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RES 2014-0829 - Class I liq lic to Harry A Koch Trap & Skeet Range C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNICL OF THE CITY OF OMAHA: THAT, in accordance with the provisions of the Nebraska Liquor Control Act, as amended, after a hearing held within 45 days after receiving notice and a copy of the license application and upon due consideration of all standards and criteria provided by law,this Council hereby recommends that the following application for a Class "I" Liquor License be granted. City of Omaha, A Municipal Corporation, dba"Harry A. Koch Trap & Skeet Range", 6802 Harrison Street. That,the cost of publication of notice of the hearing was $26.00. July 1, 2014 - Resolution No. 829 - Motion to adopt. Carried 7-0. Garry Gernandt By July 1, 2014 7-0 Councilmember Adopted City Clerk 7/3/// Approve Mayor NO. Y-97J........, Resolution by Res. to grant Class "I" Liquor License to City of Omaha, A Municipal Corporation, Dba"Harry A. Koch Trap & Skeet Range", 6802 Harrison Street. 07/01/2014 - Res. #829 - Motion to adopt. Carried 7-0. Presented to City Council July 1,2014 Adopted 7-0 erou'f2 City Clerk ig() 756 CCID yyj TYPE OF LICENSE: CLASS "I" LIQUOR LICENSE NAME&ADDRESS: CITY OF OMAHA, A MUNICIPAL CORPORATION DBA"HARRY A. KOCH TRAP & SKEET RANGE" 6802 HARRISON STREET RECEIVED: JUNE 6, 2014 45TH DAY: MONDAY, JULY 21, 2014 HEARING DATE: JULY 1, 2014-25TH DAY \/// �r AND/OR PERSONS CONTACTED: JEAN STOTHERT CONTACT-STEVEN SLATER 402-444-4987 POSTED: i -11'1 NOTIFIED: 0 lam'0 ti CI; C G'in.S 5..e 4- (c, O ow)Ci co in 5 A 1 C104°i\-4 (N)(-)An ( -1;f0 e NEW APPLICATION,NEW LOCATION. f t tj y IZECEIPT i• • _ 6/4/2014 From: Mary Messman—MARY.MESSMAN@NEBRASKA.GOV Phone: 402/471-4893 Fax: 402/471-2814 Company Name: Nebraska Uquor Control Commission To: Omaha City Clerk RE: City of Omaha,a Municipal Corporation DBA Harry A Koch Trap&Skeet Range Application#: 107564- Class I PLEASE COMPLETE THE BOTTOM SECTION IMMEDIATELY UPON RECEIPT OF THIS APPLICATION AND FAX OR EMAIL THIS FORM BACK ACKNOWLEDGING THE RECEIPT OF THIS APPLICATION. PLEASE DATE STAMP IF THAT OPTION IS AVAILABLE. THANK YOU. (-) z L//,/ • .12/// C/Lii /' DATE OF RECEIPT /7: SIGNATURE Urgent Zi For Review El Please Comment k,„„ Please Reply El Please Recycle ----61,/,-s''. 44•P''', i '' t: 1,. t'' ''' ',/ b:- ,r Ie STATE OF NEBRASKA rt; I:Ili& �;- ;<-••S. '°' --..' ,_-y' NEBRASKA LIQUOR CONTROL COMMISSION W►•� 1,), ; ; Dave Heineman �''r,, °� Governor Hobert B.Rupe ''� _ Executive Director r=',b� _ : ! 301 Centennial Mall South,5th Floor V-i r -' S P.O.Box 95046 Lincoln,Nebraska 68509-5046 Phone(402)471-2571 Fax(402)471-2814 or(402)471-2374 TRS USER 800 833-7352(TCY) June 4,2014 web address:http://www.lcc.ne.gov/ Omaha City Clerk 1819 Farnam Omaha NE 68183 RE: Class I application for City of Omaha,a Municipal Corporation dba Harry A Koch Trap&Skeet Range,6802 Harrison Street,Omaha/Douglas County 68127 Clerk: Attached is the form to be used on all retail liquor license applications. Local clerks must collect proper license fees and occupation tax per ordinance,if any,before delivering the license at time of issuance. TWO KEY TIME MAKES TO KEEP IN MIND ARE: . 1) Publicize one time not less than 7 days not more than 14 days prior to date of hearing. 2) You have 45 days to conduct a hearing after the date of receipt of the notice from this Commission(§53- 134).You may choose NOT to make a recommendation of approval or denial to our Commission. PER §53-133, THE LIQUOR CONTROL COMMISSION SHALL SET FOR HEARING ANY APPLICATION WHEREIN: 1) There is a recommendation of denial from the local governing body. 2) A citizens protest;or 3) Statutory problems that the Commission discovers. PLEASE NOTE...A LICENSEE MUST BE PROPERLY LICENSED IN ORDER TO PURCHASE FROM WHOLESALERS;AND,A LICENSE IS EFFECTIVE: 1) Upon payment of the license fees; • 2) Physical possession of the license; 3) Effective date on the license. Sincerely, NEBRASKA LIQUOR CONTROL COMMISSION r ()(1 -(1 /11°C"It* Mary Mess . Licensing Division Enclosures Janice M.Wiebusch Robert Batt William F.Austin Commissioner Chairman Commissioner An Equal Opportunity Employer Printed with soy ink on recycled paper APPLICATION�J FOR LIQUOR LICENSE FIECEivph �CENTENNu°�c�rR�or,eoM�ussIor� APR PO BOX 95M6 2 9 20/4 UNCOLN,NE 68509-5046 • PHONE:coz>47i.as71 COITRRASKA►LIot Q�pR FAX:(402)471-2814 Website:www.lee.ne.gov/ t4144,444/8310111 RETAIL LICENSES) Submit S490 Non Refundable Application Fee O A BEER,ON SALE ONLY ❑ B BEER,OFF SALE ONLY ❑ C BEER,WINE,DISTILLED SPIRTS,ON AND OFF SALE 0 D BEER,WINE,DISTILLED SPIRITS,.OFF SALE ONLY LE] I BEER,WINE,DISTILLED SPIRITS,ON SALE ONLY ❑ AB BEER,ON AND OFF SALE • Q -AD BEER ON SALE ONLY,BEER,WINE,DISTILLED SPIRITS OFF SALE IB BEER,WINE,DISTILLED SPIRITS ON SALE,BEER OFF SALE ONLY ID BEER,WINE,DISTILLED SPIRITS ON AND OFF SALE O Class K Catering license(requires catering application form 106)$100.00 Additional fees will be assessed at city/village or county level when license is issued • Class C license term runs from November 1—October 31 All other licenses run from May 1—April 30 Catering license(K)expires same as underlying retail license ` ❑ Individual License(requires insert form 1-form number 104) v ❑ Partnership License(requires insert form 2-form number 105) ER Corporate License(requires insert form 3a&3c-form number 101 and 103) ❑ Limited Liability Company(LLC)(requires form 3b&3c-form number 102 and 103) Name Steven Sifter, Contractual Services Coo«iinator Phone number: 402-444-49$7 Firm Name City of Omaha FORM too • REV 12J2013 PAGE 3 • Trade Name(doing business as)._jiarry A. Koch Trap& eet 'ange Street Address#1 arrisan Skeet et Street Address#2 City Omaha _ County Douglas _4f I Zip Code 0312L. Premise Telephone number . (402)331-1249 Business e-mail address n!a Is this location inside the city/village corporate limits: gi YES 0 NO C141 Mailing address(where you want to receive mail from the Co mission) Name Steven Slater Street Address#1 Omaha 1 DougLas Civic Center Street Address#2 1$19 FBrnam Street, suite 701 City Omaha State NF Zip Code 68164 In the space provided or on an attachment draw the area to be licensed. This should include storage areas,basement,outdoor area,sales areas and areas where consumption or sales of alcohol will take place. If only a portion of the building is to be covered by the license,'you must still include dimensions(length x width)of the licensed area as well as the dimensions of the entire building. No blue prints please. Be sure to indicate the direction 22_4 and number of floors of the building. **For on premise consumption liquor licenses minimum standards must be met by providing at least two restrooms Building: length x width in feet Is there a basement to be ' Yes •o A. f yes,length x width in feet Is there an outdoor area Yes ')C , , yes, ength x width in feet PROVIDE DIAGRAM OF AREA TO BE LICENSED BELOW OR ATTACH SEPARATE SHEET • /9,2-- -, t pc jI, ,0 uS' firr'e 4 iDr FORM 100 r 'I4//0 iNNAj6 7 L Od REV 1V2013 PAGE 4 Messman, Mary From: Steven R.Slater(Prks) <steven.slater@clomaha.ne.us> Sent: Thursday,June 05,2014 11:38 AM To: Messman, Mary Subject City of Omaha- Koch Trap&Skeet Range Attachments: Koch Trap &Skeet Range- East Side(Back of Bldg.) Patio areaJPG; Koch Trap&Skeet Bldg - Front (Facing West).JPG Mary, Question 1: The clubhouse is a one-story building with an irregular design. The perimeter of the building is approximately 105 x 48 ft.,with an area of approximately 5,040 sf. Included in that square footage are a garage and exterior entrance storage totaling approximately 428 sf. The pepatio rimeter area is approximately 118 x 62 ft.,with an area of approximately 7,316 sf. The patio area is adjacent to the clubhouse and sits to the east. No alcoholic beverages will be allowed outside of the clubhouse and patio areas. I have attached two photos of the range for reference; 1) clubhouse front view and 2) clubhouse rear view,including patio area. Alcoholic beverages will only be served and allowed to be consumed after patrons have