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RES 2010-1463 - Appoint Timothy L Maides manager of Espana Restaurant KE ST9\1`�q r.. w,›� �y _ �.. w� �. ,� �- �� - STATE OF NEBRASKA i ti: _...rdi ilk !j9 4I,d`!✓:., '%1 •.r•I'r,J Dave Heineman NEBRASKA LIQUOR CONTROL COMMISSION ' �'� s.Y )410,1, Governor 1 0 f i C!`�' 22 rE « 8. 54 Hobert B. Rupe ''�, -y••'• l-7; _ F Executive Director "9R"i'"va6' 301 Centennial Mall South,5th Floor P.O. Box 95046 CITY CLERK Lincoln,Nebraska 68509-5046 DfMAHN Ni_BRAaKA Phone(402)471-2571 November 19, 2010 Fax(402)471-2814 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: Mero Mero Co LICENSE # I - 84860 Dear Clerk: Enclosed is a copy of a manager application for Timothy L. Maides in connection with Espana Restaurant, located at 6064 Maple Street in Omaha. Please present this application for manager to your City/Village Council or County Commissioners and send us the results of their action. Sincerel ' $411i `1 �j�� 1 Lynam' rmake Licensing Division NEBRASKA LIQUOR CONTROL COMMISSION encl. cc: file Janice M.Wiebusch Bob Logsdon Robert Batt Commissioner Chairman Commissoner An Equal Opportunity/Affirmative Action Employer Printed with soy ink on recycled paper City Clerk BJB:clj i e-F 0c41314/ by ?NO me this by 5It 5.Ai ,A4/ • -4 a_ tvk(se . . . Notary Public signature Notary Public signature Affix Seal Here Affix Seal Here NpjMI•SbleatNebneka ELSON lF�_ L•. tiierdl8 2014 • In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the alternate format. Revised 9/2008 Form 3c • Page 4 ''' -. '14.- "I, IN `:.•., ' ''','"K ,/,,, • , 1 A , A '4 +” • A i !S.1,A,SX4TV.V0 I MT. ItS•.i,:-'-'-' - ., '.- • YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO UV' 20 1,0 qouva k-e.404.7 Collett/ lAJooct(e_. LE01.- 1,ci-L 5-ioo 4Q0 07 lool ViztvtabtA eefiki 4., aevii-s\ ki(Afri Ce,1/4i Lk/Z. 171 j c,'Ijo 1 .c. ,} , , -, ,,,, • -,, ,,, 4, .,.. , ,,,. 0 7 i 7-, 7 r o ,, ,,,, --ot , • ' ,,o . , .. ..„ _ _ot • _ ..,,• ,,,- , 1 , •2'".-,4 4 t ''.,..,-..e.. ' '''' i rAt- " •'r"' 1,-' '` ' -,e, •ei. '..' .7-- ' -,/ "' '"-'' ""e' ' , — " .- , , - .4''',4`,,i:.• A ,, 4i 44 .e" "` 1 "+" .•fr , j../it,. ,t` . * ,,. . ,. tr .t - . • 4 ..._, ;II , ..., A4, , — .,.w•. 4 7 -,..-, ,„,,, , —.0 .e o, orm 3c Page 2 .‘ , Radon Gas Disclosure. As required by law,(Landlord)(Seller)makes the following disclosure:'Radon Gas"is a naturally occurring radioactive gas that,when it has accumulated in a'building in sufficient quantities,may present health risks to persons who are exposed to it over time.Levels of radon that exceed federal and state guidelines have been found in buildings in .Additional information regarding radon and radon testing may be obtained from your county public health unit 26.Entire Agreement. The foregoing constitutes the entire agreement between the parties and may be modified only by a writing signed by both parties. The following Exhibits,if any,have been made a part of this lease before the parties'execution hereof: Signed this : day of \ r< ` ,20 .0 4111 Lessor. ` _ to--r-SA cioesJe. `•. `.