RES 2009-0483 - SDL for dance at The Nest July 11-12 47/
City of ma { r f eLas;,:
1819 Farnam— Suite LC 1 rE''`�= '` �
Omaha, Nebraska 68183-0112 o w a ;
Buster Brown (402) 444-5550 ��� ,,�_ ti
City Clerk FAX (402) 444-5263 0dP9
E® FE13,1
May 5, 2009
157, Inc. Application for a Special Designated
Dba "The Nest Lounge" License for June 5-6; July 11-12 and
2638 South 158th Plaza August 15-16, 2009 (Music to end at
Omaha, NE 68130 . 12:00 midnight)
Dear Liquor License Applicant:
This letter is notification that a hearing before the Omaha City Council on your
application(s) for a Special Designated liquor license has been set for May 19,
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(s) to the Nebraska Liquor Control Commission.
Sincerely yours,dor - ""-te-uster Brown
City Clerk
BJB:clj
City Clerk
BJB:clj
police records. I agree to
waive any rights or causes of action against the Nebraska Liquor Control Commission, the Nebraska State
Patrol or any other individual releasing said information to the Liquor Control Commission or the Nebraska
State Patrol. I further declare that the license applied for will not be used by any other person, group,
organization or corporation for profit or not for profit and that.the event will be supervised by persons
directly responsible to the holder of this Special Designated License.
sign
here ReSkeLs...A.4- L{ [3 a 101
Authoriz epresentative/Ap ant Title Date
Print Name
The law requires that no special designated license provided for by this section shall be issued by the Commission without the
approval of the local governing body. For the purposes of this section,the local governing body shall be the city or village within
which the particular place for which the special designated license is requested is located, or if such place is not within the
corporate limits of a city or village, then the local governing body shall be the county within which the place for which the special
designated license is requested is located.
te+ � . ,0?J
t ,e&�� r y c 's itF ,'G, J e 3.� t id -0: ,.,tic . r <s t i���ar,,f t 1 '"" �� 3 � � pSV' t� 7 �s r �`'' : � _ ' r"� r,•f- tri� 1at. , 1-» � ;f -, a, .. � s-� n, r ' J;•�5,,„& ,-. e-i`;. ,. -,.
. / a
Spouses Last Name: As- #- S First Name: G fiex
MI: /VI .
Social SecurityNumber: N �
,__ Drivers License Number&State:
Date Of Birth: ,.', - - . Place Of Birth: ' Mil•' ('' ND.
D
r
. +.!tis .o.,, _
. •rai:,1 eE.p; ?.h3,,tv ,.: + t-.tip rr + a t'2a�..i4 _i ;,f><i .T.+ . ,ter
><, »�-x ''`t.1:. oft p'`'' d� .- �,a d 1 .a r'�•"*;:,. , � .i p° `:,19.*a€`•s r 6 , 3 �
ft`a.' .-kzi:�'t1e P i.(a41:t, r- '7 ' � ,ep20la itLan yt.,b1 4a,t:,k"�.;;i.ti{4 5.E` k . rs �{,' .x•,rd..4'•. •., t}."•'(�' a `.
y� Y �V''';. n e� � , 4,95 r4 y, . J r.,:,E''.Gs a C :147' f,
.i.7..i'4PZ,h' ;�__K..�JF"ii ;t><�.ft e E,V'''' S c:a29,i,l1. :'9'? ' 4:C11y?'` r4 ' i Fib ; '-3,.t ,u` riyIIV.4 9<^. 4 •,.!S>4• _.,.'�. ,c ::CZ1.r 's1 .
