Loading...
RES 2012-0101 - Appoint Louis A Wright manager of Native Omaha Club 4,(ylE b F 4 ��=ram, STATE OF NEBRASKA ".-_i�/�� ,mow It Dave Heineman � � �,w�, O ?,, , � ; ,� NEBRASKA LIQUOR CONTROL COMMISSION '�i t'\t:rt 'a' Governor Hobert B. Rupe Executive Director 301 Centennial Mall South,5th Floor �`•',' �=, , , ' r'1 P.O.Box 95046 Lincoln,Nebraska 68509-5046 Phone(402)471-2571 December 27, 2011 Fax(402)471-2814 or(402)471-2374 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: Native Omahans' Club LICENSE #C-47814 Dear Clerk: • Enclosed is a copy of a manager application for Louis A. Wright in connection with the Native Omahans' Club 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, • 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 BJB:clj own City Clerk BJB:clj WILLIAM F.WADE otary Public signature My Comm.Eio.Joie 4,2013 IONic-v-ledge that I atthe spouse oftheitbovelisied indiVicTual. UrKleistand that tny spouse and I are risiOnsible-for 1compliance with the conditions set out above. If it is determined that the above individual has violated(§53-125(13))the C;iilininission may cancel or revoke the liquor license. c;le 2,464 jzS5i ca- C-. Si ature of individual i vo ed with application Printed name of applying individual ouse of individual li above) State of County of 9 _ The foregoing instrument was acknowledged before me this / //0/1/ I by - .-eSfcdt). gel,( 778 / date name of person acknowledged 0--LePidetb,l'a6e6- Affix GENERAL NOTARY Stale of Nebraska' Notary Public signature MINA F.WADE My Went Exp.June 4,2013 In compliance with the ADA,this spousal affidavit of non participation is available in other formats for persons with disabilities. A ten day advance period is requested in writing to produce the alternate format FORM 35-4178 Revised 1/2008 FROM TO D1ilcS a oa5:20!1 Dva a.r+d PccxtcI Ks aoo5 cR of f VV12. 2s j C pegFi_. a 003 aobS atYCJ FL 1003 ai Form 103 Rev 1/2011 ' Page3of5 MANAGER APPLICATION office use INSERT-FORM 3c NEBRASKA LIQUOR CONTROL COMMISSION 301 PO BOX 95L MALL SOUTH 046 RECEIVED LINCOLN,NE 68509-5046 PHONE: (402)471-2571 DEC 2 7 2011 FAX: (402):471-2814 Website:www.lcc.ne.gov NEBRASKA LIQUOR Corporate manager,including their spouse,are required to CONTROL,to t6e'3o�owingg requiION rements 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 US passport 4) Must submit their fingerprints(2 cards per person)and fees of$38 per person,made payable to the Nebraska State Patrol 5) Must be 21 years of age or older 6) Applicant may be required to take a training course yt, S V f pp ,+.3a( i '' /' trv0a4-4761;.,( '`u .+ii .m '�'r-fi`:. "r ;ik'fS;.r.+re'b L„2: ,,? :. �' � 9 §�.'-E 7�� k® - € ,� <k :;.....4- , vtr Ae,. �,�.t �.; � -.S x5:.^ � a k 4>>,,,� 5 §r � '�..