�—` Lessee: , `al/► wwwsovateacom Page 3 of 3 0 2004,Socrates Media,LLC 1F140.1•Rev.04/04 shall interfere with the business of Lessee on the premises if such repairs cannot be made within said:sixty.(60)days,Lessor,at his option,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 r IVIANAGER APPLICATION RECEIVED INSERT-FORM 3c I NEBEASKA LIQUOR CONTROL COMMISSION O C T 2 6 2010 301 CENTENNIAL MALL SOUTH010 PO BOX 95046 y LINCOLN,NE68509-5046 A 9V gEBRASK LIQUOR NEBRASKA LIQUOR PHONE:(402)471-2571 ►V'1 CONTROL COMMIISSION FAX:(402)471-2814 'CONTAO_COMMISSION Website:www.icc.ne.sov Corporate manager,including spouse,are required to adhere to the following requirements If spouse filed affidavit of non-participation fingerprints and proof of citizenship not required 1) Must be a citizen of the United States 2) Must be a Nebraska resident(Chapter 2—006) 3) Must provide a copy of birth certificate,naturalization paper or US passport 4) Must submit their fingerprints(2 cards per person) 5) Must be 21 years of age or older 6) Applicant may be required to take a training course 'o r ,.`•.a + , "" ..;w.,-x -:r--, ..":S{:e�.,.r <;•rx::.,p �a F:'}+E ns.t•°f 6°`. 'rc: x� * i T '' �i �e3 ` ` '1°`,3• F : , 8 ® D 6 X 1 ? �,f((7'} 4` 1.; 5 I r s, y.., „e ,r't5 4� i 7',: - "�\ 'n_ k* �,L,4 J >.rt- '"'rlts ' �art ,.,s' �. T. :# + ,,yy' i t- �?t �.} �?� -s * '{ .a a --}`R�. .q� �'` z- vky� st f F• .Tt^'�+ d. �, s , � Gx.'b�' v � z.• t a a +,4, z.fr ..1'f.... C d'S• 2 �` +» r � ';r' ��r.s 6�p �`�:�x?.�*x`.f`.,I'-�.�"�.�,�.,?.z_.�'-, L�J��$�'�. _ �..�._'r_t��.'.'�y._. ~'.j�:4.,.�,�,n�.....-��._'�-.- 4•.,.,......-F�k� �". :�?'z'R`:raY; g_.. Name of Corporation/LLC: Mean Evio p' '..i. ,,,,_J` - 'e` o-[.c" e?=. ,4 'y.`"�'. ,� } i'ts"4,e p>k"'u .� N k v it• :"q' y 1 ''4t 's „ a-a ya._-�' .N-_ i;. ''44�=- : •O9l 6 tg� i : . d. .)47 A4 i:. n`:.g. y.rJ t ' ' -.:;.. � .. `t.Ly'ar4i,4y r'�"w' :si^ 1 a �Y `� e ,j'ps- •m�,s Y {.f:.._�t 5. r-4a- `S w.c[.q ,s et-S f t4 .ctor; i y1:4A,a ' � '�. ��. L� .� } tat +. ,,a�� -"+•r:� .*vd`. Y 4 te"��tria+r Y h sr' �, .yylfiy .3 '�.C},r-,,; 'r'rn...r'1 ^� ua.4C.t'�'ri'r�h 1 r Y -�'1 �s �'t'£r '.#s"rx`, ti "'.- ..,..3.. "f. ;e x.rN X" ti xY3Farr� ^^zx.a^�'�t f. .-.wr ..a., ..e34, .:t-e 3.,.. .. 4'4:4 ^ •+s.. �. -�h ._a ; s�`. ._ r .:1 .