completed any target shooting at the range or it theyare not target shooting. No one will be served or allowed to consume alcoholic sh g g g g beverages prior to shooting on the range. Question 2: The current hours of operation for the range are: Saturday& Sunday- 10:00 am to 6:00 pm Tuesday-Friday-Noon to 7:00 pm Monday -Closed Question 3: Manager prior employment for the past two(2)years: The range manager, Billie Buettgenbach was employed by: Mark Hydraulic Company John Rossi, Owner 4771 G Street, Omaha, Nebraska 68117-1493 Phone: 402-734-6734 Please contact me with any questions or if you need additional information. Thank you, 1 i eve ^� t r+ 1 i jots* ft I 8 -0- le f cf>. t 1 vir i i ,�° � d '0''- i se � R O '� izta. 46 o -,ib € if y NOTICETO PUBLIC THEDAILY RECORD Notice is hereby given that City of OF OMAHA Omaha, A Municipal Corporation, dba "Harry A.Koch Trap&Skeet Range",has filed application of a license to sell beer,wine LYNDA K. HENNINGSEN, Publisher and liquor for Consumption On the premises at 6802 Harrison Street, legally described as PROOF OF PUBLICATION follows: THE SW 1/4 OF THE SW 1/4 OF SECTION 12,TOWNSHIP 14, NORTH UNITED STATES OF AMERICA, RANGE 12 EAST OF THE 6TH P.M., The State of Nebraska, CITY OF OMAHA,DOUGLAS COUNTY, SS. NEBRASKA District of Nebraska, That in accordance with provisions of Sec- District of Nebraska, tion 53-1311,Nebraska Liquor Control Act,as County of Douglas, amended, hearing upon said application will Cityof Omaha, be held in the Legislative Chamber, Om- aha/Douglas Civic Center, 1819 Farnam Street,Omaha,Nebraska,on Tuesday,July J.BOYD 1,2014,at 2:00 o'clock P.M.,at which time the City Council shall receive evidence either being duly sworn,deposes and says that she is orally or by affidavit from any person bearing upon the propriety of the issuance of said LEGAL EDITOR license. • BUSTER BROWN, and City Clerk of THE DAILY RECORD, of Omaha, a legal newspaper,printed 6-23-14 dailyin the English language, having a bona fide paid published circulation in Douglas County in excess of 300 copies, printed in Omaha, in said County of Douglas,for more than fifty-two weeks last past;that the printed notice hereto attached was published in THE DAILY RECORD,of Omaha,on June 23, 2014 :� 1 � �fished and That said Newspaper during that time was re y circulation in the County of Douglas, : . . : .• . 'ebraska. in general ''`' GENERAL NOTARY- . Er' F l=' 4 `!'`-j -Subscribed in my p �--, • and sworn to before -�- Publisher's Fee $ •00 me this 2 3 rd day of Pubhs Additional Copies $ June 2d 4-_ Total $26 00 'IIA Not. Public in and for Douglas County, State of Nebraska DAILY RECORD: Charge to General Ordinance Order NO. 2447 H. CLASS "I" LIQUOR LICENSE Please publish June 23, 2014 Notice is hereby given that City of Omaha. A Municipal Corporation, dba"Harry A. Koch Trap & Skeet Range",has filed application of a license to sell beer, wine and liquor for consumption On the premises 6802 Harrison Street, legally described as follows: THE SW 1/4 OF THE SW 1/4 OF SECTION 12, TOWNSHIP 14, NORTH RANGE 12 EAST OF THE 6TH P.M., CITY OF OMAHA, DOUGLAS COUNTY, NEBRASKA That in accordance with provisions of Section 5 3-1311, Nebraska Liquor Control Act, as amended, hearing upon said application will be held in the Legislative Chamber, Omaha/Douglas Civic Center, 1819 Farnam Street, Omaha, Nebraska, on Tuesday, July 1, 2014 at 2:00 o'clock P.M., at which time the City Council shall receive evidence either orally or by affidavit from any person bearing upon the propriety of the issuance of said license. Buster Brown City Clerk "NOTICE TO PUBLIC" Notice is hereby given that City of Omaha, A Municipal Corporation, dba �� -- 2pietri*A? C /'1 � ?�'f?G �'l "HarryA. D / Koch Trap&Skeet Range",has i icyfiled application of a license to sell beer,wine 0-Mae /'`� and liquor for consumption On the premises � � �'C� at 6802 Harrison Street, legally described as follows: THE SW 1/4 OF THE SW 1/4 OF SECTION 12,TOWNSHIP 14, NORTH RANGE 12 EAST OF THE 6TH P.M., CITY OF OMAHA,DOUGLAS COUNTY, NEBRASKA That in accordance with provisions of Sec- tion 53-1311,Nebraska Liquor Control Act,as amended, hearing upon said application will be held in the Legislative Chamber, Om- aha/Douglas Civic Center, 1819 Farnam Street,Omaha,Nebraska,on Tuesday,July 1,2014,at 2:00 o'clock P.M. at which time the City Council shall receive evidence either orally or by affidavit from any person bearing upon the propriety of the issuance of said license. BUSTER BROWN, 6-23-14 City Clerk 1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY$53-125(5) Has anyone who who is a pasty to this application,.a their spouse,EVER been convicted of or plead guilty to any charge. Charge means any charge alleging a felony,misdemeanor,violation of a federal or state law;a violation of a local law,ordinance or resolution. Include traffic violations. List the nature of the charge,where the charge occurred and the year and month of the conviction or plea. Also list any charges pending at the time of this application. If more than one party,please list charges by each individual's name. The commission must be notified of any arrests and/or convictions that may occur after the date of signing this application. ail YES 0 NO If yes,please explain below or attach a separate page • Name of Applicant Date of Where Description of Charge Disposition Conviction Convicted (mmJyyyY) _ (city&state) R 6k,,s 1.-(N. 6 t‘t)vd r‘ I 2-.2°- 94 0,06A,, iw _filisi) Qs,iLiG N oi,st ., . _ .. _ . , _ _ • • - - RECEIVED ArE you buying the business of a current retail liquor license? \24. 0 YES 10 NO APR 2 9 2014 NEBRASKA LIQUOR If yes,give name of business and liquor license number CONTROL COMMISSIONj a)Submit a copy of the sales agreement b)Include a list of alcohol being purchased,list the name brand,container size and how many c)Submit a list of the furniture,fixtures and equipment 3. Was this premise licensed as liquor licensed business within the last two(2)years? DYES 0 NO • If yes,give name and license number \ 4. Are you filing a temporary operating permit to operate during the application process? .. 0 YES El NO If yes: a) Attach temporary operating permit(TOP)(form 125) b) TOP will only be accepted at a location that currently holds a valid liquor license. FORM 100 • REV 12/2013 PAGE 5 5. Are you borrowing any money from any source,including family or friends,to establish and/or operate the business? DYES EN NO If yes,list the lender(s) 6. Will any person or entity,other than applicant,be entitled to a share of the profits of this business? D YES E NO If yes,explain. (All involved persons must be disclosed on application) - - . No silent partners 7. Will any of the furniture,fixtures and equipment to be used in this business be owned by others? D YES El NO If yes,list such item(s)and the owner. $. Is premise to be licensed within 150 feet of a church,school,hospital,home for the aged or indigent persons or for. veterans,their wives,and children,or within 300 feet of a college or university campus? DYES NO If yes,provide name and address-of such institution and where it is located in relation to the premises(Neb.Rev.Stat. §53-177X1) 9. Is anyone listed on this application a law enforcement officer? - \ 0 YES t NO If yes,list the person,the law enforcement agency involved and the person's exact duties 10, List the primary bank and/or financial institution(branch if applicable)to be utilized by the business a)List the individuals)who will be authorized to write checks and/or withdrawals on accounts at this institution. U$ Bank- Donna Weller______ . 11. List all past and present liquor licenses held in Nebraska or any other state by any person named in this application. Include license holder name,location of license and license number. Also list reason for termination of any license(s) previously held. 3 ' . -- S3( S ' - 5iSjZ 360 6 • 2---- /0,23 A-At .2. - 9 a? (p a . A//et,t „ft J.