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RES 2009-0887 - Appoint Timothy R Sanwick manager of Hampton Inn & Suites Omaha Downtown fir:, , STATE OF NEBRASKA • _ ' isE i.,..D Dave Heineman NEBRASKA LIQUOR CONTROL COMMISSION L_ 1 'v °. 'a= Governor Hobert B. Rupe = 09 JUL 21 AM 10: E. 'W4kcx�n�$6=_- Executive Director 301 Centennial Mall South,5th Floor CFI)/ CLERK P.O.Box 95046 OMAHA, NEBRASKA E R w K A Lincoln,Nebraska 68509-5046 +' Phone(402)471-2571 July 20, 2009 Fax(402)471-2814 TRS USER 800 833-7352(TTY) web address:http://www.lcc.ne.gov/ OMAHA CITY CLERK 1819 FARNAM FC-1 OMAHA NE 68183 iv RE: OMAHA DOWNTOWN LODGING INVESTORS T LLC DBA: HAMPTON INN & SUITES OMAHA DOWNTOWN LICENSE #C 78364 • Dear Clerk: Enclosed is a copy of a manager application for Timothy R Sanwick in connection with Hampton Inn & Suites Omaha Downtown, located at 1212 Cuming Street in Omaha, NE 68102. Please present this application for manager to your City/Village Council or County Commissioners and send us the results of their action. Sincerely, Lynn ake Licensing Division NEBRASKA LIQUOR CONTROL COMMISSION encl. cc: file • Rhonda R. Flower Bob Logsdon Robert Batt Commissioner Chairman Commissoner An Equol Opportunity/Affirmative Action Employer Printed with soy ink on recyded paper 1 gnature of spouse asking for waiver Printed i'..., e of spouse asking for waiver (Sppuse of individual listed below) State of Afre--6/2441e.,f , i . 1,... ,... County of rZlk6 t jf-S The foregoing listrurnent was acknowledged before me this I ._ ..,. \ ) l . . *.i ---f--A by Yt1 f a? . ., ,. ir date it 1 name of person acknowledged ... 41.,. ...... - 0.0 Affix Seal - •— NOUN-SI*Of IWO* , .f., ' ips ....4 . _ s-.. . • •• otary Public stgnature •i! USA KELLER 1 • • - ' 11 ' ; --- ...... . I acknowledge that I am,the spouse of the above listed Individual. I understan. that my spouse and I are responsible for t compliance with the conditions set out above. If it is determined that the abo . individual has violated(§53-125(13))the 'Commission may caurelyor revoke the liquor license. 5t1 WI '' . . • -4 I individual involved with application Printed n, i.i'e of applying individual (Spouse of indivi listed above) . State of , .. . I County of ... The foregoing' :!! • ent was acknowledged before me this , - • , .-15.-'' Ot9 bY tiO1 at Vii 1: • , name. person acknowledged • ..... • *i , 14. 1 11(1 . Lift*Scal . ..• -4 I ENERAL NOTARY-Site of Nebtoska .41.! otary • ...c signature . „,_71, II. USA KELLER . my Comm.Exp.April 20,2013 • 1 ' In compost=with the ADA,Ibis spousal affidavit or non participation is available in other&swats for.- i,.-..,,with disabilities. A ten day advance period is requested in writing to produce the alienate format FORM 35-4178 Revised 1/2008 . , ... . ., •. . .(•. • ...'it . . wt• .'.._.... • . .' . •• . • .11 • -... ____• _. . • ‘ . . • . . • . - 14.• . s• 'I; • • ,• • • ii • II' . • . • . • il • . k Tussev.suite 9,10,11.Mormon Bridge Plaza 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 Slates 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate — - - • I" •,. la 4 , . . .. 0 i . . • S 110 go ! , .. OA :. I. ' ;c41 , 4a. • • 1 ii, ' 4 • ' .1 • :1 .6._,_._.,..._ 1 MANAGER APPLICATION , Offlo•Ule I! r I INSERT-FORM 3c ." •411, 5, , P . . ,.., .. - NEBRASKA LIQUOR coma,COMMISSION •. 