-� ,{sE rr (_f/ � ` Premise License Number:� jl-�"!,^/lw1 (if new application leave blank) 4 Premise Trade Name • 5- J� j*t:;LUVzLtt'• ��nn Premise Street Address: CO 6�-. I"_IAPUE S. City: OVVItkA State: OE Zip Code: € 1�� Premise Phone Number: C` 02) ( O5 — A- , ..,,l. '.s fir �� :Sj4:4 l"r c " a`� r � "8�ta r u t"" i=S# : a1•' " aJ r 1v. "t• •i o ` �_•,^ e�� + a mr_4''r Y . -£Yrs';.a '7. �r•��:,_. rt�,tr,�u =. .Rt r,,�,r,•� •Sy.,.t.yr ��. x 35 • Gt�' ,t� i rv`�' �g, Si' ,yam ..� .� ,. _Jy • ` tW I t iy�"+ �ti.?5��- " .-..�`� � i ,�,f,t vT t' 11. U, •:•-• -`F fi iY`''••rv,�t s ) ,a rR� . .s" y- r z. $r 4'i's .y,',i F<:= 5 'T-{ 6 a; �. '-r„ xi[- a z F �� J � tt .,q1"G'= }-y� 3 `S itrtl \+9,xi. .�'k"4"t�rx.,x. v 4'dfi d:#..r.a' }z ( �Y a ..° ,r4 zMYar . .s-+r '.:4? ,v{� jx.s,� �>�!sr<;.;, .�,g, :?o.,� x�.t. .-f'S'�.a-..-r.�,a.a�?� .t+::`s�-. `4.. .r.. ,�, .�s. .3<, �� ,. G ._ . ^. .....••111.1raiMS%MEM• A111 111111.,: CORPORATE OFFIC R SIGNATURE (Faxed signatures are acce stable) y..x x. ...r..u�'�$T._.k�..wf�s.� e k }, . . � ma " �'.��s sY� i ie.s.�:� _ra Form 3c 111111111111111111111110 1000022447 0 .0 4111 Lessor. ` _ to--r-SA cioesJe. `•. `.�—` Lessee: , `al/► wwwsovateacom Page 3 of 3 0 2004,Socrates Media,LLC 1F140.1•Rev.04/04 shall interfere with the business of Lessee on the premises if such repairs cannot be made within said:sixty.(60)days,Lessor,at his option,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 • OCT 2 6 2010 •..r.y.t, e x tse r-•tts - - •_ - ,:. ,.z'r-T.e ••erw'z 1 s' N2-,w � c -a e c a S.,.tx ,{ � 0e <I t e ,P .a4Ta `e , - ,« !? va .,, e -' ,err. F ry _ / , �s :: 772 Yi ,.w� 3u '�� ram..` '-i,5ws�,-,,:4 ,4 •'' PY �T ,:: C::xrm Z,}v :4�•501.h� O. �•../,1. A1-. it- i....: . _ S'"€z- ..,1 _... s «wa . .. . '� G , i'-. `,. i`e.c i;t «:7 s'yes..4r.,,,:,.'MN Wft df e.o,+. r-, Gender: MALE • FEMALE ty\ , , a Ae S 1 �rn dll Last Name: First Name. MI: Home Address(include PO Box if applicable): 1364 C6, Cr 3" -e. City: 01(1'.q `'+6\ State: 1 V 4 Zip.Code: 6 i Home Phone Number: 1 Ot—1',Z— Q3 1 Business Phone Number: v,/0 1 Social Security Number: _ _ _ { Drivers License jNumber&State: j ]____ , Date Of Birth_____ Place Of Birth: III I U i 1 S►V 1 2-ef 1 a' A } • f` Ft t) de, m€,,,2.,A `, a Id a e fir 4.R o,,, `,,A.,`_. re,,,Irwrf07,,,.�s e -rt.`1�: e€a i� a Wea e 3c, °4g147:-,�i gam., t ..g ,'ii.. '? 1:.,..1, fit --R.VI r .5:,tk i'"*Y ,.--,s;.,,f cF 6*tl t s, f'u'nu s LjrV i-r �ik,•w.t 1 2 ry.•i -� - - .i. ;,ini. f ,,, ,,;3;4 14.,.'�-:j.,.,' ? 4 r.- Ogg-v .k'<n';tzY.`osftit v•..F-i 'y-'�� f: L" $,`;' .w. •.- !kfLut. •va OYES RNO . e`t3T $a r-. X n,.3"v 1 Y. icw=♦ a e rf' c'i.^,A-h Y tr'R f - f P'r.'., A. t' {' •Qb°C�- �-,oe" o o �'?;� at€ i7, -3 'W We, g� .;, `g` t�1 = �''Y,f . '"r41. r.d ,,4,71se ',,, + n l•'. t r,. 8t T% 'V2' #, a`7• t s r - i tl .t r£ a•" *,44,P� p Ems. . j •'!,'J Vi�j ' 'i. < r ,Wi l?