� '�t��4i........ i_ �r. : s��E c_x�.. ..3 +s.-a.+a.�x',;s .�� 2t....i W .: .fir u.r 4'i.iwi�'' 'wY'�3�",���,*^',"a�.;� Name of Corporation/LLC: /( ✓E OrHAMS (l.u8, ,. ,C. ,T ;•a tk>.a �.{ " "vN :17' -kt-d"74z° qi. 4t, ' .i''— a. «,. . --�w ,s 5 g- • @ Q0�"e B x"' ;i' w _ �''`F d". ; - r s �" �^ its' �s. x. ,. \ .;braer tte a '. 7 •'- , 4. ro t gip- s } -'- _ ..€ N. } x r :. " ,,tx�i'a n x:> 'J:r., a...,�.a. ':�.. .,rttea4. i;..,�R =eel . d. �'x .,� illn.17d:.'FA y.: .. — / ,-,At Demise License Number: (if new application leave blank) Premise Trade Name/DBA: WATvE 0 74/.(A (.u$ Premise Street Address: 361 et 1J ANT* S'7;e E ET— City: h ,4 NI State: AlE Zip Code: 68//i Ptenise_P hone Number "I O P.- y57 —5 97q The individual whose name is listed ar a corporate officer or managing member as reported on insert form 3a or 3b i their name below 471 ` CO ICER/MANAGING MEMBER SIGNATURE (Faxed signatures are acceptable) ___ ill - --- illForm 103 Rev 1/2011 Page 2of5 1100 20970 with disabilities. A ten day advance period is requested in writing to produce the alternate format FORM 35-4178 Revised 1/2008 FROM TO D1ilcS a oa5:20!1 Dva a.r+d PccxtcI Ks aoo5 cR of f VV12. 2s j C pegFi_. a 003 aobS atYCJ FL 1003 ai Form 103 Rev 1/2011 ' Page3of5 . ..g..g;',' ,4.,a',0,-0•Y '','-4---...g., ?, 'A' -,-.47'...i-, ,,,,,5 .14-c-V,a--..-galwato140..,/, 'Pkg,,,vi,w.,••0.--.Ate—e-e./A - < , q,./.4dttilegy--,,m, E,,. .,,,,.,,,-?,„4,141,,,,,,_,,,...„4.:4-1,,,,, ,,,,,,...3_,,.---_,,,,%.,,,,,,,,,5-16: ' ilg P e.arayisegple,pg I.;•4 . ' 4"'V'A- -•,.-1-' ''-Pt ,--, '-''•;.,,,-..As' -,• ,,,,f-t`i--'*'s•P.,--,41?-.,..',,,dy, 44r47,,. --"ttUr.- -^',.;(j.':',.'-fri,tl-,4‘-.--0*'-u!..A':Ar1 4:4r' 41,r.... -0-TrysAe-. ,.-2--akw ' .,,. '' -‘-'11,1,e:2,k.4..x, , -•,...0)4,L„_,„1,04;x5-.,:v,,,ti„,,L., Gender: ti?1 MALE 0 FEMALE • • Last Name: tolk/GHT— First Name: kotits MI: A Home Address(include PO Box if applicable): 75151 Alf. 8671( /I'VE City: 074/14 County: botilikAs. Zip Code: AIF Home Phone Number: (ifesz.)5781567 Business Phone Number: C4/02-) 32.6—C/6 , - Social-Se _curity Number: . — ,----, Drivers License Number&State: - _, 4/E_ , _ . . Date Of Birth: , i Place Of Birth: ,r ,,,, AlE ,,,,,,:.,..,„„,,,,, „,,,,,„,,,,,,.ixf ..."41 -:-..;9lb k,iva;crarrw-at;'gr'3V,p 9.i.,,,'t•,to4.4's't?ii,...' t--1F, -,J1 it:, 0 0,oft t k 4,-,...-", .41 f'oct,111r17.r.4.'''r 7- att*AI--;,,,,k,,ini#MR-',..,.,:'''.,4, , -•,4z7:-` — 44'4,:!:.- ,,,, '711r' -P14.1n0.14,.. '0.1'444,"_.7.;w4-13,WIP rp,p1., ,4,;„,,,tArp,,-„, „•1 We '-‘0 ''''. ..0.W. -,,r't.,/45&1'-'4-.4*•h ...;34t,-,,vY - 1 All "WO'..','" , -,..,,-.-itetil ,4,1 .,,,,i.n.0,4,,,,,,, 4„,-.„,-,-- ,,,,,yo ,..,wei,,,,,,,,,, eJ,.-',,,, A...-t t.'4,*-,-m.,ei,-,r.?ti 1,.:i."' 4s:*. - " - .,A'..'''''0'..