1 . • JUL 202009 1 I 301 CENTENNIAL MALL sauna I. . . •IP''• . 4 ! NEBRASKA LIQUOR PHONE(407)-41` 471-2571 4, ; ., 1 CONTROL COMMISS ON . PAK(402)471-2814 ; • ! webs 26126100.11Urt ! ,... • ' , . lui Corporate manager,Including spouse,- are required to adhere to the following req. . , Is• * . If spouse filed affidavit of nowpartfripation fingerprints and proof of cificenship not ,aired ? 4 . I 1) Mutt be a cilium of the Uzdted States i ;: 2) Must he a Ndnaska resident(Chapter 2-006) . * 3) Must provide a copy of birth certificate,naturalization paper or US passport r i 1 4) Mnst submit fingerpriala CI cards per person) ' r It: 3) Must be 11.years of age or older . t • 6) Applicant may be required to take a training course 1 ‘ . . I t . ....•:4 44.: ,,, ,,„ '.., ... 4 ,o, r .• V- tr: ,,. ./, '..',! it'' ..,•`-`,...:.7.,'r.' • ''ft' '' •- • -. / •• ^ . . ..,.'I '• ''''. •••• i• dt,3.. ' 4t.'.....,i•. ,', ,,.•:•.'/' . , ' . . I , `.- _. t .. i,l,.,:-.: ,.i. .;',. c'..,..4-'..1,Asi aft..4 ,tik.,,,i4 4,40.4111 493kAirdler4.; . ' • • 8 XV LL-C-. Name of Corpotation/LLC: 19,-- riNct-\-‘01:1)ow rk-Vtr‘-1-0\,-(14t%h fik't .1illY alilwl- immiailms .T. • •1' — . ..r.• 7,. • ,A.,.:„/1" i 1. --ifr '^f- - -. "7-i"5,':. ri'''' E' ..,,,..., .,..,.,. .,,,..,..., 1, ,7,40 :IF, 0,.:',..:I'.t,.4 iv‘.i.-. ••;;•A;,ft A 7 V.,,* 'ki. ',I. ''' . s'''',,'•- \...' Ai _.2114- . i.-1•iat*'t le, ITstt'*II ‘7,-',?..-31. -k.41.- ': ,I, ',iv- , • it,,,,,. .1, g.,,iii 4 t ii,k-IV*'.if :','/Arz'24-,-trw...P-tir- •T. •" ' .'' ilt' , • .11 Premise License Number:. 1 9)-6 - • . (if new application Imre bbmk) i Premise Trade Name/DBA: EMILIIIIMIIIMINIkr \x". —. - ' ligill=1111"1111M`` - • - • .. *JP,4.-_- - Premise Street Address: 1! ..-- -.1111111111111111111111111.111111111111111111111111111111111.11111111111111111111._____ I. *.• City: IMISKIPIIIIIIIIIIIMIWIIIIIINIINMIIIIMIII- Zip Coded_C4k.Q NI ‘I . . .t'. Premise Phone Number: .41 Oa•. _ - _ 60 . i • . 1 1 ;-14'.,Aif.+t'''''''* ' ••sQl".. it- At. ,f,',4,.'4", ' 7.''''Ti : 1*•:'' ••A ' ..."- ''' P. ' , ' : .4ciet-01 le.," 4„*.A,./itorlifle.:- .40*13k..: ,gliVeAr4-4, IA. •i' 1 . *".411'tssY"4r4tor*<4' 'At''''-'A"sit%:'.1 ! ; '' ''''*"•:: r- . -.' ,,,. ! . I,• . .r. .,:i..,-,',1 -, ,:,.••• „..,.- • .• ..., , ...- •'.! '',-":-' 3 '1,,?.,1 •'" ' ''‘• ' ' '''''' s. ' '- ).•• .4.• '..: ,evi ...t c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate 1. AIR .,t, ' •lit . I . ,i fP . . I * 0 # w- ;. 1 . 00,1;_imp...„:, —,:.,,,,,41111**•00,,,, ;•if.i.....".,*lokile.s-T--.6:- •,-,,/,‘,:,1,1,;,:::.tit.A-..14;.,:p.it****.q,,.,ik-yit:o41,tie--:•• .497F±womPet****,ii_loidocookitstiox,*;.*4.4(*t.-:•-,;*ic7.4i1; -v:it.f4i-,,i4.. .:0,,,,k A04:0-:*, -42.1t • Gender: . i 7'4 MALE, .: IN FEMALE ' I First" Name:i II _'lathy._..... ... . • List Name: I Stlikildig-* •• MI: • C . * ••• I i il Home Address(include PO Box if applicable):1-33-1-1---S... tr-- • .4- ' , - . i. IN E. I State:I- ql• - I Zip Code:t Ual.44. -t Home Phone Number:I 402--5 0-2.44 02- mr:i 1 Buskess photte Nutall _ 40. "2---.119.,S-_-,240b„ _ i • - --1 - Social Security Number: r I Drivels License Number&State: [ _I 1„ , , Date Of Birth:r- , . Place. Of Birth:j.dria..ho., NE • • •N- • - •1! .., A..4f,,...? ,•:'.'-‘=-...; t . 460.4,:-4,4t,*';;.t.-.411, -,-. -,....44:- • . 641.0:04.441gZrliiir144.:....*.;:oti:'," I . ,,, :: : , 4 ,):, ,.., ....,„, ,,,,,Oft , 4 gli YES I3 NO • •. • • , :-'--,•.' 