RES 2012-0847 - Appoint Olivia F Norman manager of Broadmoor Market hq\\
sTAr �n4, r
STATE OF NEBRASKA
• p1
d = � 0! ' RECEDED
;f Dave Heineman NEBRASKA LIQUOR CONTROL COMMISSION
;� °a Hobert B. Rupe
4 �i,., �� �.. - Governor P
i y9R lE..,86� 12 MAY 3 t AMgI 10 Executive Director
\\. 301 Centennial Mall South,5th Floor
�. P.O.Box 95046
CITY CLERK Lincoln,Nebraska 68509-5046
OMAHA, NEBRASKA Phone(402)471-2571
May 30, 2012 Fax(402)471-2814 or(402)471-2374
y TRS USER 800 833-7352(TTY)
web address:http://www.lcc.ne.gov/
OMAHA CITY CLERK
1819 FARNAM STREET LC-1
OMAHA NE 68183
RE: Broadmoor Market
LICENSE #C-81938
Dear Clerk:
Enclosed is a copy of a manager application for Olivia Norman in connection with the Broadmoor
Market located in Omaha.
Please present this application for manager to your City/Village Council or County Commissioners and
send us the results of their action.
Sincerely, •
9.9,12.6;niepo-cliire,7.
Jacqueline Rodriguez
Licensing Division
NEBRASKA LIQUOR CONTROL COMMISSION
402-471-2572
encl.
Janice M.Wiebusch Robert Batt William F.Austin
Commissioner Chairman Commissioner
An Equal Opportunity/Affirmative Action Employer
Printed with soy ink on recycled paper
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,
"id;
Buster Brown
City Clerk
BJB:clj
OPOSED LICENSE TO ANY EXISTING LICENSE: D -f
(State Law) DISTANCE OF OP D LICENSE TO ANY CHURCH ()/--
SCHOOL 0RASP 6 r--- HOME FOR THE A,G D, GENT
R VETERANS /7 / COLLEGE OR UNIVERSITY t1
�' T
(Authorized Signature) (Date)
ermitted by
law.
25. BROKERS. The brokers involved in this transaction are:
Mike Kaufman and Seth Campbell from CB Richard EUisJMEGA for Landlord. No broker(s)for
Tenant.
26. RULES AND REGULATIONS. Tenant shall comply with all rules and regulations that Landlord may
apply to the Premises. Landlord reserves the ability to amend,change or add to such rules and regulations from time to
time.
27. SIGNAGE. Tenant shall possess its pro-rate signage share on the building. Tenant shall be allowed to
place "Coming Soon" and "Now Open" banners on the Premises thirty days prior and subsequent to its opening,
respectively. Tenant shall also be allowed from time to time to place promotional banners in the yard.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Page 7 of 9
attom to the purchaser at the foreclosure sale and recognize such purchaser as the Landlord under this Lease. The
purchaser, by virtue of such foreclosure, shall be deemed to have assumed, as substitute Landlord, the terms and
conditions of this Lease until the resale or other disposition of its interest. Such assumption,however, shall not be
deemed in acknowledgment by the purchaser of the validity of any then existing claims of Tenant against the prior
Landlord.
Tenant agrees to execute and deliver such further assurances and other documents,including a new lease upon
the same terms and conditions contained herein,confirming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
•
MANAGER APPLICATION cake Use
INSERT-FORM 3c RECEIVED
•
NEBRASKA LIQUOR CONTROL COMMISSION
301 CENTENNIAL MALL SOUTH MAY 2 9 2012 -
PO BOX 95046 •
LINCOLN,NE 68509-5046 NEBRASKA LIQUOR
PHONE:(402)471-2571 CONTROL COMMISSION
FAX:(402)471 2814
Website:www.lcc.ne.gov
Corporate manager,including their spouse,are required to adhere to the following requirements
1) Must be a citizen of the United States
2) Must be a Nebraska resident(Chapter 2—006)and must provide proof of voter registration in the
State of Nebraska
3) Must provide a copy of one of the following:state issued US birth certificate,naturalization
paper or 117E passport
4) Must submit fingerprints(unless a non-participating spouse)(2 cards per person)and fees of$38
per person,made payable to Nebraska State Patrol /§
5) Must be 21 years of age or older
6) May be required to take a training course
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Premise License N 1 i t i
(ifnew application leave blank)
Premise Trade Name/DBA: Broadrnoor Market
Promise Street Address: 8722 PadRc Street
City:Omaha gone:Nebraska Zip Code:68114
premise Phone Number 402 1-0312
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.