. '%F'a`y fF'' ?; 'i'a x,.T + r i'-¢� G .2!tr'„ .N ' G :A,'Cb: .:�,. i rk {n 7{�•ts ,]�' •-t s•--s c-.#`"�<
,gkal eg g �..�, y 1p b i d . rr r '1-.491. J ._5 ' f VE a,}. 4 ,(. �L..,l r -}".5 re 1.�;.�tT iii 'x
ro;f`,Y-a:`'�.Y77Fs.,:E 5; 5'.''i^:a R+{t lair `fG +lfil e x .'i yV.-P,n t ,� 1".Fi. Shd .r: ry-e`f� t., .- .. g ":1
•��,da`•zaw».b''a+,� �!4'�•.ey,4ss�:� `a•�"�`�:f:t<-a'kt:�:f.;.'t. `a; ,.» r.1,�..n:k,.:ir_ �,:;f.•.itr:�.1t r,: ���r=--a.-�_�-1,.::tt_s...:��r',§+a�.:�L;zkFuSt�,.c?ah.2+
CITY&STATE YEAR YEAR
FROM TO FROM TO
•
mm
oha ,� . //.f' • ' Z ; g000 ,bb e '
(At h /9
iYY44t». toy '
'3 ! .c ' " rJ �-- ,,,�ri-. " r ,a i yS z . y Y' ' � .� - i S ""c , ;r «' r 't " ...7, •.. +'A•`s C
4 `e5y f'4a~'�SF j T �� •,,ft t e Y rt t: t.a 'C 4aC.. i +- . v_•F -�. ak�
,..0.4'r44. •,i uJ! .. , '' f ...@•;1.P4!yi «b h,:k AY.4. .,fewe. ti.,% A_-w.r :-,^?;u l',.:5 : ,. .:1-/ yi3i
P6GtiZP .• "A, s iu7.. M ((•/ , .• ! iStv. . w. ..e.,...^.. _ .^...1:- • - q
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER
FROM TO
,• &O .c:00I. / — - , ci' 1IOL�
�:_ �.. -�ao '
Print Form
APPLICATION FOR SPECIAL
DESIGNATED LICENSE
RETAIL LICENSE HOLDERS
NEBRASKA LIQUOR CONTROL COMMISSION
301 CENTENNIAL MALL SOUTH
PO BOX 95046
LINCOLN,NE 68509-5046
PHONE:(402)471-2571
FAX:(402)471-2814
Website:www.lcc.ne.gov/
BEFORE SUBMITTING APPLICATION TO THE LIQUOR CONTROL COMMISSION
Include approval from the City, Village or County Clerk where the event is to be held
Include signed statement from the local law enforcement (see question 48)
A license fee $40 (payable to Nebraska Liquor Control Commission) for each day/event to be
licensed (i.e. if you have two separate areas at one event they both need to be licensed) (unless
licensed as a K Caterer no fees required)
Application MUST be received at the Liquor Control Commission Office no later than 10 working
days prior to event(excluding weekends, Federal and State observed holidays)
COMPLETE ALL QUESTIONS •
•
1. Type of alcohol to be served and/or consumed •
•
•
El Beer 0 Wine El Distilled Spirits •
../1\ \ \(
2. Liquor license number and class (i.e. C-55441) C k <7 3 /
3. Licensee name (last, first, middle), Corporate name, Limited Liability Company (LLC)
NAME: „ o k 1 . e -e y5 7,
ADDRESS: dlp 3 d c$U _ /5 // '2- COUNTY • /a (-13 (•P
Qs ne, t , , J/ 3 0
d . Q .A . /U- S �
gree to
waive any rights or causes of action against the Nebraska Liquor Control Commission, the Nebraska State
Patrol or any other individual releasing said information to the Liquor Control Commission or the Nebraska
State Patrol. I further declare that the license applied for will not be used by any other person, group,
organization or corporation for profit or not for profit and that.the event will be supervised by persons
directly responsible to the holder of this Special Designated License.
sign
here ReSkeLs...A.4- L{ [3 a 101
Authoriz epresentative/Ap ant Title Date
Print Name
The law requires that no special designated license provided for by this section shall be issued by the Commission without the
approval of the local governing body. For the purposes of this section,the local governing body shall be the city or village within
which the particular place for which the special designated license is requested is located, or if such place is not within the
corporate limits of a city or village, then the local governing body shall be the county within which the place for which the special
designated license is requested is located.
te+ � . ,0?J
t ,e&�� r y c 's itF ,'G, J e 3.� t id -0: ,.,tic . r <s t i���ar,,f t 1 '"" �� 3 � � pSV' t� 7 �s r �`'' : � _ ' r"� r,•f- tri� 1at. , 1-» � ;f -, a, .. � s-� n, r ' J;•�5,,„& ,-. e-i`;. ,. -,.
