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RES 2011-0872 - SDL for beer garden at Spaulding Bar during Natvie Omahan's Days • APPLICATION FO i''SPECIAL DESIGNATED LICENSE 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.gov/ ETAIL LICENSE HOL VERS • NON PROFIT APPLICANTS Non Profit Status (check one that best applies) Municipal Political ri Fine Arts nFraternal ',eligious Charitable Public Service COMPLETE ALL QUESTIONS 1. Type of alcohol to be served and/or consumed: Beer L"J Wine Distilled Spirits • 2. Liquor license number and class (i.e. C-55441) riet.0 ')(If you're a nonprofit organization leave blank) 3. Licensee name (last, first), corporate name or limited liability company (LLC) name (As it reads on your liquor license) NAME: Ivy • . AIDtRESS: S335 CITY (0 V\k„ /-0, • ZIP t \\ • v 4. Location where event will be held; name, address, city, county, zip code BUILDING NAME S pa.,4 ADDRESS: lip -2) sk-e-c CITY Q IM0\ . ZIP t5t \ Cu. CS'U NTY and COUNTY# a. Is this location within the city/village limits? YESIV NO b. Is this location within the 150' of church, school, hospital or home • for aged/indigent or for veterans their wives? YE f1NO V • c. Is this location within 300' of any university or college campus? YES 1NO 'V • FORM 108 REV 6/11 • Page 2 of 5 5. Date(s)and Time(s) of event(no more than six (6) consecutive days on one application) • Date a- Date 7 ' Date Date Date Date Hours Hours Hours Hours Hours Hours From "),'.0 D?la From -3,:ocr(%k From From From From To ) 2 0© A 04 To ) _0 A M To To To To a. Alternate date: 7 3 I b. Alternate location: 3 - '1 0,6 t �Lti,\ ,S (Alternate date or location must be specified in local approval) 6. Indicate t e of activity to be carried on during event: • Dance Reception Fund Raiser Beer GardenMSampling/Tasting Other 7. Description of area to be licensed Inside building, dimensions of area to be covered IN FEET j x j�') Outdoor area dimensions of area to be covered IN FEET 3 C) x , tc20 (not square feet or acres) INCLUDE SKETCH IF OUTDOOR AREA If outdoo area, how will premises be enclosed? Fence '• type of fence - snow fence chain link rVIcattle panel 'other Tent rd Other■ explain �'!� c&5 /•C_._ / 1 J a /Z d I r ri/I f c•X.4- r 8. How many attendees do you expect at event? in 0 • 9. If over 150 attendees. Indicate the steps that will be taken to prevent underage persons from obtaining alcoho[j bever ges. yittach separate sheet if needed) GL 10. Will premises to be covered by license comply with all Nebrask sanitation laws? YES VNO a. Are there separate toilets for both men and women? YES • 11. Where will you be purchasing your alcohol? Wholesaler M Retailer Both lj BYO • 12. Will there be any games of chance operating during the event? YES NO V I If so, describe activity NOTE: Only games of chance approved by the Department of Revenue, Charitable Gaming Division are permitted. All other forms of gambling are prohibited by State Law: There are no exceptions for Non Profit Organizations or any events raising funds for a charity. This is only an application for a Special Designated License under the Liquor Control Act and is not a gambling permit application. 13. Any other information or requests for exemptions: FORM 108 REV 6/11 Page 3 of 5 .. .. ......- • ...-.... ......... .......... . . ••- • ....... ....-. .......--...-. ..----....-.---.... ..• • . . 1 . . 1 . \, ) 'I' c.,..), j - T-c)_..z .‘ ) ‘-.. .' 17....,......„ . -... j 1 4:.1 :.•... ..._______, ...• ''. ,.":"-.::„ i -, ' .---4-,..... ........_.... , ct ' . .., i \•••„ _...._, c. \ •:-,.....) •Q.:-: ) "10 V) . -----...) 1 \1 , D..-....... N 1 . ) i J . . ... , • . ype of fence - snow fence chain link rVIcattle panel 'other Tent rd Other■ explain �'!� c&5 /•C_._ / 1 J a /Z d I r ri/I f c•X.4- r 8. How many attendees do you expect at event? in 0 • 9. If over 150 attendees. Indicate the steps that will be taken to prevent underage persons from obtaining alcoho[j bever ges. yittach separate sheet if needed) GL 10. Will premises to be covered by license comply with all Nebrask sanitation laws? YES VNO a. Are there separate toilets for both men and women? YES • 11. Where will you be purchasing your alcohol? Wholesaler M Retailer Both lj BYO • 12. Will there be any games of chance operating during the event? YES NO V I If so, describe activity NOTE: Only games of chance approved by the Department of Revenue, Charitable Gaming Division are permitted. All other forms of gambling are prohibited by State Law: There are no exceptions for Non Profit Organizations or any events raising funds for a charity. This is only an application for a Special Designated License under the Liquor Control Act and is not a gambling permit application. 