- . FORM 100 REV 12/2013 PAGE 6 12. List the alcohol related training and/or experience(when and where)of the person(s)making application. Those persons required are listed as followed: a)Individual,applicant only(no spouse) b)Partnership,all partners(no spouses) ) ) e e0 1 A 1 )f\) c)Corporation,manager only(no spouse)as listed on form 3c d)Limited Liability Company,manager only(no spouse)as listed on form 3c NLCC certified training program completed: Applicant Name Date ' Name of program(attach copy of course completion certificate) , Onin/YYYY) RECEIVED APR 2 9 2014 NEBRASKA For list of NLCC certified training programs see: wwwiccamgov/fret 1ttml C O ••� COMM1SN• Experience: _ L Applicant Name/Job Title Date of Name&Location of Business Employment: • 13. If the property for which this license is sought is owned,submit a copy of the deed,or proof of ownership. If leased, submit a copy of the lease covering the entire license year. Documents must show title or lease held in name of applicant as owner or lessee In the individual(s)or corporate name for which the application is being filed. 0 Lease:expiration date Ezi Deed El Purchase Agreement Ni 14. When do you intend to ope n for business? C_LA.IC 1 .1 Cy-i.K)15. What will be the main nature of.business? Trap &Skeet Range A., o� ` *Sun Loci — Lp .T�s — 400,k 16. What are the anticipated hours of operation? ' ZO MokiklaLt . viS), 17. List the principalresidence(s)for thepast 10years for all persons required to on page 8,including spouses. �( ) Ni APPLICANT:CITY&STATE YEAR E:CITY'&STATE YEAR FROM TO FROM TO O ykk4 4 to tilt' ` • Ok Al I1 „ 1•U Sr p,,e..a.e4 ^1 0 evev..L_G.. i i stos t* t+J. p is, - - .4.43%...i '$4 aii,t_ [14 A) . J_ Q/) -5.--tii,- If necessary attach a separate sheet. FORM 100 REV 12/2013 PAGE 7 • The undersigned applicant(s)hereby consent(s)to an investigation of his/her background and release present and future records of every kind and description including police records,tax records(State and Federal),and bank or lending institution records,and said applicant(s)and spouse(s)waive(s) any right or causes of action that said applicant(s)or spouse(s)may have against the Nebraska Liquor Control Commission,the Nebraska State Patrol,and any other individual disclosing or releasing said information. Any documents or records for the proposed business or for any partner or stockholder that are needed in tiutlierance of the application investigation of any other investigation shall be supplied immediately upon demand to the Nebraska Liquor Control Commission or the Nebraska State Patrol. IbLaggatinajiadiggandiasiggigAskt_thatiny_license issued.based en thejnfuniatian submitted in this application,is subject to cancellation if the jplbrwation contained mein iglnoonnplete.inaccurate or fraydulcnt, Individual applicants agree to supervise in person the management and operation of the business and that they will operate the business authorized by the license for themselves and not as an agent for any other person or entity. Corporate applicants agree the approved manager will superintend in person the management and operation of the business. Partnership applicants agree one partner shall superintend the management and operation of the business. All applicants agree to oparate the licensed business within all applicable laws,rules,regulations,and ordinances and to cooperate fully with any authorized agent of the Nebraska Liquor Control Commission. Must be signed in the presence of a notary public by applicant(s) and spouse(s). See guideline for required signatures Signature Signature • c Print Name Print Name . )4t- 1//` ture of Spouse Signature of Spouse TP&1A) Print Name Print Name • ACKNOWLEDGEMENT State of Nebraska County of �� The foregoing instrument was acknowledged before me this 11( (14- AprIV ZOiti by . 42.0.1\ \--%\k\e et ti. .. date name of person(s)acknowledged(Ind' . • s)signing) „It �}-- L . (itixc* Notary Public Signature r111111MMISTMINIONd Nana eit*11/Come:iimin Stale I • In compliance with the ADA,this application is available in other formats for persona with disabilities. A ten day advance period is required in writing to produce the alternate format. FORM 100 REV 12 2013 PAGE 8 • APPLICATION FOR LIQUOR LICENSE office Use CEIVEED CORPORATION INSERT-FORM 3a . NEBRASKA LIQUOR CONTROL COMMISSION APR 2 9 2.014 • 301 HC('�IAI.MALL scum NEBRASLI LINCOLN NE�09� PHONE:(402)471-2571 CONTROL COMM0w FAX:(402)471-2814 We site: rintliaMin Officers,directors and stockholders holding over 25%shares of stock,including spouses,are required to adhere to the following requirements: 1) All officers,directors and stockholders must be listed 2) President/CEO and stockholders holding over 25%and their spouse(s)(if applicable)must submit fingerprints(2 cards per person) 3) °Mani,directors and stockholders holding over 25%shares of stock and their spouse(if applicable)must sign the signature page of the Application for License form 100(even if a spousal affidavit has been submitted) Name of Registered Agent: Buster Brown. City Clerk I J t1 Ii 1 k Y• I ' 3• ,; . �1 1 1 �� ,z. 3 -- C' of OmahaMunicipal C� ration qq-ctq-ct9�y .,� � Corporation Address:• 1819 Famam Street. Suite 701 City: Omaha State: NE Zip Code: 68183 Corporation Phone Number: 402.444-4987 Fax Number 402-444-4921 Total Number of Corporation Shares Issued: N/A - .. � �,p.. cap y, � .(" .... - � �� F I^ t i i (b �: S i G'l i G i l l i l J 1) j!i I 41 1 1 ,t ,1 '. Last Name: Stothert First Name: Jean MI: Home Address: iy ‘(jl M City: Omaha State: NE Zip Code: 11143 Home Phone Number: 5Gi-7,Vy-5Ct <2 Signature of President/CEO ACKNOWLEDGEMENT State of Nebraska County of .1a Ct The foregoing instrument was acknowkdged before me this1)(tk APrii tati by_uStCi_IN Date name of person acknowledge G,.arciL Affix Seal • fireematit FORM 101 REV 12/2010 Page 1of4 tt.i ft Last Name: Stothert First Name: Jean MI: ((-) .jjak# r Social Security Number: _ Date of Binh *S{‘ k'eq — — 16° ___....—...----i. Title: trY) L, 0 Number of Shares N/A Spouse Full Name(indicate N/A if single): S h S/-40-kke A,f- Spouse Social Security Number: - _ „ _ _ , Date of Birth: - Last Name: i3VfJ First Name: P _ MI: S.' - tioS(it-.1till Social Security Number:. - v .Date of Birth:_ _or _ — Title: e, 3 JL Number of Shares .S use Full Name(mdicate N/A if single):: Th Gt it, -� ci it_ e a, c9v : • • . .Spouse $ } 2 � Spouse Social Security Number: _ - _ .Date of Birth: Last Name: • First Name: MI: Social Security Number Date of Birth: Title: Number of Shares Spouse Full Name(indicate N/A if single): Spouse Social Security Number: Date of Birth: Last Name: irst Name: MI: Social Security Number: Date of Birth:- Title: - Num.-r of Shares Spouse Full Name(indicate N/A if single): Spouse Social Security Number: s ate of Birth: A,:Aka jaiSiat FORM 101 REV 12/2010 Page 2 of 4 NDyEs 50N0 If yes,provide the following: I) Name of corporation 2) Supply an organizational chart of the controlling corporation named above 3) Controlling corporation MUST be registered with the Nebraska Secretary of State,copy of articles must be submitted with application§53126 { •t • 1 `t t. r`.��f „s F f i 1' 1 !:i' r 4. i F F k 6 d 4 • .. - .� _ #. {fir ► �, • �. a:.•.i:�... unicrpa orpora ion wr a i - =- • Starting Date: January 1 Ending Date: December 31 • ®YES EJNO f es $$ '.e the Federal ID# O/OO7i'/ // • • • In compliance with the ADA,this corporation insert form 3a is available in otter formats for persons with disabilities. A ten day advance period is requested in writing to produce the alternate format. FORM 101 REV 12/2010 Page 4 of 4 wax., . 