-40 i+•i. rL "4 �'t. t1:0- '�'wa F" n7 j?h. '4 ,..y3 3.T 5 is-. .4.9 ' i' `�. - r°in •-, :'' rtig ,. zw:" .ftP:. [',r .,'N: a '�-., p"'rE fig•-!s '�%�,-3 •i�+. •x"a� ,a.r-ir"�t. �.,• . `i� ;5 -+'`.a.- f.G,r_;.:ev ::r:._.. K 2' Spouses Last Name: First Name: MI: Social Security Number: Drivers License Number&State: Date Of Birth: Place Of Birth: i,,4 TT Y , d ° A.+ �'-.�7.,-tk•`,. 71,- e,.;' a -x i. M ti'V aci uk-V,Ip.n4'. ng », .ciliz �•k 4*,' k�;-, x•� .r.fii.kj • rs r .r - �,. ?v` sl+..,a' .r''.` -� [' a'20..,yy.p.. Ts"�s,c art"'-Y01 n t a �: 4}s„ vd a i? Kt,c-,� •� } .€S r P �,�...7 .rs t s.�T.f3 "�i,..,9,.4., ,' : .rir uY .%r = S-,�'S� .; :,,..0 .a, ... I- ��� -�r e 'I,,,,,_K r.cw kaj,,ck'i,:rx,:x::S .0;- .-}',54-Al: CITY&STATE .YEAR CITY&STATE YEAR FROM TO FROM TO (3 H,.1 Ncbi.ske, 1R14 Pe fi Arz'SCt^• �v ,3' ... 3r7 t—;1 i" 7 1 r Mr .:4 5a"i ra W r „s2 M �2r.a'v o' * ,,fi e M sa jai. v.Pf' ,a} .,�`a.. v _ i 1 i! ' b%rt a,,,:. 4 y , .�' W z-�p-rrJ '.fifiP0,,,, '�� ., '4:if 2; ,' p• ,;GA.4.,a Aa3 '..sue rv'' t-&*.,..r*�.,#..-.44 :VMS . . ... rN'.....o.yv,./... 1txo:t" ,y .,i'. .;' � *%.,1, „,,..z. F YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO �p C O i0 ESf�h^lifils b6t4, r1aS �l1utf�` 40 — SOS p 114 b x�'t '1}-}•�sx:# 4ax•�'r,cx.r,t r• y ; Fitt/ _ „S" `��, -YFS'- - -�r �•' `r;'�'-u'rA Ak.eii - r'Y'mil _7 -6 a> ,> if, fit' o 144h-`rsp, '-�-. ' . . y' y''' ,� C�am�1".,'c - yy, 4Y a^� 4�?5,4 '1. va.",5„*E.,N^41 �" rSg 1 ,' .. �3 s ` k ,4,;.e-1 Y wly � ��.tea.v *t t�g4'.41+/1".'� 3r' d *� �'`I ST`t y';r4241 �,0 t,. a b �_ .,,,.r71 .?.. i"74-v. `�,, ii .�-.. ,� 4„ a,c._h d F.t�,7 z1 Tg i Fdt t`8` *?`'r'p A hH- 1.:.F .�'.�'ae:'...4tA.`_-Y:a.!ck�2, h 7iiz; '.r.. xu' Form 3c Page 2 tion,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 ;�°. a 77 .. .z,eR.. _. �.�+:: axe" rr f 7f Yill$_ e • a o o tY�lSA � e t ��ay ap 5 e ' e o f �" �� � � 1, t� t -kith N'a^„+hM`+c i �ro - � ��. - iiar a -.'-"+ i•p ,eJtfs,+t aa.-�,� � ��" ry � .x-�a x�i. �ec''.s�i • - t r a '� ,iiy .y.Y.„$; '- K' 'Gh6 'k, L }i- F . t �' )s'$ a 6. .+aW }�"3"rr.'+ N �,�.�:�� 1 ��� r �'!.Y SC &� �y,,����'F Et,..hr� � K. -� F�ar�-',�;a� "}.^.����i�i.� ��is�}'�' �'�'�a'�n"� 4444:it:Ff+`> , i.T' 7 "FE-1�� ��1" F F TZ "i ��Y,t. $ .2 G'Y'} .'ma's' F �,.- � ,".'S�v`a^"i`':R x ,r`��: . i ,�t.� w�, i ,er a �.,�- , w-i s;;'.'a �+�'y, ,r _ ;� «�x 1. READ PARAGRAPH CAREFULLY AND 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. IVED DYES 0 If yes,please explain below or attach a separate page. OCT 2 6 2010 NEBRASKA LIQUOR CONTROL COMMubSION 2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or any other state? IF YES,list the name of the premise. DYES NO 3. Do you, as a manager,have all the qualifications required to hold a Nebraska Liquor License? Nebraska Liquor Control Act(§53-131.01) YES ONO 4. Have you filed the required fingerprint cards and PROPER FEES with this application?