7-'•''.•4'. ; :iv,:'". '',‘. - ,,.114: 17.:: -It#._,,,:44"TIPt'Alt s' .rmt-tf :4A'73'*40*W*111F*W410"Vtii:Lii.;141".:1 l'f':43 6 l'''.':,-' "v^'..;.•‘'4 P.J • Spouses Last Name: LiatikhiC.,......--....----,-1 First Nameira,11444.01/40 I MI: M • if r • Social Security Number:L, ______.,a Drivers License NuMber&State:I --1 --1 Date Of Birth:r-„_ -. .._. Place Of Birtid ft#3.4-Aaa) N4 _L_ 1 c 1 , • e-:-- -- - -,-,-----s-rn-5,--1,p-r--.4-77,y,", %.7",,, or.vitpross . . lg. mt.. At: . i •* A-,..i,..)1: , ....A11-.,..z,,,...•') 0'1. : trail-v.)0 fil'o;•• %-.30., ,,siii-_-41;* 7.t.,,,e4,44,,,,, ••• .4,,• 1 :, , , , . ., . , 11, titti tc„ 111 , ..,,,, ,'" i iji • .1 .... -4 ' 1 :.;-.4.,„iii...„ki:az....1.11......, .....„,Ala:i...;., • .: :A...4-,- CFIY&STATE ..,- YEAR * • YEAR •• • PROM TO PROM TO lues'i zoa _ 1 .' Om(Al 6 i IL* 2 0W 2.905" 1.1111'IIIIIII 1 'IIII/INPIIIIIIIIIINIIIIIIIIM an moo - i .. . . _ .._ _.. .1..1.1.11 , saineini gingui- - --- ... ,:-. ,.. .., ... ... .-146,,mti:k-4:: ,-,...-, 4,;_-.--. , „ . 6, , lor .4 . . ....:, , ...1 • , Yt--.Itk-hr k,Yr,fit.4.-A=0,4.1 21. , . 4.44,,,-,„ ,_ ..k,' -..4cr. .. At LATIlik; YEAR NAME OF EMPLOYER NAME Olf • ; •VISOR .TELEPHONE NUMBER FROM TO _ •t"D5'. Mil ElfralL' iffiMilriglEMAIIIII. ' "MEL c a At.-3Z1- 1'0_ 1 4 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIMMIIMIIMIIIINIIIIIMIIIIIIII- - --- - . ".41‘c*: Iswvnlyrtfie#44-tiviit4.*.44.***-44/1. . *it*, :. *- . e ::er;.hi4:41.-*;eit: . , —mpommilimemiergemanmemims • Form 3c . .• ' 'i• . . • •. 1 , •• • c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate • it *- S t •,,,-, , '01,10%5,, , :...,,,rokt-- ,:-• o-,-,:4*-- - ''-•o'f,:11'.. ,, ,-.:4,,,;,-:- EV D it =:?. , . . . 14,:,:,-'4,-..airri..-'' ,,"•' '.'•:".4,;.1,1-..-_:.ii,.. ''. -.4`004-1.-p-'-';'. 14010,3,,,,;,,-!'-tr x01:.f.,,;'••',1- •r. , .. „., .., ,,: t:c4,-i.,,,._.. .,,,0 ,-,--, Id ;; JUL 2 0 2009 * , 1. READ PARAGRAPH CAREFULLY AND ANSWER COMPLEtELY AND ACCURATM•R ' * it lia i , ASKA L CONTAtni_ c IQ UOR • Has anyone who is a party to this'application,or their spouse,Ma been convicted of or plead guuty OMMissiok IP' toy charge. Cherge MUMS any charge alleging a felony,misdemeanicr,violation of a federal or state law;a violation of a local law,ordinance ar resolution. List the nature ilof the charge,where the chgge occurred and the year and month of the conviction or plea. Also list elk charges pending at the time of 1 , this.application. If more than one naKV,please list charms by each!individual's name. ti 1YS PINO If yes,please explain below or attach a ailperate page. I I ;( r 1 '•3— ' , -WU • )4". 1001-444.44V1 c op. ,_ , 1. .__Lee. ir'Pt 0 _ NG 4tesa 44 ait / - , ,__,- ....____......i e . iii4, . . . • r. 1. 2. •Have you or your spouse ever been approved or made application for al liquor license in Nebraska or any other state? IF YES,list the name of the premise. 1 il.—............... 1 . 3. Do you,as a manager,have all the qualifications required to hold a Niibraska Liquor License? Nebraska Liquor Control Act(§53-131.01) i. . RYES MO .. "moo 4. Have you filed the required fingerprint cards and PROPER FEES wi this application?(The check or money • -. must be made out to the Nebraska State Patrol for$38.00 pe {person) 4. , ........k..