The URL can be used to link to this page

RES 2009-1208 - Appoint Jason J Kramer manager of Doubletree Hotel Omaha Downtown (not adopted) IA • EKE STq�y11 o 4`,, RE E1vEr 'y' ° STATE OF NEBRASKA Dave Heineman OCT09 -6 �' NEBRASKA LIQUOR CONTROL COMMISSION .V,, 't �..• t% Governor Hobert B. Rupe 't '. Executive Director 11�Zen vi♦a. �� =- 301 Centennial Mall South,5th Floor CITY CLERK P.O.Box 95046 OMAHA, NEBRASKA. Lincoln,Nebraska 68509-5046 Phone(402)471-2571 Fax(402)471-2814 October 5, 2009 TRS USER 800 833-7352(TTY) web address:http://www.lcc.ne.gov/ OMAHA CITY CLERK 1819 FARNAM FC-1 OMAHA NE 68183 RE: OMAHA BEVERAGE SERVICES INC DBA DOUBLETREE HOTEL OMAHA DOWNTOWN LICENSE #C - 74697 Dear Clerk: Enclosed is a copy of a manager application for Jason J Kramer in connection with Doubletree Hotel Omaha Downtown, located at 1616 Dodge Street in Omaha. Please present this application for manager to your CityNillage Council or County Commissioners and send us the results of their action. Sincerely, L n S make 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 .a f':t'':,/ '-A• $uster Brown City Clerk BJB:clj Affix Sea! GENERAL NOTARY-&ats d Nebewka1 ((" taryPublic signature /(� ELIZABETH D.LEADER gn My Comm.Exp.OM 8,2009 rac o n'am1> e t. ed5*1 a , ra 0� e hraae res o sb 1e for co,rn 1 ce i t o et bove I�ft t tiOth rd a :h boet i a e ( W(Vrth e, C11lI1t5 . y 3C4 ir OC11140. _ .. , '- r Brian K. Musser n Signature o individual involved with application Printed name of applying individual (Spouse of individual listed above) Nebraska State of Douglas County of The foregoing instrument wasrm acknowledged before me this /71 o2©D / by r;- ,' l Gt5 S A i date name of person acknowledged 151tairr- tt £ Ax Seal AffixGENERAL NOTARY-Sfats o(Nebraake_ Lary Public signature ELIZABETH D.LEADER My Comm.Exp.Oct.ti,2009 _ 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 MANAGER APPLICATION Office Ike ^C D INSERT-FORM3c RECEIVED V E NEBRASKA.LIQUOR CONTROL COMMISSION 301 SOUTH Yo BOX AL� OCT - 52009 LINT OLN,NE 68509.5046 PRONE:(402)471.2.571 • -. FAX (� 1 s)47814 NEBRASKA LIQUOR wnbatke www lcaee,Rcv CONTROL COMMISSION Corporate manager,including spouse,are required to adhere to the following requirements If spouse filed affidavit of non-partldpatlun fingerprints and proof of dtlzsnship not required 1) Must be a dtizen 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 fingerprints(2 cards per person) 5) Must be 21'years of age or older 6) Applicant may be required to take a training course 4w 'n•.1 •} cr !p- �a :I"I'�I", t 1+.G^�•�•� tii;::v�t,,'�1*-:_�- it, "to,%-:i,V: JR FI1� i}, ,,r,q_c �. :W,57 pp N<.i .70 1,1' i �i.` 2,:lii , `:`)',pr. ,.11.. .,.,v • J-i t� a Yctcirlr��A��rr � 3,1�� . a rc afr1n�r I wIL# fly r s�• � )Il� �rj�,,I� rIF>. �, 6 ` 'S I 2Ttom' {ram.�,, y.