1339 Fac€391 41(-6 WARRANTY DEED - to the City of Omaha KNOW ALL •MEN BY THESE PRESENTS, That LEO E I SENSTATT and A ILEEN EISENSTATT, Husband and Wife; and, DONALD P. LAY and MIRIAM LAY, Husband and 'wife, parties of the first part, in consideration of One Dollar ($1.00) and other good consideration, in hand paid, do hereby grant, bargain, sell, convey, and confirm lbXix • ., unto THE C Corporation organized and existing under and by virtue of the Laws of the State of Nebraska, the following described real estate, situate in the County of Douglas and State of Nebraska, to-wit: . THE SOUTHWEST QUARTER (SW4 )•OP THE sOUTHWEST QUARTER (SA) OF SECTION TWELVE (12), TOWNSHIP FOURTBBN'(14) NORTH RANGE TWELVE (12) EAST' 6TH P.M., SITUATED IN DOUGLAS COUNTY, NEBRASKA, subject to any part thereof taken for public roads and highways, and any easements of record and. special assessments, if Any. . together with all the tenements, hereditaments, and appurtenances to the same belonging, and all the estate, title, dower, right of homestead, claim or demand whatsoever of the said parties of the first part of, in, or to the same, or any part thereof; TO HAVE AND TO HOLD the above described premises, with the appurten- ances, unto the said THE CITY OF OMAHA and its successors and assigns for- ever rom , and we, the said parties of the first part, grantors herein, for ourselves and our heirs, executors, and administrators, do covenant with the said THE CITY OF OMAHA and with its successors and assigns that we are lawfully seized of said premises, that they are free from encumbrance; that we have good right and lawful .author- ity to sell the same, and that we will and our heirs, executors, and administrators shall warrant and defend the same unto the said THE CITY OF OMAHA and its successors and assigns, forever, ag= net the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, we have hereunto yr o 1ds th_,�,_8 ' day of • December A.D., 1967. -- WITNESS ___C4i44. 6411-4e44! ;;k4— STATE OF NEBRASKA • b oel • County of Douglas SS •► _ On this day of December ;A.D., 19 67, before me, a Notary Public in and r said County, personally came the above named LEO EISENSTATT and AILEEN BISENSTATT; and, DONALD P. LAY and MIRIAM LAY, who are personally known to me to be the identical persons whose names axe affixed to the above instrument as grantor , and have acknowledged said instrument::.:to be their voluntary act and deed. AFNESS my hand and Notarial Seal the date last afore id. •y am*~�it *xpires -, F�... ►��y. J •;a„••: ary c _} . .40azi**186. w • s A • r �' 'i'►�Hsltsta� n1 HtP�17 noise,I�hea�L.lam.t • Zh_tQs-�r_�gS QT REAL ESTATE MORTGAGE • or we, hereby release` the martg4e of TION of the payment of the debt therein; I .c�aNsm - _ - ,. .. ._ _ .. ($35,000.06)- -- -Do : -F� THOUSAND AND NO 100 --THIRTY-FIVE t and Ruth Prost WIRS b us t av ProsQuarter of Southwest Quarter. of sec• made Y� wit: Southwest Q s� • . on the following property, to- p f 6th P.M., except parcel .fig�-nn�.iiq Township 14, North, Range 12, East � 12, T� p � S.W. cor. of said Sec. 12, then W. line of and 369 0 0 N. of S thence at point on the 12 for 3 39 0 0' , thence N. �.6 0.6 . ' parallel to S. line of said Sec. W. line E• • 12 for 3 39 0 0' , thence S. along � parallel to S. line of said Sec• to State and County Tn1. • to pt. of beginning, subject d Sec. � 12, for 160.6' said Nebraska o of the C:oun of $: - •n las Co � moriga , Page 6 53 of the 8 � of r� �boo� ��gqsaskaRECEIVED �Irtri br Lie • `' and State of 6 7 �. December ,19 0 ' • 0th day of � • �• APR 2 9 2014 • ,��` . ,� STaCKYARDS NAT IaL'iAL � ►NK _,.........� ..Na. .:_. ....3..3.2.:1t: ....‘1.9--.,:.,.:1 .,,,,....7.:::::7, _ v...- •44;,.'..:.. ........... . . .... . .... CON 0 • Ai/ t• $---1 ;-•-,,,i •r,1`n r : = or Elsie - r`.1 Conservator g -�r. y i�L11J�� + 7 County %;, ,� ,t a��`''�•`, Z._ before me,a Notaary d'� •_ � ... � 18..E `f,p • �+ day of. r ' for said county, y ccane......I L....2A.-Piadx....Inta.t..QUicex...._ ....................-___S...Si N ...•.w..N..M..MM.. � .�.. identical person or persons who executed ,.�...0 .�� • ' 1- ,; kified to me personally known ..�, �`'...4. � r�'•,� his, voluntaryand deed. �. 1 - th+e said instrument to be or their act � ... �`r•.*• ...• . ty,the •.• •, . lediklasitibaste��;iiii. ttf4 i Witness my hand and seal in / __4t_kLNot&1• iP I c • the 0 J 4 day of--- _,-t,,••,..a ,•:-:ilw.-46" . �� My commission expires — — —--'— II,,,.•..•t11‘ . , • , • . •. , • . , RECEIVED APR 2 9 2014 NEBRASKA LAQUOR CONTROL COIAMISsiOtk, , , , , ,• ... - .-- ,v-,,, •• - T.. Co '10 M-1 -iPt6k .. , • .. •, ..... • ,, :.--_. . ...... 1 ..- ci) '11' inlia". iiisj rn e", ,. •.. ,.., 0 c5 ,-.. n .-- • -. : • . . , : _. ' . --• I:'* . • .41 ''',.., CO 1= -;,--• '' i ' • 16.i., ....q (...." r-.., ..--. v.• 0 - 1 , / ., • , , Ni. ,t,d0 C. i",-.$ .r_ge.r.i.:71..., c:JD , ,;• . : - ...... It. A. k J.... .....) .., c.,„ .::.... ..,,..2 ... . , ..: ry, ' % C .4 ......-f 5:* ....... • .r.,',.-=.:001411111 11111tr: . c-)x, 1, •b* p ••--"ctr... -. ., - • • - V . p CD '-- 1%. • .. '„•-f;": I, ...,-. - -,_,-,, .....: , 'N - vs,. . IIMIP 111‹. - --- 1111, . : ,. 4• e • r 1 r,)c"Z c-. :.: ..., • . \.. ........ ......, tik - - ,.• •u., • • rz cr,7, - lir- ) • , -- , * \ • ... , ...., :-., •. . : - J szsi , 6 9.a ......., .,„ •. . . . , . . . . . . . . . . . . . . • . . .• . . , . . . . . . . . , . _ __ . ram:, v ,D Y /A ---iy _`1._ WOK ila8 PAGE 91 IN THE COUNTY COURT OF DOUGLAS COUNTY, NEBRASKA In the Matter the Estate of RECEIVED LETTERS OF CONSERVATOR B°°1 27 P 51029Z04 IE B: W , Conservatee. APR THE STATE OF NEBRASKA TO ALL TO WHOM THESE PRESENTS SH A �O �- OOMMISSiOt". . AND ESPECIALLY TO NG: LIQUOR KNOW YE, THAT WHEREAS, application has been made in due form to the County Court of•Douglas County,Nebraska,for Nrasthe appointment of a amservatbr of the estate of Elsie B. Wagner ,arid it to the Court that it is n andto appoint such Conservator,and Stockyards Na tiona 1 Bank appearing proper having been nominated for said trust,and approved by this Court,and WH - the • $tockyards Nat iona 1 Bank has tarlcen and subscribed to the oath . of office, ;: `''.`. ..':-given bond as required by law and the order of this Court, which has been approved, filed and ltMW %'�- 1TM1. .• ,ta,,,,.;.. «,. ' : -.,,.''''• ri•�' .� f ;.i.71• . PRE trusting infidelity and care, I do hereby constitute and appoint you the r , .t.4. 1 i , p-i, .,. . . ; ;Ask • such Conservator, herebyauthorizing and empowering � of '. ' �71.'s.,.".,..,••�` �.~ :''• 4 and management the.above named estate until you shall be according to law. ,.._! , ..,.# il„;:,-*?-:,..,-,::.1.:-.-*-:,-.' i`.,-,. 1..*: •ti s.. `•., at`- W►-1,1!,' signature nature and the seal of the County Court of Douglas County, Nebraska, ,.4:!-- I._.'IC.P:.•I '....',..:.i.::.,:r.::i•,.: �. :..47 ltit : . ,. September, , 19 67. ca - -',..."41;'. ••• -.1 ...• 4:-. .44, -.-....- . 0 0• '.,.., .. ,�.t�.. �., JACK W. MAUR _ i :c - cco � � Comity Judge 1 Fi ::•: pt. 5th, 1967. __ . , , . , , t RECEIVED : •-•_.. • STATE OF NEBRASKA, ss. APR 2 9 203 Coum r or DoucLas of- County, Nebraska, doh « � '' I, Robert R. Troyer,. County Judge .: . . .t, , ,._ ... . side hereof to be a true and correct copy of the original 0. on the opposite ,. file in said Court; that I have thp.,140..eustody and control of said original record; that the person named • ' '' 'and that the seal of said Court is hereto affixed. therein is still duly appo�n ��;•}:,��•�:� �` ' " • COL •at Omaha September 12th , 19 67. ► � a , . - • • � rf� f�7 !:. - i. �, - =- �, -._.' . • , �. - ROBERT R TROYER, County Judge . !-I.' ....''•-_-'‘ 7.':.(-i'...4:, . • Qt , . _,,_. 0 :-.....-44 A' ,",..-, A ka.ler....' .AI' • •• r^T.`.L�� -f-.7 ,•`.t , J, CLERK OF :1: COUNTY 1 COURT r oz. dot ..-. _:.. - -.. ~- --..-- ...•.,. -' ' j 11 b ,• VL I. •` ,r 1i0 _it . N , - .„ ey ,--, -er W0 cl to , ,44\ '.....0 • : I • c.:. - - \. . .r. r ft- •,.. si9 r.,, ._ c... . , . . ..... } • r--—..s.. = 7:3 *. !;;;N - el•- sty ...• \.. �•,► �. V • %;\.....-., . III rn rn i It N. k% . . , .1 • ....,. _, - -,, i .-..a • , ,.., :',4 \'1 . _ ,. . ,_._ iict tit . -., , * \ ' - •• CA- • ct„. „7.-,..-, .z....:2- .• \ ....,..s. ,„s . f • . OFFER TO SELL REAL ESTATE TO THE CITY OF OMAHA Bow 458 paid09 KNOW ALL MEN BY THESE PRESENTS: That LEO EISENSTATT and DONALD P. LAY hereinafter called Vendor(s), of the County of Douglas , State of Nebraska, in consider- ation of S 1.