--).-0 t,'''',- e•'.Le--4,40q.'rr—,--%;s9AL 1.' a-4..- c11,=.0,00' - -;,_,;,-- ',.--5*- 'g,-:.-1-',..Vag.-,.g?-,, 0 NO DEC 2 7 2011 , , •,_1:i?j:YES " • - KIPPIZRARVA 1 tinkfIfIR • i. g. 'I g 0 i .`kge,.;--"'''-', owslr"."—grz)ortgr" ::t‘e.:fre.•'''?,,'"1°.-493191-'W'r'1-•"1*P"trg.,4"--'-'\'''''-•:„.•:-.;h,„'"-Iti-4,''''1 l'''''' l'°''''21,-.4;7'-'''''"...''.17''''''''70,'4';';*S Lik‘ -g.'N .1"r'-'3-,. --•il' tk 4.1-44'.1%,,k44-`'`',,g‘'*-'441/4-'11:'•'-';.-1 ,,t4--„..-74, , .4-, gra- -,-,,e4,0.t,-4,4, .1*- el.. 'I-- """..,--V , , '"A"-''4•,..kriolt,,4. '1,,,,,,t:_•.,0,..,,,t:„.. .--,-,a't,'-' --',..&??.,--,4-t4t,,,,.;;—‘,": .--'--,t;"; .*:::)•• ,;., iir',A4'7- -'''. 1 A...4.1i5Mtar.":4'''..-'V ,14-„ . A' -1-.."50 -!--:---g',4c.,,a-.',-: .....;,:',"-..4 4.1 Q. •"''., ... ...r.t:: • '4'es_tt_. .,-, :;..' ''''''',..rz.•',N Spouses Last Name: Afte/elf r-- First Name: .n.sysivA/k- MI: ...6 Social Security Number: ____ Drivers License Number&State: ? A/P Date Of Birth: ' Place Of Birth: AfEkVolfeK, A/.7-- 1 - / 1 ( ...:. ,.,,, 1: - • . • .a— - -i .--.,•-• .-latiftistotoi ' --itiatiwvx. '.- ii- -- - 1:•-•.t.%..t,-14.40Nt*eit'i 54':'4!t t9.41.1W' ..AN,.,' 4 it't,i'' i:Xyk, ,,..2.„,„Ez, Ii'L ....-; ,.'n,•..t:',, ; ..Y.,„!,,,''.1k,l'.4 gh,y.„,,,':f 4 'IX',..,eck eit Si.',-...1174;1'11,--."4 .1%, 'i "2 yS- -'a ' 'I''' ,r). 4s` gi'it:t/,`C`''''',,a1 ",,,, ;le "., •,,,,' v rr, %.-,, :P...., ,-„f,-, ..,...:-.3,44;--0:-''-'„4.,,,.... .1-$40,,,,,'. - i,-', '-'":..-gt.gi .,=,' ^;'`...t'c ,-, • . ,.17,.0.7ierikteq51,p''..eif-"--'' 1,J ,-.4... -.`.-Ci'fY&STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO 7S/ty A i. B6YR 4gir 5/11x41,9 rtmosi- 07A114 NE 615/xx. lyriliffi,411/0#°-3 6/i? ew Ave 07ANA, Ai e 68/e>41 . _ Form 103 Rev 1/2011 Page 3 of 5 '.:. ie.. ,;, e�4Yk � e.. .-.cF�• tr ►�■*7 • R "',:4 ;t ,�' W c .i.v ^t B ' O l {`h. ""7 f'M ,T Y F Y.1 1'".'•1 YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE FROM TO NUMBER Opeol / OVoLdric r PE✓E E.T" 4e3mS GtSR /Yy— 3/.ZoO'f PitESevr-1.44 —SELF Erklyek, PAeii.heAm— srox- d,to/g/ee t, cy _ t FN a ?i ;, • =41, 1• , 4 .'t �d.s .�stC a > : & '' .�y bt" ,A` F�y kw7Y ,,>:,y 7ri:� .. _ �ar ,�56` �.w�..F Iw:.l�a.._ wi.�;.,11 x'w-�E ..ciad�'"., 1 READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. 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 If yes,please explain below or attach a separate page. Name of Applicant Date of Where Description of Charge Disposition Conviction Convicted (mm/yyyy) (city&state) /4 #L A- Wrier— `(//9960 0704 N� Leala C'aa)Amc,8" ic;*E pc �rss�iS �• £c)4 NTT $/ oy G(ra4,Ali' 4uS fiAJE/iC:sees Fiavo) "Cools 4- 4)Rirri - : .208? arree Alt iris/47 7%c Five oA/ �G s�/S' A . �i� iv 616 be.SITE f &Piit 77E0-" FrNE PALo skoi 2.. .r Have you or your spouse ever been approved or made application for a liquor license in Nebraska or any other-state? OYES [NO IF YES,list the name of the premise. 