� ) 1j'� F`''r� ~ I� '� `:'� a � r, ,:..:t..:...;.,,•� 5. ,�•il S- V.._. ..� W., rc..•,.a,-z. 4. 1.3, �:L:�-�ci :..�.�J_it[. a '�,_:�u lti,.idt.�.Q. .II:7 u Name of CarporatiomtlX.T..C: X'l�' . _. . ....1 i_................................ :?yr,r., •N:`111--7, .r.. r .r - n,„--,.,,+,r • Nt ,,. 4c �:,,.r� �y F'+1!,L - rro.. q',46'T4.4 ,-. f � IR�y ` ' .` ,,1* I44�1y # .„�S't^'',4,I �.7r.!A_ , . . 4.'fp1, . .lt l .� 'ice ,.. 7, x : liZI'. l•::%., 1 _.‹,,'J•-_ _t1..•.., ‘...)g.!-.1- 417. :" Premise License Number. C..~ "3- _ ! (if new application leave blank) Premise Trade Name/DBA: + hk"inV. - .1` s ��n-' Premise Street Address: / II e 1_ City: .- 001 •1,.V 1 -, _ Zip Code I tefC1 s_ Premise Phone Number: Lit.) 341{, -7 to CO _,__..__....i._..._ 7. • 7 ,,. ) c{�yt�y i- t�1Q�� ggyyc��,.. ri��i Au�(j.i l •p4 = d�� (:y"s t ''( `rz;'iAAi 7t'.' � i r i iiltl1 .411 `'1�s1t.111 .�{Intl 7, -.14 _ '1 I �I.' l 1L 11f e,"t*� :Il.:l •,'I11:$ * t�.):i•�I:_iT, 11t`... �r I I r •t, tl j 11 I -1, 1 1 11 ,1 11 1 I 1 : 1 5 R -': 1 i `( ,- z}(. . .�l� Qtr. ' " c '{1, tr wt 'o -Ir 1 rI '3'Ili 4. q"*N- ,,you �" l"'Yip '.,t••'''-'t' A 101 r�'r.�rr�.e�.3A' �J'�l'�'., _,,, ,.��'ci'�/7 :^2�".c Y,:"F5r)✓aur�t=�k _1;- +'=�n '�1'r4�!' `�'JfR�.:?4''��.Lt�'��`'s.t`7•'.�.'.i!?%:,4;.;yl ,��3''�41., 41 'L-vA.4 --- --fr --- '' . et<>4.,A.--A- CORPORATE OFFICER SIGNATURE (Faxed si�, :tures are ace- •table . d..;' P' .�. ,1., r' i:._{F 1� L�TL y 1.,",,.,/•y.,..., �I_Yr�_.S (f.µY,4...y,:.� ,r 1,,,'., a %7- - -4,0;' '� Pr �S- ' 'R'f�'S�y!;1't '7:$4,tir -c1�Yb1t14`�P tf- X 1 Prf ytr 4 S rf .I }t •0 b 1" ',; �• �y-�`��"' �t �y 1 'µ' , tJ��r � �,� ,�( •,,.,y �y ,¢� �, 1 r 15 ,go i i�'�c,.,,,A: � ;�`!k . .. r"1- 1•i'..LI?''•.1 i /�',-L.' .st`:' .•t? _t. .1 -:1'. 4".,. 1? ,`.3?,`u.l?'F' 1d/' 1, :'-'' p •{' , .' ,'.'.' '��' ?}. . Form 3c 0900018696 —— , Gender: ®MALE ❑ FEMALE Last Name: \(( 01/4SNI\ei First Name: a...`"" vl"\ MI: **-1 Home Address (include PO Box if applicable): 1 ��, l '�� \1` City: Q cNCN. --\--\'' State: ¶\= Zip Code: G \3 J Home Phone Number: LAa q ") Business Phone Number: 4 O • 3 L1 6 • 7 b 00 Social Security Number:_ _ Drivers License Number& State:: . . _ - Date Of Birth: - Place Of Birth: OCT - 2009 ❑YES DVO NCDRAIMALIQUOR Spouses Last Name: First Name: MI: Social Security Number: Drivers License Number& State: Date Of Birth: Place Of Birth: • CITY&STATE YEAR CITY&STATE YEAR FROM TO FROM. TO YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO aoo1612MININSIMINLei y. a w mr rWPM= Form 3c Page 2 MANAGER APPLICATION Office Use INSERT-FORM 3ci'` ' RECEIVE'D NEBRASKA LIQUOR CONTROL COMMISSION SEP 301 CENTENNIAL MALL SOUTH 2 1 2009 PO BOX 95046 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 NEBRASKA LIQUOR FAX:(40 1-2814 CONTROL websit .www.lcc.ne.gov COMHII8SION 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 fingerprints(2 cards per person) 5) Must be 21 years of age or older 6) Applicant may be required to take a training course Name of Corporation/LLC: QSV.Y\CXA.3t '-\ 4 0 Ns\say Premise License Number: C. - - 9C (if new application leave blank) 1_ Premise Trade Name/DBA: C�v._\j\e-ki* ' 'A E� \v.