•00 receipt of which is hereby acknowledged, hereby agrees to sell and convey to the City of Omaha,, Nebraska, for the sum of $80,000.00 , hereinafter referred to as consider- ation, the following described real estate situated in Douglas County, Omaha, Nebraska. The Southwest Quarter of the Southwest Quarter (SW1,SW3/4) of Section 12, Township 14, Range 12, East of the 6th P. M., in Douglas County, Nebraska, less any part thereof taken for public roads and highways and subject to any easements of record and special assessments, if any. RECEIVED IT IS UNDERSTOOD THAT: APR 2 9 74 i4 1. Saidpropertyshall be sold to the City of Omaha free and cle tgilii -= or es . • liens and a warranty deed in due and proper form shall be ex et ' =4 , - • ., the City of Omaha upon demand. Said warranty deed shall be prepared and furnis =• ,* e City. 12. Said consideration herein recited represents the entire consideration to be paid by the City of Omaha to the Vendor(s) for the above property, together with all appurtenances now thereon • 3. 90% of said consideration shall be paid upon execution of the.aforesaid warranty deed and the remaining 10%, less any sum due the City because of unpaid rental and taxes,40.11018110 esesegatmeasmato to the above described premises, upon relinquishment of possession by the Vendor(s) to the City. Payment of such sum by the City to the Vendor(s) shall relieve the City of all further obligations or claims on this account. 4. The City shall be entitled to take possession of the premises on the 1st day of March , 19 6$ . Possession shall be deemed relinquished upon the Vendor(s) de- livering the keys to the premises to the City or by notifying the City in writing that the premises have been vacated. 5. The Vendor(s) agrees not to encumber the above described property in any manner, nor create any other interest therein. 6. The Vendor(s) further agrees to pay all taxes and assessments including.the 1967 County tax and upon Vendor's failure to do so, the City may deduct the amount of such unpaid taxes and assessments from the final 10% payment described by Paragraph 3, above. 7. The City agrees to pay all expenses for abstracts of title, release of mortgages, and inter- nal revenue stamps. This option shall terminate if not exercised by Dec. 31, 196 8. This agreement represents the full and complete agreement of the parties relative to the sale of the property herein described and any and all damages sustained by the Vendor(s). The Vendor(s) places no reliance upon any promises, verbal agreements or understandings ex- cept as set forth in this agreement. Mr IN WITNESS WHEREOF we have hereunto set our hand(s)and seal(s) this)i) day of October , A. D. 196 7 . c. --.14& , a i TWitness • 'endor . a Witness 7- Ow �r-Vendor A-e-ir/- i _,rivit_i444.4* STATE 0 EBRASKA ) SS COUNTY OF DOUG ) On this 7 day of October ,. A. D., 19 67 , before me, a Notary Public in and for said County, personally came the above named: LEO EISENSTATT and DONALD P• LAY who to (are) known.,tg me to be the identical person(s) whose name sbarc(are) affixed to the above instrument ast.•.•= •••, and begot (they) acknowledged said instrument to be b ttopdsna- (their) voluntary. s--4 4.• - WIT S a •Notarial Seal the date 1 aforesaid. 1 41,..: is M;,. ''5 W • • ee?t e.Y ve9-- . •0 - c , Notary Public My Cordan-• W`'� 6, //A . ...it... 001AN INTER - OFFICE COMMUNICATION op.010PdVy. Date. December 29, 1967 PA;,, is __ . t Charles Christiansen, Parks and Recreation PC' t,� �� dos ,------ - TY FRoms John •B Abbott, Assistant City Attorney RECEIVED sus.= 'd f 9 2014 NEBRAso Dear Mr. Christiansen: CONrROL C LIQUORMM! Please find attached hereto the following document relative to the purchase by the City of SW% of the SVk of Section 12-14-12 from Leo Eiserstatt and Donald P. Lay: 1. Waranty deed 2. Release of Mortgage on the premises by the Stockyards National Bank, Conservator covering Elsie B. Waaner. 3. Letters of Conservator of the estate of Elsie B. Wagner issued by the County Court of Douglas County. The above documents should be filed with the office of the Register of Deeds of Douglas County. • I am also attaching a copy of the purchase agreement with special r of er enc a to paragraph seven thereof according to which the City was to pay expenses for Abstracts of Titles, Release of Mortgages, =.and Internal Revenue Stamps. Accordingly, I am also attaching a statement from Spence- Lindley Abstract & Title Companyt. for the extention of the Abstract of Title on the purchased property. I am also preparing an ordinance accepting the deed of conveyance and ded,:icati1ig Hof the property for park and outdoor recreation purposes. If you have any questions please advise. Yours very truly, er- 6214-Cf7-- .1/7/4 Jghn B. Abbott ssistant City Attorney JBA:bh V/ Attach. i 40°11' . 416. ***' - ogit ,,,';,,T. *, '4 ' 40, RECEIVED ,,,. • 4000°4 of' j4,00. E6R PARs2KA9 4 U OR. . *r- L �INTER-OFFICE COMMUNICA3 NTROL COMMISSION Law Department • June 9, 1976 TO: Clarence E. Shafer, Director, Parks , Recreation & Public Property Department FROM: Verne W. Vance, Assistant City Attorney I SUBJECT: Title Opinion in re Seymour Smith Park • The area comprising Seymour Smith Park consists of approximately 194.68 acres and is legally described as follows : All of the South 1,2 lying West of the Papillion drainage way and all of the Northwest 1,4 lying South of the CB&Q Railroad and West of the Papillion drainage way in Section 12 , Township 14, Range 12, Douglas County, Nebraska. It was acquired in seven parcels. One parcel of land, consisting of 40 acres, was acquired by the City of Omaha by Warranty Deed from Leo Eisenstatt and wife, and Donald P. Lay and wife, by Warranty Deed dated December 19, 1967 and recorded in Book 1339, Page 391 of the records of the Register of Deeds of Douglas County, . Nebraska. Another parcel, consisting of 27.5 acres, was acquired by the City of Omaha from Frank Hanousek, single, by Warranty Deed dated January 9, 1968 and recorded in Book 1341, Page 429 of the records of the Register of Deeds .of Douglas County, Nebraska. It was later determined that there were some errors in the len gthl legal description of this property, and w TO: Shafer, Director, Parks , Recreation & Clarence E. Public Property Department June 9, 1976 APR29 Page 2 NE8RASKA LIQUOR SUBJECT: Title Opinion in re Seymour4*'-9K-TBOI-COMMISSink„ WYN these errors were corrected by a Quit Claim Deed from Frank Hanousek to the City of Omaha dated September 22 , 1975 and recorded in Book , Page of the records of the Register of Deeds of Douglas County, Nebraska . A third parcel , consisting of 17. 5 acres, was acquired by the City of Omaha from Joe W. Welsh and Rose M. Welsh, husband and wife, by Warranty Deed dated May 10, 1968 and recorded in Book 1356, Page 689 of the records of the Iegister of Deeds of Douglas County, Nebraska. A fourth parcel , consisting of . 6 acres, was acquired by the City of Omaha from Max M. Klaudt and Sandy K. Klaudt by Warranty Deed dated June 11, 1969 and recorded at Page 1386, Page 131, records of the Register of Deeds of Douglas County, Nebraska. A fifth parcel of land, consisting of 45. 38 acres , was acquired by the City of Omaha from Lola Miller and William J. Miller, husband and wife , by Warranty Deed dated July 25, 1969 and recorded in Book 1389, Page 581 of the records of the Register of Deeds of Douglas County, Nebraska, and from Eddie Ray Pennington and Eva Mae Penning- ton, husband and wife, by Warranty Deed dated June 13, 1969 and recorded in Book 1389, Page 583 of the records of the Register of Deeds of Douglas County, Nebraska, and by Quit Claim Deed from Clara M. Pennington, claimed wife of said Eddie Ray Pennington, dated June 12 , 1969 and recorded in Book 1389, Page 585 of the Records of the Register of Deeds of Douglas County, Nebraska. The sixth parcel of land, consisting of approximately 22. 2 acres , was acquired by the City of Omaha by condemnation from Bernard L. Lawyer and Mary A. Lawyer, husband and wife. Said action being Doc. C4, No . 33 in the County Court of Douglas County, Nebraska, and finally determined on appeal to the District Court of Douglas County, Nebraska, in the case of Bernard L. Lawyer , et al. , vs . City of Omaha, Doc. 614, No. 226. q • es • er Director , Parks , R JV TO: Clarence E. Shafer, ED Public Property Department June 9 1976 APR2920 14 Page 3 NEBRAsKA LI CONTRAR !rmcQMft/#IS ,oN • ur SUBJECT : Title 4pin�on in re Seymo The seventh and last parcel of land , consisting of approximately 41. 