(The check or money order must be made out to the Nebraska State Patrol for$38.00 per person) 1YES ONO 5. List the training and/or experience(when and where) Date: Where: 0L+61.4/2001:)—iit �s a�a rtR�gs er r Form 3c Page 3 I: Social Security Number: Drivers License Number&State: Date Of Birth: Place Of Birth: i,,4 TT Y , d ° A.+ �'-.�7.,-tk•`,. 71,- e,.;' a -x i. M ti'V aci uk-V,Ip.n4'. ng », .ciliz �•k 4*,' k�;-, x•� .r.fii.kj • rs r .r - �,. ?v` sl+..,a' .r''.` -� [' a'20..,yy.p.. Ts"�s,c art"'-Y01 n t a �: 4}s„ vd a i? Kt,c-,� •� } .€S r P �,�...7 .rs t s.�T.f3 "�i,..,9,.4., ,' : .rir uY .%r = S-,�'S� .; :,,..0 .a, ... I- ��� -�r e 'I,,,,,_K r.cw kaj,,ck'i,:rx,:x::S .0;- .-}',54-Al: CITY&STATE .YEAR CITY&STATE YEAR FROM TO FROM TO (3 H,.1 Ncbi.ske, 1R14 Pe fi Arz'SCt^• �v ,3' ... 3r7 t—;1 i" 7 1 r Mr .:4 5a"i ra W r „s2 M �2r.a'v o' * ,,fi e M sa jai. v.Pf' ,a} .,�`a.. v _ i 1 i! ' b%rt a,,,:. 4 y , .�' W z-�p-rrJ '.fifiP0,,,, '�� ., '4:if 2; ,' p• ,;GA.4.,a Aa3 '..sue rv'' t-&*.,..r*�.,#..-.44 :VMS . . ... rN'.....o.yv,./... 1txo:t" ,y .,i'. .;' � *%.,1, „,,..z. F YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO �p C O i0 ESf�h^lifils b6t4, r1aS �l1utf�` 40 — SOS p 114 b x�'t '1}-}•�sx:# 4ax•�'r,cx.r,t r• y ; Fitt/ _ „S" `��, -YFS'- - -�r �•' `r;'�'-u'rA Ak.eii - r'Y'mil _7 -6 a> ,> if, fit' o 144h-`rsp, '-�-. ' . . y' y''' ,� C�am�1".,'c - yy, 4Y a^� 4�?5,4 '1. va.",5„*E.,N^41 �" rSg 1 ,' .. �3 s ` k ,4,;.e-1 Y wly � ��.tea.v *t t�g4'.41+/1".'� 3r' d *� �'`I ST`t y';r4241 �,0 t,. a b �_ .,,,.r71 .?.. i"74-v. `�,, ii .�-.. ,� 4„ a,c._h d F.t�,7 z1 Tg i Fdt t`8` *?`'r'p A hH- 1.:.F .�'.�'ae:'...4tA.`_-Y:a.!ck�2, h 7iiz; '.r.. xu' Form 3c Page 2 tion,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 PERSONAL OATH AND CONSENT OF INVESTiGA i >`, The above individual(s),being first duly sworn upon oath,deposes and states that the undersigned is 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. RECEivEg 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. OCr 2 6 10 NEBRASKA UQUOR CONTROL COMM20IISSION Signature of Manager Applicant Signature of Spouse State of Nebraska County of�~�e� c.S County of The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this 1 c ?ol o by me this by .w.o A ota i ignature Notary Public signature ere General Notary Affix Seal Here State of Nebraska My Commission Expires May 17, 2011 In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the alternate format. Revised 9/2000 Form 3c Page 4 . I rson) 1YES ONO 5. List the training and/or experience(when and where) Date: Where: 0L+61.4/2001:)—iit �s a�a rtR�gs er r Form 3c Page 3 I: Social Security Number: Drivers License Number&State: Date Of Birth: Place Of Birth: i,,4 TT Y , d ° A.+ �'-.�7.,-tk•`,. 