•�,V l� �� i Premise Street Address: 1.t\03.Q City: •tG.�� t �` Zip Code: IU Premise Phone Number: `'l�� • 3 - ql1G1 CORPORATE OFFICER SIGNATURE. Faxed si:natures are acce stable Form 3c Page 1 .:t..:...;.,,•� 5. ,�•il S- V.._. ..� W., rc..•,.a,-z. 4. 1.3, �:L:�-�ci :..�.�J_it[. a '�,_:�u lti,.idt.�.Q. .II:7 u Name of CarporatiomtlX.T..C: X'l�' . _. . ....1 i_................................ :?yr,r., •N:`111--7, .r.. r .r - n,„--,.,,+,r • Nt ,,. 4c �:,,.r� �y F'+1!,L - rro.. q',46'T4.4 ,-. f � IR�y ` ' .` ,,1* I44�1y # .„�S't^'',4,I �.7r.!A_ , . . 4.'fp1, . .lt l .� 'ice ,.. 7, x : liZI'. l•::%., 1 _.‹,,'J•-_ _t1..•.., ‘...)g.!-.1- 417. :" Premise License Number. C..~ "3- _ ! (if new application leave blank) Premise Trade Name/DBA: + hk"inV. - .1` s ��n-' Premise Street Address: / II e 1_ City: .- 001 •1,.V 1 -, _ Zip Code I tefC1 s_ Premise Phone Number: Lit.) 341{, -7 to CO _,__..__....i._..._ 7. • 7 ,,. ) c{�yt�y i- t�1Q�� ggyyc��,.. ri��i Au�(j.i l •p4 = d�� (:y"s t ''( `rz;'iAAi 7t'.' � i r i iiltl1 .411 `'1�s1t.111 .�{Intl 7, -.14 _ '1 I �I.' l 1L 11f e,"t*� :Il.:l •,'I11:$ * t�.):i•�I:_iT, 11t`... �r I I r •t, tl j 11 I -1, 1 1 11 ,1 11 1 I 1 : 1 5 R -': 1 i `( ,- z}(. . .�l� Qtr. ' " c '{1, tr wt 'o -Ir 1 rI '3'Ili 4. q"*N- ,,you �" l"'Yip '.,t••'''-'t' A 101 r�'r.�rr�.e�.3A' �J'�l'�'., _,,, ,.��'ci'�/7 :^2�".c Y,:"F5r)✓aur�t=�k _1;- +'=�n '�1'r4�!' `�'JfR�.:?4''��.Lt�'��`'s.t`7•'.�.'.i!?%:,4;.;yl ,��3''�41., 41 'L-vA.4 --- --fr --- '' . et<>4.,A.--A- CORPORATE OFFICER SIGNATURE (Faxed si�, :tures are ace- •table . d..;' P' .�. ,1., r' i:._{F 1� L�TL y 1.,",,.,/•y.,..., �I_Yr�_.S (f.µY,4...y,:.� ,r 1,,,'., a %7- - -4,0;' '� Pr �S- ' 'R'f�'S�y!;1't '7:$4,tir -c1�Yb1t14`�P tf- X 1 Prf ytr 4 S rf .I }t •0 b 1" ',; �• �y-�`��"' �t �y 1 'µ' , tJ��r � �,� ,�( •,,.,y �y ,¢� �, 1 r 15 ,go i i�'�c,.,,,A: � ;�`!k . .. r"1- 1•i'..LI?''•.1 i /�',-L.' .st`:' .•t? _t. .1 -:1'. 4".,. 1? ,`.3?,`u.l?'F' 1d/' 1, :'-'' p •{' , .' ,'.'.' '��' ?}. . Form 3c 0900018696 —— , • 1,�; CELvED 1. READ PARAGRAPH CAREFULLY AND ANSWER COMPLETELY ANNDE CCURATELY. Has anyone who is a party to this application,or their spouse,EVER been convict o Wad 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 KO ,41444eigigilitarge occurred and the year and month of the conviction or plea. Also list any c) g gidge! 