„-•,, (refili . !, t. 14, .......... •• 5. Do you have any experience in soiling alcohol in the State of Nebraska? S If so list training and/or experience(when and where) .1 Date: S Where: , ogbOr — Zoos- ',Pate) galtagii JA,4 •wittifik:' 61/4,T TIM. osivacc 'hack) .,. .....- • -_......"4-.... _ aro_ LA 1 *_1 .../ wt - I I. --- 1 r I ' MI' • or , . Perm 3c 1 Page 3 is S • I _ 1; _ --„,- _______ __ _.— .1, . I, , , 4,;_-.--. , „ . 6, , lor .4 . . ....:, , ...1 • , Yt--.Itk-hr k,Yr,fit.4.-A=0,4.1 21. , . 4.44,,,-,„ ,_ ..k,' -..4cr. .. At LATIlik; YEAR NAME OF EMPLOYER NAME Olf • ; •VISOR .TELEPHONE NUMBER FROM TO _ •t"D5'. Mil ElfralL' iffiMilriglEMAIIIII. ' "MEL c a At.-3Z1- 1'0_ 1 4 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIMMIIMIIMIIIINIIIIIMIIIIIIII- - --- - . ".41‘c*: Iswvnlyrtfie#44-tiviit4.*.44.***-44/1. . *it*, :. *- . e ::er;.hi4:41.-*;eit: . , —mpommilimemiergemanmemims • Form 3c . .• ' 'i• . . • •. 1 , •• • c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate • 11 ,-,4 4) i , . • i JUL 20 2009 . . 1 :) -.,, -..., ..,...i.- . , ,. op th, 4 $ lik , -Siptv/ilk The above inclividual(s),being first duly sworn upon oath,deposes and states that ithe undersigned lithe applicant and/or spouse of applicant who makes the above and foregoing application that said application has been read end 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 trpplicant hereby consents to an investigation of his/her backgreund including all records of every kind and *4 .,description including police records,tax records(State and Federal),and bank or Lending institution records,and said applicant It ' 1 and spouse waive any rights or causes of action that said applicant or spouse may have against the Nebraska Liquor Control• it Commission and any other individual disclosing or releasing said information to the Nebraska Liquor Control Commission. The tmdersigned understand and acknowledge that any license issued,based on t information submitted in this application,is , 4, subject to cancellation If the information contained herein is incomplete,thaccurate or fraudulent 1 '1 ...., I " f ei (/2aZ liViVibl-(11-e ofblanager Applicant .I''''' TO 0 pause mr, . 1 ...i State of Nebraska , . Comity of County of 41_061-7(M- The foregoing instrument was aclmowledged before The foregoing ifistrument was acknowledged before , me this .A)fki IG )QC by by me this 711 al 1G , arn by , `'" ..1. i . / 11 • ..„ • Notary Public signature 'Mary . . ;c signature 44k. • '4 i: lir • , I , . Affix Oceniare a Affix Seal Rawl P pr -MA*bola i r GENERAL PONY-K SEtdLeL oEf R!h ernia , bp.*120.2013 . -- 0 , ..,4 4, 1 . In compliance with the ADA.dda manager Insert item In is available In other formats Ow prawns with disabillthil 1 A ton day advance period is required in with*to produce the alternate format •I 'kr* j I 0 a , Reviecd f/2008 I It: Y I i , 4 I' i Form 3c Page 4 •qp ot , .•••••• ..i I. 11 ' 1, 21. , . 4.44,,,-,„ ,_ ..k,' -..4cr. .. At LATIlik; YEAR NAME OF EMPLOYER NAME Olf • ; •VISOR .TELEPHONE NUMBER FROM TO _ •t"D5'. Mil ElfralL' iffiMilriglEMAIIIII. ' "MEL c a At.-3Z1- 1'0_ 1 4 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIMMIIMIIMIIIINIIIIIMIIIIIIII- - --- - . ".41‘c*: Iswvnlyrtfie#44-tiviit4.*.44.***-44/1. . *it*, :. *- . e ::er;.hi4:41.-*;eit: . , —mpommilimemiergemanmemims • Form 3c . .• ' 'i• . . • •. 