Iftto://www.lcc.nezov/license search/liicsearoh.cg(
CORPORATE OFFICER/MANAGING DER SIGNATURE
(Faxed signatures are acceptable)
Fenn 103'
Rev 11/2012
Page ofS
1200009415
firming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
'Manager's information must be completed below PLEASE PRINT CLEARLY
Gender: OMALE ®FEMALE
Last Name:Norman First Name:Olivia MI:
Home Address(include PO Box if applicable):5061/2 Hogan Drive
City:Papillion County:Sarpy Zip Code:68046
Home Phone Number.402-344-8978 Business Phone Number.402-391-0312
Social Security Number:' Drivers License Number&State: - ----- NE
Date Of Birth: Place Of Birth:LaPort Indiana
Are you married?If yes;complete spouse's information(Even if a spousal a--f as been submitted)
MAY2...9._1012 ._..::.........._:_ ....... .
OYES ®NO NEBRASKA LIQUOR
- - --: - - - .. -- CONTROL COMMISS1UN
ispouse's information•
Spouses Last Name:N/A First Name: MI:
Social Security Number: Drivers License Number&State:
Date Of Birth: Place Of Birth:
[APPLICANT&SPOUSE MUST LIST RESIDENCE(S)FOR THE PAST TEN(10)APPLICANT_. SPOUSE
CITY&STATE YEAR YEAR CITY&STATE YEAR YEAR
FROM TO FROM TO
Papillion NE 2008 2012 N/A
Omaha NE 1988 2008
Form 103
Rev 11/2012
Page 3 of 5
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• • Name of CorporationlLLC:aodirey ComPanY inc.
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Premise License N 1 i t i
(ifnew application leave blank)
Premise Trade Name/DBA: Broadrnoor Market
Promise Street Address: 8722 PadRc Street
City:Omaha gone:Nebraska Zip Code:68114
premise Phone Number 402 1-0312
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.
Iftto://www.lcc.nezov/license search/liicsearoh.cg(
CORPORATE OFFICER/MANAGING DER SIGNATURE
(Faxed signatures are acceptable)
Fenn 103'
Rev 11/2012
Page ofS
1200009415
firming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
_....-_...__.-..._.._.. ....�— ---MANAGER'S LAST TWO EMPLOYERS
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR Rftc ! � r,�
a
FROM TO NUMBER
2008 2012 Broadmoor Market Chris Johnson a z own
CONTROL
1994 2008 Bakers Matt Krause NEBR R boR
•MMISS 101V
I. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. Must be completed
by both applicant and spouse,unless spouse has filed an affidavit of non-participation.
Has anyone who is a party to this application,or 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. 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.
YES NO
I yes,please explain be ow or attach a separate page.
Name of Applicant Date of Where Description of Charge Disposition
Conviction Convicted
(mm/yyyy) (city&state)
•
2. Have you or your spouse ever been approved made application for a liquor license in Nebraska or
any other state? (Q S UNIO
IF YES,list the name of the premise.
As a waitress in Missouri many years ago,I needed to be licensed.Not In Nebraska.
3. Do you,as a manager,qualify under Nebraska Liquor Control Act(§53-131 01)and do you intend to
supervise,in person,the management of the business? gyES 040
4. Have you enclosed the required fingerprint cards and PROPER FEES with this application?
heck or mone order made payable to the Nebraska State Patrol for$38.00 per person)
S �T0
5.. List any alcohol related training and/or experience(when and where).
Yearly training as a customer service representative for Bakers.Training as a waitress in Missouri 30 years ago.
Form 103
Rev 11/2012
Page 4 of S
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Premise License N 1 i t i
(ifnew application leave blank)
Premise Trade Name/DBA: Broadrnoor Market
Promise Street Address: 8722 PadRc Street
City:Omaha gone:Nebraska Zip Code:68114
premise Phone Number 402 1-0312
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.
Iftto://www.lcc.nezov/license search/liicsearoh.cg(
CORPORATE OFFICER/MANAGING DER SIGNATURE
(Faxed signatures are acceptable)
Fenn 103'
Rev 11/2012
Page ofS
1200009415
firming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
RECEIVED
PERSONAL OATH AND CONSENT OF I NVESTIGA1QI 9 2012
• oNEBRpAS�KAMLInAQUOR
SION
The above individual(s), being first duly sworn upon oath, deposes and states that me undersigneds the
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.