4I9I@l of this application. If more than one party,please list charges by each individual's name. YES ONO If yes,please explain below or attach a separate page. RECEIVED am ea.. — -b„a.7 S c�a� vic. „e. acof - ii:, -.1_ J 5w-.S ✓S c."Nc 2 OCT -52009 NEBRASKA LIQUOR N IJ (rt-l'rNc \� C\f\..o:.0 C CONTROL COMMISSION 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. EYES [ 10 3. Do you, as a manager,have all the qualifications required to hold a Nebraska Liquor License? Nebraska Liquor Control Act(§53-131.01) OYES 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$38.00 per erson) YES ONO r z,., 5. Do you have any experience in selling alcohol in the State of Nebraska. N —OD If so list training and/or experience (when and where) �� Date: Where: Form 3c — Page 3 Nt ,,. 4c �:,,.r� �y F'+1!,L - rro.. q',46'T4.4 ,-. f � IR�y ` ' .` ,,1* I44�1y # .„�S't^'',4,I �.7r.!A_ , . . 4.'fp1, . .lt l .� 'ice ,.. 7, x : liZI'. l•::%., 1 _.‹,,'J•-_ _t1..•.., ‘...)g.!-.1- 417. :" Premise License Number. C..~ "3- _ ! (if new application leave blank) Premise Trade Name/DBA: + hk"inV. - .1` s ��n-' Premise Street Address: / II e 1_ City: .- 001 •1,.V 1 -, _ Zip Code I tefC1 s_ Premise Phone Number: Lit.) 341{, -7 to CO _,__..__....i._..._ 7. • 7 ,,. ) c{�yt�y i- t�1Q�� ggyyc��,.. ri��i Au�(j.i l •p4 = d�� (:y"s t ''( `rz;'iAAi 7t'.' � i r i iiltl1 .411 `'1�s1t.111 .�{Intl 7, -.14 _ '1 I �I.' l 1L 11f e,"t*� :Il.:l •,'I11:$ * t�.):i•�I:_iT, 11t`... �r I I r •t, tl j 11 I -1, 1 1 11 ,1 11 1 I 1 : 1 5 R -': 1 i `( ,- z}(. . .�l� Qtr. ' " c '{1, tr wt 'o -Ir 1 rI '3'Ili 4. q"*N- ,,you �" l"'Yip '.,t••'''-'t' A 101 r�'r.�rr�.e�.3A' �J'�l'�'., _,,, ,.��'ci'�/7 :^2�".c Y,:"F5r)✓aur�t=�k _1;- +'=�n '�1'r4�!' `�'JfR�.:?4''��.Lt�'��`'s.t`7•'.�.'.i!?%:,4;.;yl ,��3''�41., 41 'L-vA.4 --- --fr --- '' . et<>4.,A.--A- CORPORATE OFFICER SIGNATURE (Faxed si�, :tures are ace- •table . d..;' P' .�. ,1., r' i:._{F 1� L�TL y 1.,",,.,/•y.,..., �I_Yr�_.S (f.µY,4...y,:.� ,r 1,,,'., a %7- - -4,0;' '� Pr �S- ' 'R'f�'S�y!;1't '7:$4,tir -c1�Yb1t14`�P tf- X 1 Prf ytr 4 S rf .I }t •0 b 1" ',; �• �y-�`��"' �t �y 1 'µ' , tJ��r � �,� ,�( •,,.,y �y ,¢� �, 1 r 15 ,go i i�'�c,.,,,A: � ;�`!k . .. r"1- 1•i'..LI?''•.1 i /�',-L.' .st`:' .•t? _t. .1 -:1'. 4".,. 1? ,`.3?,`u.l?'F' 1d/' 1, :'-'' p •{' , .' ,'.'.' '��' ?}. . Form 3c 0900018696 —— , • 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. 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. • (9sgnatur Manager Applicant . Signature of Spouse State of Nebraska County of L1t001(% County of The foregoing instrrment was acknowledged before The foregoing instrument was acknowledged before me this q, -- i by me this by l( N ry Pub 'c signature .Notary Public signature Affix Seal H re . Affix Seal Here j:ERAL UR -SO et an al (AURA J.BUFIESH MyOcmm.E fl,NO 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 �� / nk) Premise Trade Name/DBA: + hk"inV. - .1` s ��n-' Premise Street Address: / II e 1_ City: .- 001 •1,.V 1 -, _ Zip Code I tefC1 s_ Premise Phone Number: Lit.) 341{, -7 to CO _,__..