1 , •• • c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate : * ,.. i t .1 . , il ibit lk, 4 a 4k: Oil lk print Form • . * ... * I, ii,•0 • SPOUSAL AFFIDAVIT°Fmk Office Use i iv NON PARTICIPATION INSERT I 0 , 4F NEIlleASKA LIQUOR(5ONTROL,COMMISSION IV ilt ',.' .301 CENTENNIAL MAU SOUTH * II I, :,. PO BOX 95046 '' ;.. . , , * ',,,...LINCOLN,NE 685094046 Yi. PHONE:(402)471-2571 It ir ilk I I FAX:(402)471-2814 Websitm imgalsg.tsgrog ..* *. It Ili 411 I • I acknowledge that I am theipousi of a liquor license holder. My signature be13v confirms that I will have not haves.any '01' interest,directly or indirect* ly in the operation or profit of the business(§53-I25( 3))of the Liquor Control Act. I will not v.: tend bar,make sales,serve patron*stock shelves,write checks,sign invoices or:iepresent myself as the owner or in any way participate in the day to day operations of this business in any capacity. I wikterstand my fingerprint will not be . required;however,I am obligated to sign and disclose any information on all applications needed to process this application. -. '• i I P.'". M 1 t i N( • Si shire of spouse asking forwasver Print name of spouse asking or waiver (Sprse of indivichiartsted below) &MC of A jegibos r,f- . . .. .7.,„ IV /...0.— ' County of /_/1/€/(-7(..../ The foregoing insh-ument was acknowledged before me this 7' ...- ‘: Iira 4, mime of person acknowledged il0 * A, • .t..,4 11! Affix Seal il‘ ' 4..i. 4t. , :, ta lic s gnattue ' SIEN ti SIAL1701411Y4-13bas a ebissul . ; USA ICEU.ER ?!..._,' 'Corm •44320,2013 1 . . 4 ii •: ,,E, ,e• I acknowledge that I am the 8130USe of the above listed Individual. I understand 410 my spouse and 1 are responsible for compliance with the conditions set out abeve. If it is determined that the above i jli' dividual has violated(§13-125(13))the t... ' Commission may cancel or revoke the liquor license. II ..y T., Ito it, 42.1) /4/4<( ----I/Ty? Set4 altk I ft. o dividual involved with application Printed narrle of applying individual(Spouse of indivi listed above) 1 .... State of 4/17 1 -- County of lk • $00Cgea..4--- :.1, The foregoing instrument was acknowledged before me this r7 /S. q by UAYA Yeikl/ date name ofr4terson acknowledged - 0Affix Seel : agERAl.CARY•••Stat.of Nebraska 4A, otary Yub11cs1gnatUr5 stsitri USA KELLER MY Cernm.bik APO 20.2013 i.41 In compliance with the ADA,this spousal affidavit of non participation is available in other fermata for pentad it with disabilities. .- A ten day advance period la requested in writing to prods:to the alternate format. : FORM 3S-4178 ^ . 1 Revised 1/2008 , . to NI V 111 i I Kl* I 1 , •• • c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate 01'"'HA, NF 4,1 City of Omaha, fAlebras&a ` Mriitirr 5416 1819 Farnam —Suite LC 1 n®j r it e Omaha, Nebraska 68183-0112 0��: x . 'sir�' Buster Brown (402) 444-5550 0 A • ,�, City Clerk FAX (402) 444-52641- 3 4TF .- p FEBR9 July 28, 2009 Omaha Downtown Lodging Investors IV, LLC. Application to appoint Timothy R. Dba"Hampton Inn& Suites Omaha Downtown" Sanwick manager of your present Class 1212 Cuming Street "C" 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 August 11. 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, 4e‘ Buster Brown City Clerk BJB:clj Print name of spouse asking or waiver (Sprse of indivichiartsted below) &MC of A jegibos r,f- . . .. .7.,„ IV /...0.