441(4/ d'XoviAX-tePil--'
Signature of Manager Applicant Signature PP of Spouse
•
ACKNOWLEDGEMENT
State of Nebraska
County of ��� The foregoing instrument was acknowledged before me this
1--2- by 6?5/�a/ICY
date name of person acknowledged
/1q#(4*-4,:r7i
AffixNotary Public signature TXUERALsty � �IFIIAN Came.eip.Au&Y5.2Ol5
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 11/2012
Page 5of5
Page 4 of S
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Premise License N 1 i t i
(ifnew application leave blank)
Premise Trade Name/DBA: Broadrnoor Market
Promise Street Address: 8722 PadRc Street
City:Omaha gone:Nebraska Zip Code:68114
premise Phone Number 402 1-0312
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.
Iftto://www.lcc.nezov/license search/liicsearoh.cg(
CORPORATE OFFICER/MANAGING DER SIGNATURE
(Faxed signatures are acceptable)
Fenn 103'
Rev 11/2012
Page ofS
1200009415
firming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
•
City ofOmaha .fAfebraskg
,ff
u47ti�
trial
1819 Farnam—Suite LC 1 z o�, _
Omaha, Nebraska 681 83-0 1 1 2
M .
Buster Brown (402) 444-5550V
City Clerk FAX (402) 444-5263 ���TF® F a�v�4-�
June 12, 2012
Godfrey Company, Inc. Application to appoint Olivia F. Norman
Dba"Broadmoor Market" manager of your present Class "C" Liquor
8722 Pacific Street License location
Omaha,NE 68114
Dear Liquor License Applicant:
This letter is notification that a hearing before the Omaha City Council on your application to
appoint a manager to the liquor license has been set for June 26, 2012 . 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
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.
Sincerely yours,
,e5L( /'
Buster Brown
City Clerk
BJB:clj
complete, inaccurate, or
fraudulent.
441(4/ d'XoviAX-tePil--'
Signature of Manager Applicant Signature PP of Spouse
•
ACKNOWLEDGEMENT
State of Nebraska
County of ��� The foregoing instrument was acknowledged before me this
1--2- by 6?5/�a/ICY
date name of person acknowledged
/1q#(4*-4,:r7i
AffixNotary Public signature TXUERALsty � �IFIIAN Came.eip.Au&Y5.2Ol5
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 11/2012
Page 5of5
Page 4 of S
•�qL. ,,�L•,( '1. L•.44 :- y .,- • ' ,i'4•7):4
, ,_ �.,�.+�: i'`'+`: �•. . :�••s�. ,�: ::•.L /`_ '•�Y"''' ��C';'�`�a..•�+''. -_i•. �^? 'i:iac "..,1v.!'''C.vti,i"•.k.��: :�5'x.••�''xi( �w�i
,��t?�;,•t .•:'r+-•{•:.r9ey, ,.;`k!' ss,+.' .'••.:J}•' .,i :s'_n•�`{'� i/�"r.L't'c.rrY'xLt�g�,he;. •d•u,•rli.,'.4�','k��,. ;•��;!`7;_� "'�1: fY.'� ,.•:o.:... 4;. J}ii
'•'l:• F 7 l�.y?�.y�}�rr h,• x•, ti•. 1- h^a a�'�•.rt n, 'n:,�'f 4^ .���':. !<•,h;rIar t3f. i f, r �,y:
gqi
:..o.�s,.r.:i:.:''•.w�.��ti;,... .:ut. �li1J�.0 z'.r::.�.'.ti•.le'};.•.t:n u ry:.......3.�iJ�:;C3�'..:ar.•w:et;•r'%e ,ei::,,:.u...T::.:..:`.; .:.}..,;.��:..F1�:s: . it
Premise License N 1 i t i
(ifnew application leave blank)
Premise Trade Name/DBA: Broadrnoor Market
Promise Street Address: 8722 PadRc Street
City:Omaha gone:Nebraska Zip Code:68114
premise Phone Number 402 1-0312
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.
