of support. i7 B. A surely bond from a surety company with minimum coverage as specified in A. or U C. A certificate from the State Treasurer that the licensee has deposited with the state, trust funds having market value of S 100.000 or S 100.000 in cash or securities. 1 certdv that I hm•e read the above —questions and that the answers are true and correct of m own knowled e. Print name of applicant & title Si ire of Ap l' Hate Don R. Wetter, CEO, Coborn's, Incorporated REPORT BY POLICEISHERIFF'S DEPARTMENT This is to certify that the applicant and the associates named herein have not been convicted within the past five years for any violatiou of laws of the State of Minnesota or muo icipal ordinances relating to intoxicating liquor except as follows: PoliectShcrifl's Department 'Title Signature County Attorncy's Si store PS 9136-94 IMPORTANT NOTICE All retail liquor licensees nuusi have a current Federal Special Occupational Stamp. This stamp is issued by the Bureau of Alcohol, 'tobacco, and Firearms. For information call (612)290-3496. #2003 (6030) COBORN'S LIQUOR 327 FIFTH AVE SOUTH ST. CLOUD, MN 56301 (320) 252-8340 speed dial #630 FAX: No Fax Machine Henry Hilsgen, Mgr - #6033 COBORN'S LIQUOR 1113 FIRST AVENUE NE LITTLE FALLS, MN 56345 (320) 632-3365 speed dial #633 FAX: (320) 632-3365 (same as phone) Dan Moe, Mgr #2008 (6034) COBORN'S LIQUOR 700 CLEARWATER RD CLEARWATER, MN 55320 (320) 558-6761 speed dial #634 FAX: No Fax Machine Tom Stephany, Mgr #6035 COBORN'S LIQUOR 1017 STREET NORTH SARTELL, MN 56377 (320) 252-0603 speed dial #635 FAX: No Fax Machine Dave Struzyk, Mgr #2002 (6036) COBORN'S LIQUOR 141 GLEN ST FOLEY, MN 56329 (320) 968-8650 speed dial #636 FAX: No Fax Machine Brandon Erickson, Mgr #2022 (6037) COBORN'S LIQUOR 21412 STREET SAUK CENTRE, MN 56378 (320) 352-5976 speed dial #637 FAX: No Fax Machine Chris Schwinghamer, Mgr #1015 CASH WISE VIDEO 3312 HWY 10 EAST MOORHEAD, MN 56560 (218) 236-9002 FAX: (218) 236-9002 (same as phone) Christine Peters, Mgr #1016 CASH WISE VIDEO SUPERSTORE 512 "C" STREET NE BRAINERD, MN 56401 (218) 828-2112 FAX: (218) 828-2112 (same as phone) Tom Vice, Mgr LIQUOR #3009 (7031) CASH WISE LIQUOR 45 SECOND STREET SOUTH WAITE PARK, MN 56387 (320) 259-1156 speed dial #731 FAX: (320) 259-1156 (same as phone) Greg Anderson, Mgr #7032 CASH WISE LIQUOR 1305 SOUTH FIRST STREET WILLMAR, MN 56201 (320) 235-8797 speed dial #732 FAX: (320) 235-5999 Ken Warzecha, Mgr #7036 CASH WISE LIQUOR 2090 EXCELSIOR RD BAXTER, MN 56425 (218) 829-9286 speed dial #736 FAX: (218) 829-9286 (same as phone) Mark Dockendorf, Mgr #3014 (7037) CASH WISE LIQUOR 495 W NORTH STREET OWATONNA, MN 55060 (507) 451-8440 speed dial #737 FAX: No Fax Machine Dave Isaacson, Mgr #3015 (7038) CASH WISE LIQUOR 3310 HWY 10 EAST