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? ,rYES ONO .4. 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) 1:1 YES ONO Form 103 Rev 1/2011 Page 4 of 5 ir',A4'7- -'''. 1 A...4.1i5Mtar.":4'''..-'V ,14-„ . A' -1-.."50 -!--:---g',4c.,,a-.',-: .....;,:',"-..4 4.1 Q. •"''., ... ...r.t:: • '4'es_tt_. .,-, :;..' ''''''',..rz.•',N Spouses Last Name: Afte/elf r-- First Name: .n.sysivA/k- MI: ...6 Social Security Number: ____ Drivers License Number&State: ? A/P Date Of Birth: ' Place Of Birth: AfEkVolfeK, A/.7-- 1 - / 1 ( ...:. ,.,,, 1: - • . • .a— - -i .--.,•-• .-latiftistotoi ' --itiatiwvx. '.- ii- -- - 1:•-•.t.%..t,-14.40Nt*eit'i 54':'4!t t9.41.1W' ..AN,.,' 4 it't,i'' i:Xyk, ,,..2.„,„Ez, Ii'L ....-; ,.'n,•..t:',, ; ..Y.,„!,,,''.1k,l'.4 gh,y.„,,,':f 4 'IX',..,eck eit Si.',-...1174;1'11,--."4 .1%, 'i "2 yS- -'a ' 'I''' ,r). 4s` gi'it:t/,`C`''''',,a1 ",,,, ;le "., •,,,,' v rr, %.-,, :P...., ,-„f,-, ..,...:-.3,44;--0:-''-'„4.,,,.... .1-$40,,,,,'. - i,-', '-'":..-gt.gi .,=,' ^;'`...t'c ,-, • . ,.17,.0.7ierikteq51,p''..eif-"--'' 1,J ,-.4... -.`.-Ci'fY&STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO 7S/ty A i. B6YR 4gir 5/11x41,9 rtmosi- 07A114 NE 615/xx. lyriliffi,411/0#°-3 6/i? ew Ave 07ANA, Ai e 68/e>41 . _ Form 103 Rev 1/2011 Page 3 of 5 RECEIVED yre" {S` 13'''f: '9"�� eref A 52 kul § ,``41` aa' xi .N_. -"�( ,i3 �. �.�, :��;r�aYxk'- ... ���1 B ASKA LIQUOR CONTROL COMM QN The above individual(s), being first duly sworn upon oath, deposes and states that the undersign is 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 applicants) 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 t• cancellation if the information contained herein is incomplete, inaccurate, or fraudulent. %nature er • pplicant Signa - _.-..-_.- —! _—_-- "�N •A M WILSON MY COMMISSION EXPIRES �_ Ortobsr 11,2015 ACKNOWLEDGEMENT "� 10 lz.I VIA I% State of Nebraska E County of toteaLAS The foregoing instrument was acknowledged before me this ;p e/3A • .7.0, .240if by ""�^-,� �/� date �7 n�efe of person acknowledged Affix Seal ► `1.. I ' ♦.. No •STEVE num= Ostend aotr. I Sias of Nebraska - - - — = - - :Tim._ 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 1/2011 Page 5 of 5 --g',4c.,,a-.',-: .....;,:',"-..4 4.1 Q. •"''., ... ...r.t:: • '4'es_tt_. .,-, :;..' ''''''',..rz.•',N Spouses Last Name: Afte/elf r-- First Name: .n.sysivA/k- MI: ...6 Social Security Number: ____ Drivers License Number&State: ? A/P Date Of Birth: ' Place Of Birth: AfEkVolfeK, A/.7-- 1 - / 1 ( ...:. ,.,,, 1: - • . • .a— - -i .--.,•-• .-latiftistotoi ' --itiatiwvx. '.