5 acres , was acquired by the City of Omaha by condemnation, being case entitled City of Omaha vs . Joseph and HazeiSperl, being Doc. C4 , No. 49 in the County Court of Douglas County, and finally determined on appeal in the District Court of Douglas County, Nebraska, in the case entitled Joseph and Hazel Sperl vs . City of Omaha, Doc. 620, No. 154. Based upo n the above, good title to all the land located in Seymour Smith Park, and legally described as : All of the South h lying West of the Papillion drainage way and all of the Northwest 14 lying South of the CB&Q Railroad and West of the Papillion drainage way in Section 12 , Township 14 , Range 12 , Douglas County, Nebraska, is in the City of Omaha as of this date . Respectfully submitted, ..1.;f51g;g0X Assistant City Attorney VWV/m r ' MANAGER APPLICATION Office Use INSERT-FORM 3c RECEIVED NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 APR 2 9 2014 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 NEBRASKA LIQUOR FAX:(402)471-2814 Website:www.lec.t e.goy MUST BE: I Citizen of the United States. Include copy of US birth certificate,R} turalization paper or current u§passport I Nebraska resident. Include copy of voter registration in the State of Nebraska I Fingerprinted.Two cards per person,fees of$38 per person,made payable to Nebraska State Patrol.If printed at NSP mail check only. I 21 years of age or older • Name of Co ration/LLC: City of Omaha, M t� r ' edikery/Lavi---( � � i'1 rat' Liquor License Number: Class Type I (if new application leave blank) Premise Trade Name/DBA: Harry A. Koch Trap&Skeet Range Premise Street Address: 6802 Harrison Street City: Omaha County: Douglas. Zip Code: 68128 Premise Phone Number: 402-331-1247 Email address. bsIIi The individual whose name is listed as a corporate officer or managing member as reported on insert form 3a or 3b or listed with the Commission. Click on this link to see authorized individuals. Nhttp://www.kt .ne,gQv/license pearch/iicsgarch.cai ' -.7 . ,t t 7 rl♦! .. r,` •i.. •.`r• r• r`�•�r 1��R�a•4Y:i� ` A • ; � •i. `�!r(!, y << Qa?.: y`2. i�:pe 1�: d c� � :a ! i}f',r 'f 2 i ,.1 J•j j. •" t,T ` I!i'i: " '%t� ' , .. ? ! � +i: b :,r:' C7' 33 f y T i ' ! r ` (Faxed signatures are acceptable) Form 103 Rev 912013 Pap 2of6 vo f � Last Name: Bu Err ete awhickik First Name: °lea1 LL�E MI. Home Address(include PO Box if applicable): 1 %14'1 X ST" City: °MA WA County: Co(-14l.l4s Zip Code: D� ( 37 Home Phone Number: 4C1 qq 3 1 SI Business Phone Number: +OZ loSt 331+ Social Security Number:, a :Drivers License Number&State: Date Of Birth: Place Of Birth: Li AsC0L&L �E Email bi ! 1 i e • bi-teiaits3snbacheedi • onevA-I-a . nsE .Lt5 N Ls,/ NO Spouses Last Name: 13t.i I &C.t4 First Name: LOZ I MI: Social Security Number: Drivers License Number&State: •� — tste Date Of Birth: - -' ' Place Of Birth: Fè .r tokt {kt E, � 1� CITY&STATE YEAR YEFROM �� CITY&STATE �M YEAR TO oM/k I41* � ME qq OrYI A►-414� M qq- RECE% 1 N,04 APR292O4 -It'''. a NEBRASKA LIQUOR CONTROL COMMISSION Form 103 Rev 9t2013 Peke 3 of 6 Et\ FROM-YEAR TO NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE _____,Atric sciraJi c... e., --6 ‘c) aols O-w).21- Voz..) '26Y —`4s,73e./ . 1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. Must be completed by both applicant and spouse, unless spouse has filed an affidavit of non- pardcfpAtion. 1 Has anyone who is a party to this application,or their spouse,EVER been convicted of or plead guilty to any charge. Charge,means gQY charge Alleging a felony,misdemeanor,violation of a federal or state law;a violation of a local law, ordinance or resolution. List the nature of the charge, where the charge occurred and the ear and month of the conviction or plea. Also list any charges pending at the time of this application. If mo� list charges by each individual's name. o YES [ To APR 2 9 2014 If yes,please explain below or attach a separate page. NEBRASKA LIQUOR CONTRQL COMMISSION Date of Where Description Name of Applicant Conviction Convicted of Disposition (mm/yyyy) {City&State) Charge 2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or N any other state? —/ Ors LSO IF YES,list the name of the premise(s): 3. Do you,as a manager,qualify under Nebraska Liquor Control Act(§53-131.01)and do you intend to NN supervise,in person,the management of the business? RKS ENO Form 103 Rev 9/2013 Page of 4. List the alcohol related training and/or experience(when and where)of the person making application. Nb Tko i ii)/), *NLCC Training Certificate Issued: Name on Certificate: TVatilinl A ettirejf Applicant Name 01111511Y) ame of program(attach copy of course completion certificate) REcEIVED aPR 292014 NEBRASC1440401A2L°4141811RON CONTROL *For list of NLCC Certified Training Programs see ww}Y.lcc.ne,gov/trsiniagipfo.htinl Date of Applicant Name!Job Title Emp �. Name&Location of Business: • 5. Have you enclosed the required fingerprint cards and PROPER FEES.with this application? (Check or money order made payable to the Nebraska State Patrol for$38.00 per person) R(IES ONO f f IfJ tirCi7k-COICklia_ ( J riA Sk ?4-1(d Form 103 Rev 9/2013 Page S of { r 11/zo OR n • N 2014 CQv/Ai/if/so The above individual(s), being first duly sworn upon oath, deposes and states that the undersignerOle applicant and/or spouse of applicant who makes the above and foregoing application that said application has been read and that the contents thereof and all statements contained therein are true. If any false statement is made in any part of this application, the applicant(s) shall be deemed guilty of perjury and subject to penalties provided by law. (Sec§53-131.01)Nebraska Liquor'Control Act. The undersigned applicant hereby consents to an investigation of his/her background including all records of every kind and description including police records, tax records (State and Federal), and bank or lending institution records,and said applicant and spouse waive any rights or causes of action that said applicant or spouse may have against the Nebraska Liquor Control Commission and any other individual disclosing or releasing said information to the Nebraska Liquor Control Commission. If spouse has NO interest directly or indirectly,a spousal affidavit of non participation may be attached. The undersigned understand and acknowledge that any license issued, based on the information submitted in this application, is subject to cancellation if the information contained herein is incomplete, inaccurate, or fraudulent. kCf • Signature of Manager c:‹.licant Signature of Spouse ACKNOWLEDGEMENT State of Nebras County of The foregoing instrument was acknowledged before me this 424af e/ y b 1, !e & IJct date name of person aelcn6wledged • NY CCSTZSSOii ItSEGIRESIPI • No blic signature— �_ .1 ;, ,s F SoPiellisrt In compliance with the ADA,this application is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the alternate format. Form 103 Rev 9P2013 Page 6 of >` SPOUSAL AFFIDAVIT OF Office Use E NON PARTICIPATION INSERT FICEII/C w gee D _ NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH APR 2 • PO BOX 95046 9 2014 LINCOLN,NE 68509-5046 NEB PHONE:(402)471-2571 RASIA 'FAX:(402)471-2814 CONarzho% I QUO Rwre Let1 N A , r t , ..` .': ; I, ; ' ,r ,:- 'r-, ; I - r 11 i.` 'ES...,,-4, 1 ti lL ;'' I 'i•'I It 1',I '' iE it ... � ; l - I• ` ..I ly . I ., J.. i .. � I _ ^• �. '.t�.l ..i.. e+�.. •i ..�•P! �• I ,il"[ ` � .` + zit F r ' 'Q jr 3C , I , 1, , . ;d , a t i b: ' , , t , i - 1 i ,11.. * .i t, 9f 1• , + `, ,c.I • • ( - - r:` la •L ' N fir,�l `�r. .1r ?:t. • //te. ag 418e."/Ate.A... 46,41 ?titErlevir-ZaAC.14 Signature of spouse asking for waiver- Printed name of spouse asking for waiver (Spouse of individual listed below) State of N4" _ . : County of IO rJ z The foregoing instrument was acknowledged before me this /D , e/ by 40/ rt' &i2.426(? - nsme of pdged dllIllr,___„___ _�[� -/I� , .�� 1 �,��' '1, STEVEN R.SLATER • ' . 1 - MY COMMISSION EXPIRES N.►: Pub � _� i (.;;;., *. SapObi7,2016 It I ., .1 , `'4 1 r ;r . 