__....i._..._ 7. • 7 ,,. ) c{�yt�y i- t�1Q�� ggyyc��,.. ri��i Au�(j.i l •p4 = d�� (:y"s t ''( `rz;'iAAi 7t'.' � i r i iiltl1 .411 `'1�s1t.111 .�{Intl 7, -.14 _ '1 I �I.' l 1L 11f e,"t*� :Il.:l •,'I11:$ * t�.):i•�I:_iT, 11t`... �r I I r •t, tl j 11 I -1, 1 1 11 ,1 11 1 I 1 : 1 5 R -': 1 i `( ,- z}(. . .�l� Qtr. ' " c '{1, tr wt 'o -Ir 1 rI '3'Ili 4. q"*N- ,,you �" l"'Yip '.,t••'''-'t' A 101 r�'r.�rr�.e�.3A' �J'�l'�'., _,,, ,.��'ci'�/7 :^2�".c Y,:"F5r)✓aur�t=�k _1;- +'=�n '�1'r4�!' `�'JfR�.:?4''��.Lt�'��`'s.t`7•'.�.'.i!?%:,4;.;yl ,��3''�41., 41 'L-vA.4 --- --fr --- '' . et<>4.,A.--A- CORPORATE OFFICER SIGNATURE (Faxed si�, :tures are ace- •table . d..;' P' .�. ,1., r' i:._{F 1� L�TL y 1.,",,.,/•y.,..., �I_Yr�_.S (f.µY,4...y,:.� ,r 1,,,'., a %7- - -4,0;' '� Pr �S- ' 'R'f�'S�y!;1't '7:$4,tir -c1�Yb1t14`�P tf- X 1 Prf ytr 4 S rf .I }t •0 b 1" ',; �• �y-�`��"' �t �y 1 'µ' , tJ��r � �,� ,�( •,,.,y �y ,¢� �, 1 r 15 ,go i i�'�c,.,,,A: � ;�`!k . .. r"1- 1•i'..LI?''•.1 i /�',-L.' .st`:' .•t? _t. .1 -:1'. 4".,. 1? ,`.3?,`u.l?'F' 1d/' 1, :'-'' p •{' , .' ,'.'.' '��' ?}. . Form 3c 0900018696 —— , • o City of • , aho Webrt ski 44,84144 1819 Farnam — Suite LC 1 ; a kt `�' -(.gym Omaha, Nebraska 68183-0112 0 Buster t=rown (402) 444-5550 City Clerk FAX (402) 444-5263 o�41'ED FEB1t°'� October 13, 2009 Omaha Beverage Services, Inc Application to appoint Jason J. Kramer Dba "Doubletree Hotel. Omaha Downtown" manager of your present Class "C" 1616 Dodge Street Liquor License Omaha, NE 68102 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 October 27, 2009 . 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 by me this by l( N ry Pub 'c signature .Notary Public signature Affix Seal H re . Affix Seal Here j:ERAL UR -SO et an al (AURA J.BUFIESH MyOcmm.E fl,NO 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 �� / nk) Premise Trade Name/DBA: + hk"inV. - .1` s ��n-' Premise Street Address: / II e 1_ City: .- 001 •1,.V 1 -, _ Zip Code I tefC1 s_ Premise Phone Number: Lit.) 341{, -7 to CO _,__..__....i._..._ 7. • 7 ,,. ) c{�yt�y i- t�1Q�� ggyyc��,.. ri��i Au�(j.i l •p4 = d�� (:y"s t ''( `rz;'iAAi 7t'.' � i r i iiltl1 .411 `'1�s1t.111 .�{Intl 7, -.14 _ '1 I �I.' l 1L 11f e,"t*� :Il.:l •,'I11:$ * t�.):i•�I:_iT, 11t`... �r I I r •t, tl j 11 I -1, 1 1 11 ,1 11 1 I 1 : 1 5 R -': 1 i `( ,- z}(. . .�l� Qtr. ' " c '{1, tr wt 'o -Ir 1 rI '3'Ili 4. q"*N- ,,you �" l"'Yip '.,t••'''-'t' A 101 r�'r.�rr�.e�.3A' �J'�l'�'., _,,, ,.��'ci'�/7 :^2�".c Y,:"F5r)✓aur�t=�k _1;- +'=�n '�1'r4�!' `�'JfR�.:?4''��.Lt�'��`'s.t`7•'.�.'.i!?%:,4;.;yl ,��3''�41., 41 'L-vA.4 --- --fr --- '' . et<>4.,A.--A- CORPORATE OFFICER SIGNATURE (Faxed si�, :tures are ace- •table . d..;' P' .�. ,1., r' i:._{F 1� L�TL y 1.,",,.,/•y.,..., �I_Yr�_.S (f.µY,4...y,:.