- ii- -- - 1:•-•.t.%..t,-14.40Nt*eit'i 54':'4!t t9.41.1W' ..AN,.,' 4 it't,i'' i:Xyk, ,,..2.„,„Ez, Ii'L ....-; ,.'n,•..t:',, ; ..Y.,„!,,,''.1k,l'.4 gh,y.„,,,':f 4 'IX',..,eck eit Si.',-...1174;1'11,--."4 .1%, 'i "2 yS- -'a ' 'I''' ,r). 4s` gi'it:t/,`C`''''',,a1 ",,,, ;le "., •,,,,' v rr, %.-,, :P...., ,-„f,-, ..,...:-.3,44;--0:-''-'„4.,,,.... .1-$40,,,,,'. - i,-', '-'":..-gt.gi .,=,' ^;'`...t'c ,-, • . ,.17,.0.7ierikteq51,p''..eif-"--'' 1,J ,-.4... -.`.-Ci'fY&STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO 7S/ty A i. B6YR 4gir 5/11x41,9 rtmosi- 07A114 NE 615/xx. lyriliffi,411/0#°-3 6/i? ew Ave 07ANA, Ai e 68/e>41 . _ Form 103 Rev 1/2011 Page 3 of 5 Print Form SPOUSAL-APFIDAVIT Off' Office Use NON PARTICIPATION INSERT NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 - LINCOLN,NE 68509-5046 PHONE:(402)471-2571 FAX:(402)471-2814 Website: www.lcc.ne.aov , - 3,. ' -, 'rF r- s l ..�^t i .fit F-^ .:a„ itnr r' P 61. o a fia:it or; se hoide . sx e below co tms ghat I will haver,,,,. , e any: y e radon t oft e business t53- 25(13)of the Liquor Control Act. I twill not ! t1; its ek she { c e° 1 of or re `res t.m self as the own'eraor n Y t1' p� e i t e da', o"r1 ape t o o s b e .in y capaacity I utt eist d my fingerprint w111 not be r }t ok- Zi 1 y 1 .i I ., r applications needed�tti process�ls f sr} ^ f +.ski"bx � � � � �„� `�1^�1 ...� 7�et � yy,,,) .: r i i dr `''�Il�1C�..-` �,���,.. .�..�:i ������`. ...Sni�4°° 1,h„�.i?ti.�u,.».w;���. _.s, •d:.i �._ra x..,,.fi"nC`.*, J,ilk:. ,r r. ) i / //L U ; .l..Y�Mile 4./- Mity7A igna use asking for waxer Printed name of spouse itskmg for waiver (Spouse of individual listed below) State of AtF,&c4-3-Kdi County of 1301 Ld S The foregoingl instrument`warms acknowledged" before me this 410,de yeetz 2 2 )// by 11Y1Q� V`-� '� V L'� (l date natrn of�nn ec owlnjine J l I l Affix Sc,1:>'' AI A M WIL90N Notary Public signature k .►N. October COMMISSION1, SPIRES 2015 f �o`. l't it nn+ o¢ e,llstee dtiidual 'x IIu1 er d�m iodise and I are%"responsible for -W Athe m ,3 ,t ko.i e;.�� ter` ied that theeabove ind1vt "hasfvio ated( 3 � 5(13))thy. !Commisstoni celor re oke the liquor'l nse� . .;... ', .: .� ? ;. Lows it. / ��_ of ' t u • v ed with application Printed name of applying individual (Spouse of individua listed above) State of detreAsitit County of: . 7/r4S The foregoing instrument was acknowledged before me this bEC re e 1 20 a,D// by 1,,,k,,A(J ' date name of person acknowledged Affix Seal . r. --r- Notary Public signature In e with tliii ADA,this spousal affidavit of non participation is available in other formats for persons with disabilities. A ten day advance period is requested in writing to produce the alternate format •STEVE[MINNOW FO 3S-4178 r! Nebtik. 