— ' County of /_/1/€/(-7(..../ The foregoing insh-ument was acknowledged before me this 7' ...- ‘: Iira 4, mime of person acknowledged il0 * A, • .t..,4 11! Affix Seal il‘ ' 4..i. 4t. , :, ta lic s gnattue ' SIEN ti SIAL1701411Y4-13bas a ebissul . ; USA ICEU.ER ?!..._,' 'Corm •44320,2013 1 . . 4 ii •: ,,E, ,e• I acknowledge that I am the 8130USe of the above listed Individual. I understand 410 my spouse and 1 are responsible for compliance with the conditions set out abeve. If it is determined that the above i jli' dividual has violated(§13-125(13))the t... ' Commission may cancel or revoke the liquor license. II ..y T., Ito it, 42.1) /4/4<( ----I/Ty? Set4 altk I ft. o dividual involved with application Printed narrle of applying individual(Spouse of indivi listed above) 1 .... State of 4/17 1 -- County of lk • $00Cgea..4--- :.1, The foregoing instrument was acknowledged before me this r7 /S. q by UAYA Yeikl/ date name ofr4terson acknowledged - 0Affix Seel : agERAl.CARY•••Stat.of Nebraska 4A, otary Yub11cs1gnatUr5 stsitri USA KELLER MY Cernm.bik APO 20.2013 i.41 In compliance with the ADA,this spousal affidavit of non participation is available in other fermata for pentad it with disabilities. .- A ten day advance period la requested in writing to prods:to the alternate format. : FORM 3S-4178 ^ . 1 Revised 1/2008 , . to NI V 111 i I Kl* I 1 , •• • c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate oMAHA,oin City ofOmaha, Webras&a : 4-wr ,P al 1819 Farnam —Suite LC 1 Mt . -�d ® r Omaha, Nebraska 68183-0112 0� :- aro Buster Brown (402) 444-5550 0 Ati' City Clerk FAX (402) 444-5263 4TFD pEgRv�4 July 28, 2009 Timothy R. Sanwick Application to be appointed manager of the present 3371 South 114th Avenue Class "C" Liquor License for Omaha Downtown Lodging Omaha,NE 68144 Investors IV, LLC, dba"Hampton Inn & Suites Omaha Downtown", 1212 Cuming 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 August 11, 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 Buster Brown City Clerk BJB:clj Print name of spouse asking or waiver (Sprse of indivichiartsted below) &MC of A jegibos r,f- . . .. .7.,„ IV /...0.— ' County of /_/1/€/(-7(..../ The foregoing insh-ument was acknowledged before me this 7' ...- ‘: Iira 4, mime of person acknowledged il0 * A, • .t..,4 11! Affix Seal il‘ ' 4..i. 4t. , :, ta lic s gnattue ' SIEN ti SIAL1701411Y4-13bas a ebissul . ; USA ICEU.ER ?!..._,' 'Corm •44320,2013 1 . . 4 ii •: ,,E, ,e• I acknowledge that I am the 8130USe of the above listed Individual. I understand 410 my spouse and 1 are responsible for compliance with the conditions set out abeve. If it is determined that the above i jli' dividual has violated(§13-125(13))the t... ' Commission may cancel or revoke the liquor license. II ..y T., Ito it, 42.1) /4/4<( ----I/Ty? Set4 altk I ft. o dividual involved with application Printed narrle of applying individual(Spouse of indivi listed above) 1 .... State of 4/17 1 -- County of lk • $00Cgea..4--- :.1, The foregoing instrument was acknowledged before me this r7 /S. q by UAYA Yeikl/ date name ofr4terson acknowledged - 0Affix Seel : agERAl.CARY•••Stat.of Nebraska 4A, otary Yub11cs1gnatUr5 stsitri USA KELLER MY Cernm.bik APO 20.2013 i.41 In compliance with the ADA,this spousal affidavit of non participation is available in other fermata for pentad it with disabilities. .