71,- e,.;' a -x i. M ti'V aci uk-V,Ip.n4'. ng », .ciliz �•k 4*,' k�;-, x•� .r.fii.kj • rs r .r - �,. ?v` sl+..,a' .r''.` -� [' a'20..,yy.p.. Ts"�s,c art"'-Y01 n t a �: 4}s„ vd a i? Kt,c-,� •� } .€S r P �,�...7 .rs t s.�T.f3 "�i,..,9,.4., ,' : .rir uY .%r = S-,�'S� .; :,,..0 .a, ... I- ��� -�r e 'I,,,,,_K r.cw kaj,,ck'i,:rx,:x::S .0;- .-}',54-Al: CITY&STATE .YEAR CITY&STATE YEAR FROM TO FROM TO (3 H,.1 Ncbi.ske, 1R14 Pe fi Arz'SCt^• �v ,3' ... 3r7 t—;1 i" 7 1 r Mr .:4 5a"i ra W r „s2 M �2r.a'v o' * ,,fi e M sa jai. v.Pf' ,a} .,�`a.. v _ i 1 i! ' b%rt a,,,:. 4 y , .�' W z-�p-rrJ '.fifiP0,,,, '�� ., '4:if 2; ,' p• ,;GA.4.,a Aa3 '..sue rv'' t-&*.,..r*�.,#..-.44 :VMS . . ... rN'.....o.yv,./... 1txo:t" ,y .,i'. .;' � *%.,1, „,,..z. F YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO �p C O i0 ESf�h^lifils b6t4, r1aS �l1utf�` 40 — SOS p 114 b x�'t '1}-}•�sx:# 4ax•�'r,cx.r,t r• y ; Fitt/ _ „S" `��, -YFS'- - -�r �•' `r;'�'-u'rA Ak.eii - r'Y'mil _7 -6 a> ,> if, fit' o 144h-`rsp, '-�-. ' . . y' y''' ,� C�am�1".,'c - yy, 4Y a^� 4�?5,4 '1. va.",5„*E.,N^41 �" rSg 1 ,' .. �3 s ` k ,4,;.e-1 Y wly � ��.tea.v *t t�g4'.41+/1".'� 3r' d *� �'`I ST`t y';r4241 �,0 t,. a b �_ .,,,.r71 .?.. i"74-v. `�,, ii .�-.. ,� 4„ a,c._h d F.t�,7 z1 Tg i Fdt t`8` *?`'r'p A hH- 1.:.F .�'.�'ae:'...4tA.`_-Y:a.!ck�2, h 7iiz; '.r.. xu' Form 3c Page 2 tion,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 . City ofOmaha �e6�as `_ kir" 1819 Farnam—Suite LC 1 '" Omaha, Nebraska 68183-0112 0® i� � Buster Brown (402) 444-5550 .o City Clerk FAX (402) 444-5263 o4TFn FEB�ut►4- November 30, 2010 Mero Mero Company Application to appoint Timothy L. Dba "Espana Restaurant" Maides manager of your present Class 6064 Maple Street "I" Liquor License location Omaha,NE 68104 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 December 14, 2010 . 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, es‘ti c?ate Buster Brown City Clerk BJB:clj NEBRASKA UQUOR CONTROL COMM20IISSION Signature of Manager Applicant Signature of Spouse State of Nebraska County of�~�e� c.S County of The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this 1 c ?ol o by me this by .w.o A ota i ignature Notary Public signature ere General Notary Affix Seal Here State of Nebraska My Commission Expires May 17, 2011 In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the alternate format. Revised 9/2000 Form 3c Page 4 . I rson) 1YES ONO 5. List the training and/or experience(when and where) Date: Where: 0L+61.4/2001:)—iit �s a�a rtR�gs er r Form 3c Page 3 I: Social Security Number: Drivers License Number&State: Date Of Birth: Place Of Birth: i,,4 TT Y , d ° A.+ �'-.�7.,-tk•`,. 71,- e,.;' a -x i. M ti'V aci uk-V,Ip.n4'. ng », .ciliz �•k 4*,' k�;-, x•� .r.fii.kj • rs r .r - �,. ?v` sl+..,a' .r''.