MOORHEAD, MN 56560 (218) 236-8081 speed dial #738 FAX: (218) 236-8081 (same as phone) Tom Sorensen, Mgr FREE STANDING VIDEO #1017 CASH WISE VIDEO SUPERSTORE 3060 25 STREETS UNIT F FARGO, ND 58103 (701) 297-9520 FAX: (701) 297-9520 (same as phone) Rebecca Clement, Mgr #1020 HUTCHINSON CASH WISE VIDEO'* 1310 HWY 15 S #104 HUTCHINSON, MN 55350 (320) 234-7902 FAX: No Fax Machine Brenda Wurzberger, Mgr #7039 BRAINERD LIQUOR 513 "B" STREET NE BRAINERD, MN 56401 (218) 828-9003 speed dial #739 FAX: (218) 825-0119 Michael Holmstrom, Mgr #3013 (7040) NEW ULM LIQUOR 1216 WESTRIDGE RD NEW ULM, MN 56073 (507) 354-7930 speed dial #740 FAX: (507) 354-7930 (same as phone) Keith Anderson, Mgr #3020 (7041) CASH WISE LIQUOR ** 1144 BISMARCK EXPRESSWAY BISMARCK, ND 58504 (701) 255-6866 speed dial #741 FAX: No Fax Machine Chris Olson, Mgr #1021 RANDALL'S VIDEO ** 860 21 ST SW HURON SD 57350 (605) 353-1235 FAX: (605) 3534235 (same as phone) . Jason Hauck, Mgr "Store mail should be forwarded in Coborn's or Cash Wise store mail bins. COBORN'S INCORPORATED Corporate Office 1445 East Highway 23, P.O. Box 6146 St. Cloud, MN 56302 Telephone (320) 252-4222 Fax (320) 252-0014 BOARD OF DIRECTORS COBORN IS, INCORPORATED Daniel Graham Coborn 2578 Winnebago Road Sartell, MN 56377 POB: Sauk Rapids, MN Date of Birth: 7125130 SS#: 533-30-0883 Shares: 12 -� Christopher Michael Coborn 3110 Club View Court St. Cloud, MN 56301 POB: St. Cloud, MN Date of Birth: 2110159 SS#: 476-80-0907 Shares: 8$ Mark Karl Coborn 2703 15th Street North St. Cloud, MN 56303 POB: St. Cloud, MN Date Of Birth: 1102162 SS#: 469-84-8890 Shares: 20* Datawp\ww 10\inc\director.lst Don Roger Wetter 3104 Greenock Road St. Cloud, MN 56301 POB: Lamberton, MN Date of Birth: 7126147 SS#: 470-52-6858 Robert Leonard Thueringer 923 Arbor Way Sauk Rapids, MN 56379 POB: Sauk Rapids, MN Date of Birth: 1116151 SS#: 473-62-0861 A CO BO R N'S INCORPORATED Corporate Office 1445 East Highway 23, P.O. Box 6146 St. Cloud, MN 56302 Telephone (320) 252-4222 Fax (320) 252-0014 CORPORATE OFFICERS OF COBORN'S, INCORPORATED Daniel Graham Coborn Director 2578 Winnebago Road Sartell, MN 56377 DOB 7/25/30 Robert Leonard Thueringer Chief Operating Officer 923 Arbor Way Sauk Rapids, MN 56379 DOB - 1/16/51 Mark Karl Coborn Executive Vice President 2703 15thStreet N St. Cloud, MN 56303 DOB - 1/2/62 Susan J. Wendt Vice President, Advertising 1008 11 th Avenue North St. Cloud, MN 56303 DOB - 7/7/55 Datawp\ww 10\inc\officer. ads Don Roger Wetter Chief Executive Officer 3104 Greenock Road St. Cloud, MN 56301 DOB- 7/26/47 Christopher Michael Coborn President/Secretary 3110 Club View Court St. Cloud, MN 56301 DOB - 2/10/59 Andrew William Knoblauch Vice President, Sales and Marketing 1718 Hazelwood Circle St. Cloud, MN 56303 DOB - 3/l/59