Iftto://www.lcc.nezov/license search/liicsearoh.cg(
CORPORATE OFFICER/MANAGING DER SIGNATURE
(Faxed signatures are acceptable)
Fenn 103'
Rev 11/2012
Page ofS
1200009415
firming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
I CityofOmaha, Nebraska
i MCC,
1819 Farnam —Suite LC 1la �
Omaha, Nebraska 68183-0112 0 � �'
Buster Brown (402) 444-5550 A eV"
City Clerk FAX (402) 444-5263 ® 4TE� �gR����
June 12, 2012
Olivia F. Norman Application to be appoint manager of the
506 '/2 Hogan Drive present Class "C" Liquor License location
Papillion, NE 68046 for Godfrey Company, Inc., dba"Broadmoor
Market", 8722 Pacific Street, Omaha,NE
Dear Liquor License Manager Applicant:
This letter is notification that a hearing before the Omaha City Council on your application to be
appointed manager of the liquor license has been set for June 26, 2012 . 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
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.
Sincerely yours,
Buster Brown
City Clerk
BJB:clj
ulent.
441(4/ d'XoviAX-tePil--'
Signature of Manager Applicant Signature PP of Spouse
•
ACKNOWLEDGEMENT
State of Nebraska
County of ��� The foregoing instrument was acknowledged before me this
1--2- by 6?5/�a/ICY
date name of person acknowledged
/1q#(4*-4,:r7i
AffixNotary Public signature TXUERALsty � �IFIIAN Came.eip.Au&Y5.2Ol5
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 11/2012
Page 5of5
Page 4 of S
•�qL. ,,�L•,( '1. L•.44 :- y .,- • ' ,i'4•7):4
, ,_ �.,�.+�: i'`'+`: �•. . :�••s�. ,�: ::•.L /`_ '•�Y"''' ��C';'�`�a..•�+''. -_i•. �^? 'i:iac "..,1v.!'''C.vti,i"•.k.��: :�5'x.••�''xi( �w�i
,��t?�;,•t .•:'r+-•{•:.r9ey, ,.;`k!' ss,+.' .'••.:J}•' .,i :s'_n•�`{'� i/�"r.L't'c.rrY'xLt�g�,he;. •d•u,•rli.,'.4�','k��,. ;•��;!`7;_� "'�1: fY.'� ,.•:o.:... 4;. J}ii
'•'l:• F 7 l�.y?�.y�}�rr h,• x•, ti•. 1- h^a a�'�•.rt n, 'n:,�'f 4^ .���':. !<•,h;rIar t3f. i f, r �,y:
gqi
:..o.�s,.r.:i:.:''•.w�.��ti;,... .:ut. �li1J�.0 z'.r::.�.'.ti•.le'};.•.t:n u ry:.......3.�iJ�:;C3�'..:ar.•w:et;•r'%e ,ei::,,:.u...T::.:..:`.; .:.}..,;.��:..F1�:s: . it
Premise License N 1 i t i
(ifnew application leave blank)
Premise Trade Name/DBA: Broadrnoor Market
Promise Street Address: 8722 PadRc Street
City:Omaha gone:Nebraska Zip Code:68114
premise Phone Number 402 1-0312
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.
Iftto://www.lcc.nezov/license search/liicsearoh.cg(
CORPORATE OFFICER/MANAGING DER SIGNATURE
(Faxed signatures are acceptable)
Fenn 103'
Rev 11/2012
Page ofS
1200009415
firming the foregoing,as such purchaser may reasonably request.
Tenant waives any right of election to terminate this Lease because of any such foreclosure proceedings
•
21. NOTICES. Any notice or demands given hereunder shall be in writing and personally delivered or sent
by first class mail postage prepaid to Landlord at CB Richard EllisIMEGA, 11213 Davenport Street, Suite 300,
Omaha,NE 68154,and also to Tenant at4909 N. 168m Street,Omaha,NE 61886,or at such other address as either
party may from time to time designate in writing. Each such notice shall be deemed to have been given at the time it
shall be personally delivered to such address or deposited in the United States mail in the manner prescribed herein.
22. COMPLIANCE WITH ADA.Tenant shall be responsible for all costs of complying with the Americans
with Disabilities Act(ADA)and all similar laws and regulations within the Premises,including the removal of barriers
which do not necessitate the removal or modification of load-bearing walls.
23. SUBSTITUTION OF OTHER PREMISES. Landlord may upon thirty days notice to Tenant substitute
for the Premises other premises in the Real Estate (the"New Premises"),provided that the New Premises shall be
Page 6 of 9
's use or possession or giving rise to any claim for set off or abatement of rent,Landlord shall have the right to:
Pagc 3 of 9
Page 2 of 9
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