1! H. i , ro• I e i t} 1, " } ;, "' .t , .1 li 1 ) „ ik . • °644 ; ItIVel z;i/ €. z. zi-te - t n bill CIN, Signature of individual invo with application Printed name of applying indi `dual (Spouse of individual listed above) State of 4 County r of 4 . _ The foregoing instrument was acknowledged before me this � - I//s0:V byy , date - name of person ackmwl - ` ■�r�—'��—war_ Affix s - _r.0,l?i�� __........i '4 , .0 s STEVEN R SLATER N •: Public signature r �;,,} MY EXPIRES In compliance with the ADA,this spousal affidavit of non participation is available in other format for persons with disabilities. A tea day advance period is requested in writing to produce the alternate format. • FORM 35.4178 Revised 1n008 PUBLIC WORKS DEPARTMENT REPORT DATE: JUNE 13,2014 DUE DATE: JUNE 19,2014 CITY COUNCIL HEARING DULY 1,2014 APPLICANT: CITY OF OMAHA,A MUNICIPAL CORPORATION,DBA"HARRY A. KOCH TRAP & SKEET RANGE" LOCATION: 6802 HARRISON STREET REQUESTED LICENSE OR ACTION: CLASS "I" LIQUOR LICENSE DESIGNATION OF ADJACENT STREET (LOCAL,COLLECTOR,MINOR OR MAJOR ARTERIAL EXPRESSWAY): (Y)Qjcr A .-1-.C..v cam. STREET WIDTH AND PROFILE: L4 Q f j �,-1...a.'1Q5i U net i v'cis oC,:�O ctGLlv4kj SPEED LIMIT: 145 /Y)ph AVERAGE DAILY TRAFFIC AND PEDESTRIAN FLOW: 1'?, 660 VLk fihj II Picts 80:2 ACCIDENT REPORT AT ADJACENT INTERSECTION: Lo(c4Ii d- 44et rriSQY) Si-i2e -1-) Côi/c f/1 y-ll3//l� i QrcACd.¢.rlf. Li d- l-1ctvrcrr) _Cri-rt2f5- IQCc,cLt2v1+. '40not t tikr r isms 'rte y`S— a Qc c.r d ar►-,t-in . POTENTIAL TRAFFIC AND PARKING PROBLEMS: k fOYYL 0-‘1...,/,' - ------ ,,,,,J.---(Autho ' ed Signature) (Date) i 4 PLANNING DEPARTMENT REPORT f, I;:: l:'"/Th r- , DATE: JUNE 13,2014 DUE DATE: JUNE.19, 0/14/ JL -- Li a 4 !'s COUNCIL HEARING JULY 1, M , CITY i ,, LOCATION: 6802 HARRISON STREET 7- t+1 .g . LEGAL DESCRIPTION THE SW 1 OF THE SW 1/4 OF SECTION 12,'TOWNSHIP 14,NORTH �4 RANGE 12 EAST OF THE 6TH P.M. APPLICANT: CITY OF °MAIM A MUNICIPAL CORPORATION,DBA"HARRY A. KOCH TRAP& SKEET RANGE" REQUESTED LICENSE OR ACTION CLASS "I"LIQUOR LICENSE NEW LOCATION(X)NEW OWNERSHIP ( ) TYPE OF FACILITY: SHOOTING RANGE THIS REQUEST DOES(X) DOES NOT 0 PERTAIN TO AN OUTSIDE ARE IF SIDEWALK CAFE: R-O-W-LEASE A. PERMITS OBTAINED IF OUTSIDE: OUTSIDE AREA IS FEET FROM THE NEAREST RESIDENCE THIS PROPERTY IS X IS NOT ( )WITHIN O 'S CORPORATE LIMITS (If not,do not proceed-Notify the City Clerk's Office and return this form) ******************************************************************************************************** ANNEXATION DATE: ORDINANCE NO. (Only if within la 4 months) EXISTING ZO G:. LI) ,� EXITING LAND US4�=' C i t��: ' ADJ, CE►, LA USE AND ZO tj; G: 0 LL; • $ " ili . it ■ _i 'Xi) t S'7 a t C.-7 / ig _,.. _k it I e.:T ---D - -----u,:i Ett FIIIMMINIR.. --ileacr F �►6 �� t� (�.' tp. ..,......._ WE.S..) --:— '' (A.t. ' 43 C42- a-- MEV L.,(- )1A) ) i '-rat CC Y2_- Fuo PARKING STALLS PROVIDED: EXISTING USE DOES( DOES NOT( )COMPLY WITH ZONING ULATIONS PLUMBING FIXTURES PROVIDED: WOMEN'S 0 — _ \p MEN'S —_p '_: `- 2 DATE SUBJECT PROPERTY WAS POSTED: tp - ' )°14 (Rule#7) DISTANCE OF PROPOSED LICENSE TO ANY SCHOOL,CHURCH,OR CITY PARK: Ot2--- DISTANCE OF PROPOSED LICENSE TO ANY EXISTING LICENSE: '0 (State Law) DISTANCE OF PROPOSED LICENSE TO ANY CHURCH d k-- -R SCHOOL S '-!-----HOSPITAL 0 4----HOME FOR THE AGED,INDIGENT OR VETERANS (-7 `- OLLEGE OR UNIVERSITY O ,e.-''''"— 7f; w 7 � 4 v"- )....___ "'"fir ' oay (Authorized Signature) (Date) _ - _ - - - - 4. Trade Name(doing business as) Harry A_ Koch Trap&Skeet ange Street Address#1 _ a Street Address#2 • City Omaha - • • County nauglas 4f I Zip Code 68127 . I Premise Telephone number . (402)331-1249 Business e-mail address n/a Is this location inside the cityMilage corporate limits: . ID YES 0 NO • • cell Mailing address(where you want to receive mail from the C..'mission) • Name Steven $later • .—. • Street Address#1 Omaha I Douglas Civic C?ntQr Street Address#2 1819 Famam Streets suite 70 j . . • City Omaha. State NF Zip Code 68164 • . In the vided or on an attachment draw the area to be licensed. This should include storage areas,basement,outdoor area,-sales areas and areas where consumption or sales of alcohol will take place. If.only a portion of the building is to be covered by the license,.you must still include dimensions(length.x width)of the licensed area as well as the dlniensions of the entire building. No bine prints please. Be sure to indicate the direction g rt•aad number of floors of the building. * For on premise consumption liquor licenses minimum standaids must be met by providing at least two restrooms Building: length x width in feet . Is there a basement to be ' era Y .o . f yes,length x width in feet Iithere an outdoor area Yes yes; ength � x width in feet PROVIDE DIAGRAM OF AREA TO BE LICENSED BELOW OR ATTACH SEPARATE SHEET • . • /9d- . • t-- • f • poi .0 /JS • \ • efr'eaL • 1 i . /02.1 N c,i0 tor CA44/6644�Q4j 1.ig FORM 100 REV lu2oi3 .....___________............ PAGE 4 • so ri es et ia 1 In 2 8 jiats# — ler 43 40" 04 � �s o. 1111 _ _ Messman, Ma From: Steven R.Slater(Prks) <steven.slater@clomaha.ne.us> Sent Thursday,June 05,2014 11:38 AM To: Messman,Mary Subject City of Omaha-Koch Trap&Skeet Range Attachments: Koch Trap&Skeet Range-East Side(Back of Bldg.) Patio areaJPG;Koch Trap&Skeet Bldg- Front(Facing West)JPG Mary, Question 1: The clubhouse is a one-story building with an irregular design. The perimeter of the building is approximately 105 x 48 f 1. with an area of approximately 5,040 sf. Included in that square footage are a garage and exterior entrance storage totaling approximately 428 sf. The patio area perimeter is approximately 118 x 62 ft.,with an area of approximately 7,316 sf. The patio area is adjacent to the clubhouse and sits to the east. No alcoholic beverages will be allowed outside of the clubhouse and patio areas. I have attached two photos of the range for reference; 1)clubhouse front view and 2) clubhouse rear view,including patio area. Alcoholic beverages will onlybe served and allowed to be consumed after patrons have completed any target shooting at the range or it they are not target shooting. No one will be served or allowed to consume alcoh olic g beverages prior to shooting on the range. Question 2: The current hours of operation for the range are: Saturday&Sunday- 10:00 am to 6:00 pm Tuesday-Friday-Noon to 7:00 pm Monday-Closed Question 3: Manager prior employment for the past two(2)years: The range manager,Billie Buettgenbach was employed by: Mark Hydraulic Company John Rossi, Owner 4771 G Street,Omaha, Nebraska 68117-1493 Phone:402-734-6734 • Please contact me with any questions or if you need additional information. Thank you, — — - 014 HA' vir City of Omaha, Nebraska Cliar ,p.411k./Ciek rir';itartZ W 1819 Farnam Suite LC 1 �v( !' _ . o o Omaha, Nebraska 68183-0112 0 7, _• 444-5550 �o '� � �Buster Brown (402) o City - Clerk FAX (402) 444-5263 44 ��4 '0FEss June 17, 2014 City of Omaha. A Municipal Corporation Application for a Class "I" Liquor License Dba"Harry A. Koch Trap & Skeet Range" 6802 Harrison Street Omaha,NE 68127 Dear Liquor License Applicant: This letter is notification that a hearing before the Omaha City Council on your application for liquor license has been set for July 1, 2014 . The City Council Meeting begins at 2:00 P.M. in the Legislative Chamber, (LC-4), Omaha/Douglas Civic Center, 1819 Farnam Street, Omaha, Nebraska. City Council Liquor Rule No. 6 states, "Each applicant or his/her representative for any type of license shall be personally present in the Council Chambers, in order that the Council may make inquiries, on the date of public hearing of the application for said license". Failure to be present at this Council Meeting is grounds to recommend denial of your application to the Nebraska Liquor Control Commission. Sincere y yours, d Buster Brown City Clerk BJB:clj 0„„„A, Ar4. • 0 NN City of Omafia, Nebraska A4)111-1 � cr F1 sim a I I O 47 , 741L 1819 Farnam Suite LC 1 �® , r Omaha, Nebraska 68183-0112 0��- �,n.w_t ' =., 444-5550 �o '� � .: �'Buster Brown (402) O r - - A City