8 R 1/2008 .ity.Coml ulon Expires Nov 16,2014 .a— - -i .--.,•-• .-latiftistotoi ' --itiatiwvx. '.- ii- -- - 1:•-•.t.%..t,-14.40Nt*eit'i 54':'4!t t9.41.1W' ..AN,.,' 4 it't,i'' i:Xyk, ,,..2.„,„Ez, Ii'L ....-; ,.'n,•..t:',, ; ..Y.,„!,,,''.1k,l'.4 gh,y.„,,,':f 4 'IX',..,eck eit Si.',-...1174;1'11,--."4 .1%, 'i "2 yS- -'a ' 'I''' ,r). 4s` gi'it:t/,`C`''''',,a1 ",,,, ;le "., •,,,,' v rr, %.-,, :P...., ,-„f,-, ..,...:-.3,44;--0:-''-'„4.,,,.... .1-$40,,,,,'. - i,-', '-'":..-gt.gi .,=,' ^;'`...t'c ,-, • . ,.17,.0.7ierikteq51,p''..eif-"--'' 1,J ,-.4... -.`.-Ci'fY&STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO 7S/ty A i. B6YR 4gir 5/11x41,9 rtmosi- 07A114 NE 615/xx. lyriliffi,411/0#°-3 6/i? ew Ave 07ANA, Ai e 68/e>41 . _ Form 103 Rev 1/2011 Page 3 of 5 • HA, 1N Cityo Omaha Nebras ti)r c hlt 1819 Farnam—Suite LC 1 Z rt �'? d r. Omaha, Nebraska 68183-0112 0 ve r-- k. ' _ Buster Brown (402) 444-5550 A ti' City Clerk FAX (402) 444-5263 °'P 4:6 -gTtD FEBRUt► January 10, 2012 Native Omahans Club, Inc. Application to appoint Louis A. Wright Dba"Native Omaha Club" manager of your present Class "C" 3819 North 24th Street Liquor License location Omaha,NE 68111 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 January 24, 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, .1159 Buster Brown City Clerk BJB:clj V`-� '� V L'� (l date natrn of�nn ec owlnjine J l I l Affix Sc,1:>'' AI A M WIL90N Notary Public signature k .►N. October COMMISSION1, SPIRES 2015 f �o`. l't it nn+ o¢ e,llstee dtiidual 'x IIu1 er d�m iodise and I are%"responsible for -W Athe m ,3 ,t ko.i e;.�� ter` ied that theeabove ind1vt "hasfvio ated( 3 � 5(13))thy. !Commisstoni celor re oke the liquor'l nse� . .;... ', .: .� ? ;. Lows it. / ��_ of ' t u • v ed with application Printed name of applying individual (Spouse of individua listed above) State of detreAsitit County of: . 7/r4S The foregoing instrument was acknowledged before me this bEC re e 1 20 a,D// by 1,,,k,,A(J ' date name of person acknowledged Affix Seal . r. --r- Notary Public signature In e with tliii ADA,this spousal affidavit of non participation is available in other formats for persons with disabilities. A ten day advance period is requested in writing to produce the alternate format •STEVE[MINNOW FO 3S-4178 r! Nebtik. 8 R 1/2008 .ity.Coml ulon Expires Nov 16,2014 .a— - -i .--.,•-• .-latiftistotoi ' --itiatiwvx. '.- ii- -- - 1:•-•.t.%..t,-14.40Nt*eit'i 54':'4!t t9.41.1W' ..AN,.,' 4 it't,i'' i:Xyk, ,,..2.„,„Ez, Ii'L ....-; ,.'n,•..t:',, ; ..Y.,„!,,,''.1k,l'.4 gh,y.„,,,':f 4 'IX',..,eck eit Si.',-...1174;1'11,--."4 .1%, 'i "2 yS- -'a ' 'I''' ,r). 4s` gi'it:t/,`C`''''',,a1 ",,,, ;le "., •,,,,' v rr, %.-,, :P...., ,-„f,-, ..,...:-.3,44;--0:-''-'„4.,,,.... .1-$40,,,,,'. - i,-', '-'":..