- A ten day advance period la requested in writing to prods:to the alternate format. : FORM 3S-4178 ^ . 1 Revised 1/2008 , . to NI V 111 i I Kl* I 1 , •• • c--. ...051''''.•,-,a,414;it;,,,y0,4v.i4:40,,.-11. io: 4.,•-'t%`•:.'41 ...--7",'* -,P",;4'iVIA, .' :4 ,,• . •'• , ' . • ,. .• •• I I . 1: . • ...... ; t A I - ; • CORPORATE OFFIC• ' c i TURE axed Si:at ; 1 ;.:, ; • ; - • 2,1410 ., , . . . 4:,.4.4%;; ;A:t f.t•,..,*.•?44 ISr: cht #.1p't'''t.iit•,40*.s.,IY.,44,,L1,14,44.':'40,it.:,-ei.---44,- 4*,.:-4,)% "c.i.,'‘..i'0"'A,..'"8:`,:j-0.4‘1':,.,•_'''''.' ,,17;'''',„,..'.,,:4!'.'".1„Y.t.'4,'''Irki..:* ,,, -4,.,; ,:,., , . ...6:e‘ '. ',:';'. , : '-';'•••'. ..k., -.2,4+...P• ":*.':'A,,• 1,L'_/.4„jile:,z, .1.4-0.4-,F44,-- 4 or -W".jt;r5,'"liu-7!',":: ' :4 :.'' '1'4"*.:44-4°-*'''4"" ''''7.' III,'e;';44;//4.4?'''.:44 .1:l'A. If11",,41 '1/‘•.•Iii.''e. /'.•• i :...•.. - ..e" , . /.•• - • ... -• •,', Ill‘rm 3c 1 I 1 IN 1111 Fo - • • , 00 c 0900013382 - 11 . . • . • ecessitate 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 reasonably usable for Tenant's business hereunder,and,if Tenant is already in occupancy of the Premises,then in addition Landlord shall pay the reasonable expenses of moving Tenant from the Premises to the New Premises and for improving the New Premises so that they are.substantlaslysiruilar,to.tbe.lsreptiscs. __- —.. _.. ____-._ -. - - - _. 24. MISCELLANEOUS. (1) Binding on Assigns.All terms,conditions,and agreements of this Lease shall be binding upon,apply,and inure to the benefit of the parties hereto and their respective heirs,representatives,successors,and permitted assigns. (2) Amendment in Writing.This Lease contains the entire agreement between the parties and may be amended only by subsequent written agreement. (3) Waiver-None.The failure of Landlord to insist upon strict performance of any of the terms,conditions and agreements of this Lease shall not be deemed a waiver of any of its rights or remedies hereunder and shall not be deemed a waiver of any subsequent breach or default of any of such terms,conditions,and agreements.The doing of anything by Landlord which Landlord is not obligated to do hereunder shall not impose any future obligation on Landlord nor otherwise amend any provisions of this Lease. (4) No Surrender.No surrender of the Premises by Tenant shall be affected by Landlord's acceptance of the keys to the Premises or of the rent due hereunder,or by any other means whatsoever,without Landlord's written acknowledgment that such acceptance constitutes a surrender. (5) Captions.The captions of the various paragraphs in this Lease are for convenience only and do no define,limit,describe,or construe the contents of such paragraphs. (6) Applicable Law.This Lease shall be governed by and construed in accordance with the laws of the State of Nebraska. (7) Partial Invalidity. If any provision of this Lease is invalid or unenforceable to any extent,then that provision and the remainder of this Lease shall continue in effect and be enforceable to the fullest extent permitted by law. 25. BROKERS. The brokers involved in this transaction are: 0 Agent for Landlord Adam Watson and Walt Peffer of P,1 Morean Real Estate •b P 0 C am on _ (- 3 n "0 N CO o r --...3 \ -1 5) 'Et \ cl,t ,./), c4 f;11 n �j •7zi CD Fr tz1 � � � g j r ,$ o C tHin § § O 7 .. •0 p \ § F . -. ƒ \ t o v, 2 k '-') 5. 6 " 7 ° k , q' E , , . ; 6 'S 0 c\ N:.