` -� [' a'20..,yy.p.. Ts"�s,c art"'-Y01 n t a �: 4}s„ vd a i? Kt,c-,� •� } .€S r P �,�...7 .rs t s.�T.f3 "�i,..,9,.4., ,' : .rir uY .%r = S-,�'S� .; :,,..0 .a, ... I- ��� -�r e 'I,,,,,_K r.cw kaj,,ck'i,:rx,:x::S .0;- .-}',54-Al: CITY&STATE .YEAR CITY&STATE YEAR FROM TO FROM TO (3 H,.1 Ncbi.ske, 1R14 Pe fi Arz'SCt^• �v ,3' ... 3r7 t—;1 i" 7 1 r Mr .:4 5a"i ra W r „s2 M �2r.a'v o' * ,,fi e M sa jai. v.Pf' ,a} .,�`a.. v _ i 1 i! ' b%rt a,,,:. 4 y , .�' W z-�p-rrJ '.fifiP0,,,, '�� ., '4:if 2; ,' p• ,;GA.4.,a Aa3 '..sue rv'' t-&*.,..r*�.,#..-.44 :VMS . . ... rN'.....o.yv,./... 1txo:t" ,y .,i'. .;' � *%.,1, „,,..z. F YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO �p C O i0 ESf�h^lifils b6t4, r1aS �l1utf�` 40 — SOS p 114 b x�'t '1}-}•�sx:# 4ax•�'r,cx.r,t r• y ; Fitt/ _ „S" `��, -YFS'- - -�r �•' `r;'�'-u'rA Ak.eii - r'Y'mil _7 -6 a> ,> if, fit' o 144h-`rsp, '-�-. ' . . y' y''' ,� C�am�1".,'c - yy, 4Y a^� 4�?5,4 '1. va.",5„*E.,N^41 �" rSg 1 ,' .. �3 s ` k ,4,;.e-1 Y wly � ��.tea.v *t t�g4'.41+/1".'� 3r' d *� �'`I ST`t y';r4241 �,0 t,. a b �_ .,,,.r71 .?.. i"74-v. `�,, ii .�-.. ,� 4„ a,c._h d F.t�,7 z1 Tg i Fdt t`8` *?`'r'p A hH- 1.:.F .�'.�'ae:'...4tA.`_-Y:a.!ck�2, h 7iiz; '.r.. xu' Form 3c Page 2 tion,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 City of Omaha, fI'sleBras&a nl" 2 L� 1819 Farnam—Suite LC 1 :%' t Omaha, Nebraska 68183-0112 0� r._.z �° Buster Brown (402) 444-5550 City Clerk FAX (402) 444-5263 O9,FD FEB� 1,4A November 30, 2010 Timothy L. Maides Application to be appointed manager of the present 1304 South 93rd Avenue Class "I" Liquor License location for Mero Mero Omaha,NE 68124 Company, dba"Espana Restaurant", 6064 Maple 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 December 14, 2010 . 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, ,K‘. ,44ve Buster Brown City Clerk BJB:clj ature of Spouse State of Nebraska County of�~�e� c.S County of The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this 1 c ?ol o by me this by .w.o A ota i ignature Notary Public signature ere General Notary Affix Seal Here State of Nebraska My Commission Expires May 17, 2011 In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the alternate format. Revised 9/2000 Form 3c Page 4 . I rson) 1YES ONO 5. List the training and/or experience(when and where) Date: Where: 0L+61.4/2001:)—iit �s a�a rtR�gs er r Form 3c Page 3 I: Social Security Number: Drivers License Number&State: Date Of Birth: Place Of Birth: i,,4 TT Y , d ° A.+ �'-.�7.,-tk•`,. 71,- e,.;' a -x i. M ti'V aci uk-V,Ip.n4'. ng », .ciliz �•k 4*,' k�;-, x•� .r.fii.kj • rs r .r - �,. ?v` sl+..,a' .r''.` -� [' a'20..,yy.p.. Ts"�s,c art"'-Y01 n t a �: 4}s„ vd a i? Kt,c-,� •� } .€S r P �,�...7 .rs t s.�T.f3 "�i,..,9,.4., ,' : .rir uY .