13. Any other information or requests for exemptions: FORM 108 REV 6/11 Page 3 of 5 f • 14. Name and telephone number/cell phone number of immediate supervisor. This person will be at the location of the event when it occurs, able to answer any questions from Commission and/or law enforcement before and during the event, and who will be responsible for ensuring that any applicable laws, ordinances, rules and regulations are adhered to. Print name of Event Supervisor ',�.vat. �OO kiV \1\ Signature of Event Supervisor �,, 1,) Phone of Event Supervisor: Before G16.2- i7-743 During yQ2-9•I%-72`(') Consent of Authorized Representative/Applicant 15. I declare that I am the authorized representative of the above named license applicant and that the statements made on this application are true to the best of my knowledge and belief. I also consent to an investigation of my background including all records of every kind including police records. I agree to waive any rights or causes of action against the Nebraska Liquor Control Commission, the Nebraska State Patrol or any other individual releasing said information to the Liquor Control Commission or the Nebraska State Patrol. I further declare that the license applied for will not be used by any other person, group, organization or corporation for profit or not for profit and that the event will be supervised by persons directly responsible to the holder of this Special Designated License. •sign .. _ l f / � � . Authorized Representative Applicant Title ate I OA -t WC 00 Print Name This individual must be listed on the application as an officer or stockholder unless a letter has been filed appointing an individual as the catering manager allowing them to sign all SDL applications. The law requires that no special designated license provided for by this section shall be issued by the Commission without the approval of the local governing body. For the purposes of this section,the local governing body shall be the city or village within which the particular place for which the special designated license is requested is located, or if such place is not within the corporate limits of a city or village,then the local governing body shall be the county within which the place for which the special designated license is requested is located. • FORM 108 REV 6/11 • Page4of5 Q • • • b o ' * Z d W z CS N a te i o w (1 c4 `Q ° , t NQ. — 8OCt' (D c\ O 0 o c- v n � sk 44 IF ' E. n BCD., k \ . \ Q. '� w Fr R:J R' O � . L.. 0.� �,, ,, R t ()‘ k Johnson, Carman (CCIk) From: Hayes, Chief Alexis (OPD) Sent: Thursday, July 07, 2011 4:52 PM To: Johnson, Carman (CCIk); Neumann, Capt Kerry(OPD) Cc: Gray, Ben G. (CCou); Oltmans, Steve (Mayr); Dover, David (Mayr) Subject: RE: SPECIAL DESIGNATED LICENESES DURING NATIVE OMAHAN DAYS The only one we can handle staffing a safety wise is 3819 North 24th Street From: Johnson, Carman (CCIk) Sent: Thursday, July 07, 2011 2:18 PM To: Hayes, Chief Alexis (OPD); Neumann, Capt Kerry(OPD) Cc: Gray, Ben G. (CCou) Subject: RE: SPECIAL DESIGNATED LICENESES DURING NATIVE OMAHAN DAYS Importance: High • Sorry forgot to include event dates and times—see below Good Afternoon FYI The following have applied for beer gardens during Native Omahan's Days and all are scheduled for City Council Hearing on July 12, 2011 at 2:00 p.m. NATIVE OMAHANS CLUB, INC. DBA NATIVE OMAHANS CLUB 3819 NORTH 24TH STREET -July 28-29, 2011 from 7:00 p.m. to 1:00 a.m. with music until 1:00 a.m. EL ALAMO INC 4917 SO 24TH ST AT VACANT LOT, 2303 NORTH 24TH STREET FOR THE NATIVE OMAHAN DAY FESTIVAL— DONNA VAUGHN -July 29, 2011 from 5:00 p.m. to 12:00 midnight and July 30, 2011 from 11:00 a.m. to 12:00 midnight with music until 11:00 p.m. D &W, INC DBA SPAULDING BAR 3825 NO 30TH ST-July 29-30, 2011 from 3:00 p.m. to 2:00 a.m. with music until 12:00 midnight. Alternate date: July 31, 2011 and alternate location: Detail shop, 3809 North 30th Street. Please notify me if you have any questions. Thanks Carman Johnson Liquor Clerk City of Omaha/City Clerk 1819 Farnam Street Suite LC-1 Omaha, NE 68183 402-444-5324 402-444-5263 fax Ciohnson3@ci.omaha.ne.us 1 • • ,C 2 ,', p •� P cD N N Ao ptr1 n. ..• n O n O d U0Q0 . N 5Fi 0 CIO 1111. C n • -P." 2 = E.: <N P (D tj c,-D-' oar cA ,. x CD p 0 ,c\ N.) p. .,.. Fr �o co - .DC <(DD THE OMAHA MUNICIPAL CODE, THE LOTS AND PARCELS OF REAL ESTATE SPECIALLY COVERED BY SAID CHARGES FOR DEMOLITION—GROUP 2012-01 $363,020.00 Said plan was approved with adjustments made at our regular meeting held July 3, 2012. hai of the Boar of Equalization Garry Gernandt