Clerk FAX (402) 444-5263 ��T ��►�F� BR FE June 17, 2014 City of Omaha. A Municipal Corporation Application for a Class"I" Liquor License Attn: Steven Slater for City of Omaha,A Municipal Corporation 1819 Farnam Street, Suite 701 dba"Harry A. Koch Trap& Skeet Range", Omaha,NE 68183 6802 Harrison Street Dear Liquor License Applicant: This letter is notification that a hearing before the Omaha City Council on your application for liquor license has been set for July 1, 2014 . The City Council Meeting begins at 2:00 P.M. in the Legislative Chamber, (LC-4), Omaha/Douglas Civic Center, 1819 Farnam Street, Omaha, Nebraska. City Council Liquor Rule No. 6 states, "Each applicant or his/her representative for any type of license shall be personally present in the Council Chambers, in order that the Council may make inquiries, on the date of public hearing of the application for said license". Failure to be present at this Council Meeting is grounds to recommend denial of your application to the Nebraska Liquor Control Commission. Ordinance No. 37046, passed June 27, 2005, requires each applicant to submit a written statement describing all types of business or activities that will be operated on the premises in conjunction with the proposed license. Attached is the statement to be signed and returned (hand deliver, mail or fax) to the City Clerk's Office 7 days in advance of the public hearing. Sincerely yours, 4d dA Buster Brown City Clerk BJB:clj ito „K) 14 Y— e ci r ci A cA. C Ai 1/1 S / 1k-Ci pe k" tAil 1 14\ 11 czo fee NOTICE OF LIQUOR LICENSE APPLICATION This notice is to inform you that CITY OF OMAHA, A MUNICIPAL CORPORATION DBA "HARRY A. KOCH TRAP & SKEET RANGE" has applied for a CLASS "I" LIQUOR LICENSE [On Sale beer,wine and liquor located at 6802 HARRISON STREET The Omaha City Council will hold a public hearing regarding this application on Tuesday, DULY 1, 2014 at 2:00 P.M. in the Legislative Chambers, Omaha/Douglas Civic Center at 1819 Farnam Street. Testimony will be received from interested parties at this meeting. You may submit written testimony to the City Clerk, 1819 Farnam Street, Omaha, NE 68183 prior to the hearing date. Buster Brown City Clerk REQUESTS FOR SIGN-LANGUAGE INTERPRETERS (SIGNERS), REQUIRE A MINIMUM OF 48 HOURS ADVANCE NOTICE. IF ALTERNATIVE FORMATS ARE NEEDED, REQUESTS REQUIRE A MINIMUM OF 72 HOURS ADVANCE NOTICE. IF YOU NEED ACCOMODATIONS, PLEASE NOTIFY BUSTER BROWN,CITY CLERK,AT 444-5557. mm RECOMMENDATION OF THE NEBRASKA LIQUOR CONTROL COMMISSION Date Mailed from Commission Office: June 4,2014 I Buster Brown Clerk of The City of Omaha,A Municipal Corporation (City,Village or County) Nebraska,hereby report ort to the Nebraska Liquor Control Commission in accordance with Revised Statutes of Nebraska, Chapter 53, Sec 134(7)the recommendation of said city,village or county,as the case may be relative to the application for a license under the provisions of the Nebraska Liquor Control Act as applied for by: City of Omaha,a Municipal Corporation dba Harry A Koch Trap&Skeet Range 6802 Harrison Street,Omaha/Douglas County 68127 Application for Class I-#107564 45TH DAY -07/21/2014 1. Notice of local hearing was published in a legal newspaper in or of general circulation in city,village or county, one time not less than 7 nor more than 14 days before time of hearing. Check one Yes X No The Statutes require that such hearing shall be held not more than 45 days after the date of receipt of this notice from the Commission. 2. Local hearing was held not more than 45 days after receipt of notice from the Nebraska Liquor Control Commission. Check one Yes X No 3. Date of hearing of Governing Body: July 1,2014 4. Type or write the Motion as voted upon by the Governing Body. If additional Motions are made by the Governing Body,then use an additional page and follow same format. MOTION TO GRANT 5. Motion was made by: Garry Gernandt Seconded by: Ben G.Gray 6. Roll Call Vote: 7-0 7. Check one: The motion passed: X The motion failed: 8. If the motion is for recommendation of denial of the applicant,then list the reasons of the governing body upon which the motion was made. (Attach additional page if necessary) y SIGN HERE ..� DATE -9'20 474 ture REV 7/99 Form 3 5-4115 C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNICL OF THE CITY OF OMAHA: THAT, in accordance with the provisions of the Nebraska Liquor Control Act, as amended, after a hearing held within 45 days after receiving notice and a copy of the license application and upon due consideration of all standards and criteria provided by law,this Council hereby recommends that the following application for a Class"I" Liquor License be granted. City of Omaha, A Municipal Corporation, dba"Harry A. Koch Trap& Skeet Range", 6802 Harrison Street. That,the cost of publication of notice of the hearing was $26.00. July 1, 2014 - Resolution No. 829 -Motion to adopt. Carried 7-0. � hereby certify that the foregoing is a true and correct copy of the original document now on file in the City Clerk's office. Buster Brown,City Clerk,City of Omaha Garry Gemandt By July 1, 2014 7-0Councilmember Adopted Buster Brown City Clerk Jean Stothert Approved Mayor NO. S--c) 9 Resolution by Res. to grant Class"I" Liquor License to City of Omaha, A Municipal Corporation, Dba"Harry A. Koch Trap& Skeet Range", 6802 Harrison Street. 07/01/2014 -Res. #829 - Motion to adopt. Carried 7-0. Presented to City Council July 1, 2014 Adopted 7-0 gaiter grown City Clerk p ,:ojectextramile �, w ;;. I J 1DERAG,._Dr.INKING F PEVEN,ON July I, 201.1 Omaha City Council I 819 Farnam Street Ste LC-1 Omaha.NE 68183 Dear President Festersen and Council members, On behalf of Project Extra Mile, a statewide network of commtmity partnerships working to prevent underage drinking and youth access to alcohol. We wanted to take the opportunity to express our concerns regarding the city's application for a class I liquor license at the 1-larry A. Koch Trap& Skeet Range located at Seymour Smith Park. At a time %%hen Nebraska ranks as the 411' most adult binge drinking state in the nation.Omaha ranks in the top 20 binge drinking cities nationwide(CDC.2012). and when the city is working diligently to both address gun-related violence and battle alcohol-related crime, it is concerning that the City of Omaha is seeking this liquor license. Serving alcohol in a public park Where shooting guns is a central activity opens the city to liability and poses a serious threat to both public health and public safety. In a media story earlier this year, manager Billie l3uettgenbach was quoted as saying..There arc over 500 kids in this area that shoot high school trap. and we're running out of room for them to shoot in other clubs."Omaha Parks. Recreation, and Public Property Director Brook Bench was also quoted. saying "We really want to encourage getting those tournaments. and those shoots and the youth of today down here shooting at Seymour Smith and really promoting it." Providing alcohol at a facility such as this makes it less youth-friendly, sends mixed messages to youth and adults about alcohol and firearms and increases youth access to alcohol. We appreciate your consideration of our concerns regarding the city's liquor license application for a city- owned park and shooting range. As you move tbrward, we ask you to give thoughtful consideration to this application and to the potential impact on Omaha's youth and families,and to the landscape of our neighborhoods and communities. If you would like additional information. please do not hesitate to contact me at(402)963-9047 or via email at nikki(u)prtyectextramile.org. Sincerely. CiPtri Nicole Carriti. Ixccutive Director 12165 West Center Road, Suite 50 Omaha, Nebraska 68144 402,963.9047 www.projectextrarnile.org No. �'p2 Communication from Nicole Carritt, Executive Director of Project Extra Mile, opposing the application of the City of Omaha, A Municipal Corporation, dba"Harry A. Koch Trap & Skeet Range", 6802 Harrison Street for a Class "I" Liquor License. 07-01-14;cj RECEIVED Presented to Council: July 1, 2014 - Buster Brown City Clerk