-gt.gi .,=,' ^;'`...t'c ,-, • . ,.17,.0.7ierikteq51,p''..eif-"--'' 1,J ,-.4... -.`.-Ci'fY&STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO 7S/ty A i. B6YR 4gir 5/11x41,9 rtmosi- 07A114 NE 615/xx. lyriliffi,411/0#°-3 6/i? ew Ave 07ANA, Ai e 68/e>41 . _ Form 103 Rev 1/2011 Page 3 of 5 CityofOma/ia, Webras&a � A 1819 Farnam—Suite LC 1 rzetrliti, Omaha, Nebraska 68183-0112 o "T . Buster Brown (402) 444-5550 City Clerk FAX (402) 444-5263 o4, �E�Rv�I- January 10, 2012 • Louis A. Wright Application to be appoint manager of the Class "C" 7514 North 86th Avenue Liquor License location for Native Omahans Club, Omaha,NE 68122 Inc., dba "Native Omaha Club", 3819 North 24th Str 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 January 24, 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 ka Liquor Control Commission. Sincerely yours, .1159 Buster Brown City Clerk BJB:clj V`-� '� V L'� (l date natrn of�nn ec owlnjine J l I l Affix Sc,1:>'' AI A M WIL90N Notary Public signature k .►N. October COMMISSION1, SPIRES 2015 f �o`. l't it nn+ o¢ e,llstee dtiidual 'x IIu1 er d�m iodise and I are%"responsible for -W Athe m ,3 ,t ko.i e;.�� ter` ied that theeabove ind1vt "hasfvio ated( 3 � 5(13))thy. !Commisstoni celor re oke the liquor'l nse� . .;... ', .: .� ? ;. Lows it. / ��_ of ' t u • v ed with application Printed name of applying individual (Spouse of individua listed above) State of detreAsitit County of: . 7/r4S The foregoing instrument was acknowledged before me this bEC re e 1 20 a,D// by 1,,,k,,A(J ' date name of person acknowledged Affix Seal . r. --r- Notary Public signature In e with tliii ADA,this spousal affidavit of non participation is available in other formats for persons with disabilities. A ten day advance period is requested in writing to produce the alternate format •STEVE[MINNOW FO 3S-4178 r! Nebtik. 8 R 1/2008 .ity.Coml ulon Expires Nov 16,2014 .a— - -i .--.,•-• .-latiftistotoi ' --itiatiwvx. '.- ii- -- - 1:•-•.t.%..t,-14.40Nt*eit'i 54':'4!t t9.41.1W' ..AN,.,' 4 it't,i'' i:Xyk, ,,..2.„,„Ez, Ii'L ....-; ,.'n,•..t:',, ; ..Y.,„!,,,''.1k,l'.4 gh,y.„,,,':f 4 'IX',..,eck eit Si.',-...1174;1'11,--."4 .1%, 'i "2 yS- -'a ' 'I''' ,r). 4s` gi'it:t/,`C`''''',,a1 ",,,, ;le "., •,,,,' v rr, %.-,, :P...., ,-„f,-, ..,...:-.3,44;--0:-''-'„4.,,,.... .1-$40,,,,,'. - i,-', '-'":..-gt.gi .,=,' ^;'`...t'c ,-, • . ,.17,.0.7ierikteq51,p''..eif-"--'' 1,J ,-.4... -.`.-Ci'fY&STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO 7S/ty A i. B6YR 4gir 5/11x41,9 rtmosi- 07A114 NE 615/xx. lyriliffi,411/0#°-3 6/i? ew Ave 07ANA, Ai e 68/e>41 . _ Form 103 Rev 1/2011 Page 3 of 5 a—, � - °,moo z O N4 ' 2 4., M, , ,, C O • N --t 6 6• n N ¢ c6 "C� O O d o p ct I CD AD n � ccoo r • o C n) 1 Uq '-• ., a n C"