. / a
Spouses Last Name: As- #- S First Name: G fiex
MI: /VI .
Social SecurityNumber: N �
,__ Drivers License Number&State:
Date Of Birth: ,.', - - . Place Of Birth: ' Mil•' ('' ND.
D
r
. +.!tis .o.,, _
. •rai:,1 eE.p; ?.h3,,tv ,.: + t-.tip rr + a t'2a�..i4 _i ;,f><i .T.+ . ,ter
><, »�-x ''`t.1:. oft p'`'' d� .- �,a d 1 .a r'�•"*;:,. , � .i p° `:,19.*a€`•s r 6 , 3 �
ft`a.' .-kzi:�'t1e P i.(a41:t, r- '7 ' � ,ep20la itLan yt.,b1 4a,t:,k"�.;;i.ti{4 5.E` k . rs �{,' .x•,rd..4'•. •., t}."•'(�' a `.
y� Y �V''';. n e� � , 4,95 r4 y, . J r.,:,E''.Gs a C :147' f,
.i.7..i'4PZ,h' ;�__K..�JF"ii ;t><�.ft e E,V'''' S c:a29,i,l1. :'9'? ' 4:C11y?'` r4 ' i Fib ; '-3,.t ,u` riyIIV.4 9<^. 4 •,.!S>4• _.,.'�. ,c ::CZ1.r 's1 .
. '%F'a`y fF'' ?; 'i'a x,.T + r i'-¢� G .2!tr'„ .N ' G :A,'Cb: .:�,. i rk {n 7{�•ts ,]�' •-t s•--s c-.#`"�<
,gkal eg g �..�, y 1p b i d . rr r '1-.491. J ._5 ' f VE a,}. 4 ,(. �L..,l r -}".5 re 1.�;.�tT iii 'x
ro;f`,Y-a:`'�.Y77Fs.,:E 5; 5'.''i^:a R+{t lair `fG +lfil e x .'i yV.-P,n t ,� 1".Fi. Shd .r: ry-e`f� t., .- .. g ":1
•��,da`•zaw».b''a+,� �!4'�•.ey,4ss�:� `a•�"�`�:f:t<-a'kt:�:f.;.'t. `a; ,.» r.1,�..n:k,.:ir_ �,:;f.•.itr:�.1t r,: ���r=--a.-�_�-1,.::tt_s...:��r',§+a�.:�L;zkFuSt�,.c?ah.2+
CITY&STATE YEAR YEAR
FROM TO FROM TO
•
mm
oha ,� . //.f' • ' Z ; g000 ,bb e '
(At h /9
iYY44t». toy '
'3 ! .c ' " rJ �-- ,,,�ri-. " r ,a i yS z . y Y' ' � .� - i S ""c , ;r «' r 't " ...7, •.. +'A•`s C
4 `e5y f'4a~'�SF j T �� •,,ft t e Y rt t: t.a 'C 4aC.. i +- . v_•F -�. ak�
,..0.4'r44. •,i uJ! .. , '' f ...@•;1.P4!yi «b h,:k AY.4. .,fewe. ti.,% A_-w.r :-,^?;u l',.:5 : ,. .:1-/ yi3i
P6GtiZP .• "A, s iu7.. M ((•/ , .• ! iStv. . w. ..e.,...^.. _ .^...1:- • - q
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER
FROM TO
,• &O .c:00I. / — - , ci' 1IOL�
�:_ �.. -�ao '
-Ike_ A)-e s-I--- Lo,,,h9.____
4. Location where event will be held; name, address, city, cou zip code
ADDRESS: ;6.38 S /5 8 P IZ COUNTY 4 c''v„' f p S
a. Is this location within the city/village limits? 21YES0NO
b. Is this location within the 150' of church, school, hospital or home
aged/indigent or for veterans their wives? 0 YESI 'NO
c. Is this location within 300' of any university or college campus? 0 YESNNO
5. Date(s) and Time(s) of event(no more then six(6) consecutive days on one application)
DateL .v y.,-r__ -I Date"Saki ! Date .... ...- .. Date - Date Date .._.__ .....