� ,r 1,,,'., a %7- - -4,0;' '� Pr �S- ' 'R'f�'S�y!;1't '7:$4,tir -c1�Yb1t14`�P tf- X 1 Prf ytr 4 S rf .I }t •0 b 1" ',; �• �y-�`��"' �t �y 1 'µ' , tJ��r � �,� ,�( •,,.,y �y ,¢� �, 1 r 15 ,go i i�'�c,.,,,A: � ;�`!k . .. r"1- 1•i'..LI?''•.1 i /�',-L.' .st`:' .•t? _t. .1 -:1'. 4".,. 1? ,`.3?,`u.l?'F' 1d/' 1, :'-'' p •{' , .' ,'.'.' '��' ?}. . Form 3c 0900018696 —— , • City offAlebras&aOmaha �� 1 I' '7: 7 (., airil'. 1819 Famam —Suite LC 1 2 ,41, wis Omaha, Nebraska 68183-0112 0 v,w ?l, `', M, Buster Brown (402) 444-5550 City Clerk FAX (402) 444-5263 O 4)9TED FE A October 13, 2009 Jason J. Kramer Application to be appointed manager of the present 1703 South 171st Court Class "C" Liquor License for Omaha Beverage Omaha, NE 68130 Services, Inc., dba"Doubletree Hotel Omaha Downtown", 1616 Dodge Street 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 October 27, 2009. 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 City Clerk BJB:clj by me this by l( N ry Pub 'c signature .Notary Public signature Affix Seal H re . Affix Seal Here j:ERAL UR -SO et an al (AURA J.BUFIESH MyOcmm.E fl,NO 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 �� / nk) Premise Trade Name/DBA: + hk"inV. - .1` s ��n-' Premise Street Address: / II e 1_ City: .- 001 •1,.V 1 -, _ Zip Code I tefC1 s_ Premise Phone Number: Lit.) 341{, -7 to CO _,__..__....i._..._ 7. • 7 ,,. ) c{�yt�y i- t�1Q�� ggyyc��,.. ri��i Au�(j.i l •p4 = d�� (:y"s t ''( `rz;'iAAi 7t'.' � i r i iiltl1 .411 `'1�s1t.111 .�{Intl 7, -.14 _ '1 I �I.' l 1L 11f e,"t*� :Il.:l •,'I11:$ * t�.):i•�I:_iT, 11t`... �r I I r •t, tl j 11 I -1, 1 1 11 ,1 11 1 I 1 : 1 5 R -': 1 i `( ,- z}(. . .�l� Qtr. ' " c '{1, tr wt 'o -Ir 1 rI '3'Ili 4. q"*N- ,,you �" l"'Yip '.,t••'''-'t' A 101 r�'r.�rr�.e�.3A' �J'�l'�'., _,,, ,.��'ci'�/7 :^2�".c Y,:"F5r)✓aur�t=�k _1;- +'=�n '�1'r4�!' `�'JfR�.:?4''��.Lt�'��`'s.t`7•'.�.'.i!?%:,4;.;yl ,��3''�41., 41 'L-vA.4 --- --fr --- '' . et<>4.,A.--A- CORPORATE OFFICER SIGNATURE (Faxed si�, :tures are ace- •table . d..;' P' .�. ,1., r' i:._{F 1� L�TL y 1.,",,.,/•y.,..., �I_Yr�_.S (f.µY,4...y,:.� ,r 1,,,'., a %7- - -4,0;' '� Pr �S- ' 'R'f�'S�y!;1't '7:$4,tir -c1�Yb1t14`�P tf- X 1 Prf ytr 4 S rf .I }t •0 b 1" ',; �• �y-�`��"' �t �y 1 'µ' , tJ��r � �,� ,�( •,,.,y �y ,¢� �, 1 r 15 ,go i i�'�c,.,,,A: � ;�`!k . .. r"1- 1•i'..LI?''•.1 i /�',-L.' .st`:' .•t? _t. .1 -:1'. 4".,. 1? ,`.3?,`u.l?'F' 1d/' 1, :'-'' p •{' , .' ,'.'.' '��' ?}. . Form 3c 0900018696 —— , ' . .r o n V 4v C' CD IV fa, tii , o C r byC ` N C UI 1-: 1-0 (-D CJ\---) \ O UQ CD \ ,..s.)0 ; ,F,). n Cz1 d \ a ,F) Cp _ hz n� � v v, . rn w NCDRAIMALIQUOR Spouses Last Name: First Name: MI: Social Security Number: Drivers License Number& State: Date Of Birth: Place Of Birth: • CITY&STATE YEAR CITY&STATE YEAR FROM TO FROM. TO YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO aoo1612MININSIMINLei y. a w mr rWPM= Form 3c Page 2