%r = S-,�'S� .; :,,..0 .a, ... I- ��� -�r e 'I,,,,,_K r.cw kaj,,ck'i,:rx,:x::S .0;- .-}',54-Al: CITY&STATE .YEAR CITY&STATE YEAR FROM TO FROM TO (3 H,.1 Ncbi.ske, 1R14 Pe fi Arz'SCt^• �v ,3' ... 3r7 t—;1 i" 7 1 r Mr .:4 5a"i ra W r „s2 M �2r.a'v o' * ,,fi e M sa jai. v.Pf' ,a} .,�`a.. v _ i 1 i! ' b%rt a,,,:. 4 y , .�' W z-�p-rrJ '.fifiP0,,,, '�� ., '4:if 2; ,' p• ,;GA.4.,a Aa3 '..sue rv'' t-&*.,..r*�.,#..-.44 :VMS . . ... rN'.....o.yv,./... 1txo:t" ,y .,i'. .;' � *%.,1, „,,..z. F YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO �p C O i0 ESf�h^lifils b6t4, r1aS �l1utf�` 40 — SOS p 114 b x�'t '1}-}•�sx:# 4ax•�'r,cx.r,t r• y ; Fitt/ _ „S" `��, -YFS'- - -�r �•' `r;'�'-u'rA Ak.eii - r'Y'mil _7 -6 a> ,> if, fit' o 144h-`rsp, '-�-. ' . . y' y''' ,� C�am�1".,'c - yy, 4Y a^� 4�?5,4 '1. va.",5„*E.,N^41 �" rSg 1 ,' .. �3 s ` k ,4,;.e-1 Y wly � ��.tea.v *t t�g4'.41+/1".'� 3r' d *� �'`I ST`t y';r4241 �,0 t,. a b �_ .,,,.r71 .?.. i"74-v. `�,, ii .�-.. ,� 4„ a,c._h d F.t�,7 z1 Tg i Fdt t`8` *?`'r'p A hH- 1.:.F .�'.�'ae:'...4tA.`_-Y:a.!ck�2, h 7iiz; '.r.. xu' Form 3c Page 2 tion,may make the same within a reasonable time,this lease continuing In effect with the rent proportionately abated as aforesaid,and in the event that Lessor shall not elect to make such repairs which cannot be made within sixty(60)days,this lease may be terminated at the option of either party. In the event that the building in which the demised premises may be situated is destroyed to an extent of not less than one-third of the replacement costs thereof,Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the premises may be situated shall terminate this lease 15.Lessor's Remedies on Default If lessee defaults in the payment of rent,or any additional rent,or defaults in the performance of any of the other covenants or conditions hereof,lessor may give Lessee notice of such default and if Lessee does not cure any such default within t S. days,after the giving of such notice(or if such other default is of such nature that it cannot be completely cured within such period,if lessee does not commence such curing within such 0 days and thereafter proceed with reasonable diligence and In good faith to cure such default);then Lessor may terminate this lease on not less than 14.'rj days'notice to Lessee. On the date spedfied in such notice the term of this lease shall terminate,and Lessee shall then quit and surrender the premises to Lessor,without extinguishing Lessee's liability. If this lease • wwasoaates mm page 2.of 3 m 2004,Socrates Media,llC • 1F140.1•Rev.04/04 It k, 0 nc7 �b .44 rCD �� o o CD ovco s <CD p, O p t O C) ‘,.1. � ' V^ p p � O N O ' • i 'C O y O • .451 r) ed 1 O5fa `c C w `< v 0- c) CO C P 1-1 o Q ° CDC - i' § 0 . . 0 \ §' - N ° § � N. • R � ,. x ° § o ST MARY'S AVE, 68102#344-3040