Hours From 1 p ot Hours From �oo Hours From Hours From Hours From Hours From.
Iaa.»1. ,Aq»+
To To To To To To
a. Alternate date:
b. Alternate location: 14 O pi €
(alternate date or location must be approved by local and law enforcement)
6. Indicate type of activity to be carried on during event
E Dance 0 Reception 0 Fund Raiser 0 Beer Garden 0 Sampling/Tasting 0 Other
7. Description of area to be licensed
0 Inside building, dimensions of area to be covered INFEET x
Name of building (not square feet or acres)
('Outdoor area dimensions of area to be covered INFEET (:).8 8 x I `j' 0
(not square feet or acres)
If outdoor area, how will premises be enclosed
2 fence,type of fence I
i
0tent �3I L tV, �
12 other, explain 4.4 ^1!v..-0,..-0,y c'e h c.�S cr v-.o c.i.J e e r t WIC) v14-
4QT , l 2 lM/�1 E1 I�'
r^
*If both inside and outdoor area to be licensed include simple sketch
8. Attach a signed statement from local police chief or county sheriff,whichever is applicable, that local
law enforcement has been informed in advance of this event, and if they are aware of any reason the
event should not occur.
9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages.
10. Will premises to be covered by license comply with all Nebraska sanitation laws?
IRYES ONO
a. Are there separate toilets for both men and women? YES 0 NO
l Q D[ ✓1 o f .p -t �aCH C
a -ex.Iw+- , A. l f I. 0 .
cike�it., o,X a � - ej,v (--7 C' J d. f) . D. nl-1„,. c (of
within the
corporate limits of a city or village, then the local governing body shall be the county within which the place for which the special
designated license is requested is located.
te+ � . ,0?J
t ,e&�� r y c 's itF ,'G, J e 3.� t id -0: ,.,tic . r <s t i���ar,,f t 1 '"" �� 3 � � pSV' t� 7 �s r �`'' : � _ ' r"� r,•f- tri� 1at. , 1-» � ;f -, a, .. � s-� n, r ' J;•�5,,„& ,-. e-i`;. ,. -,.
. / a
Spouses Last Name: As- #- S First Name: G fiex
MI: /VI .
Social SecurityNumber: N �
,__ Drivers License Number&State:
Date Of Birth: ,.', - - . Place Of Birth: ' Mil•' ('' ND.
D
r
. +.!tis .o.,, _
. •rai:,1 eE.p; ?.h3,,tv ,.: + t-.tip rr + a t'2a�..i4 _i ;,f><i .T.+ . ,ter
><, »�-x ''`t.1:. oft p'`'' d� .- �,a d 1 .a r'�•"*;:,. , � .i p° `:,19.*a€`•s r 6 , 3 �
ft`a.' .-kzi:�'t1e P i.(a41:t, r- '7 ' � ,ep20la itLan yt.,b1 4a,t:,k"�.;;i.ti{4 5.E` k . rs �{,' .x•,rd..4'•. •., t}."•'(�' a `.
y� Y �V''';. n e� � , 4,95 r4 y, . J r.,:,E''.Gs a C :147' f,
.i.7..i'4PZ,h' ;�__K..�JF"ii ;t><�.ft e E,V'''' S c:a29,i,l1. :'9'? ' 4:C11y?'` r4 ' i Fib ; '-3,.t ,u` riyIIV.4 9<^. 4 •,.!S>4• _.,.'�. ,c ::CZ1.r 's1 .
. '%F'a`y fF'' ?; 'i'a x,.T + r i'-¢� G .2!tr'„ .N ' G :A,'Cb: .:�,. i rk {n 7{�•ts ,]�' •-t s•--s c-.#`"�<
,gkal eg g �..�, y 1p b i d . rr r '1-.491. J ._5 ' f VE a,}. 4 ,(. �L..,l r -}".5 re 1.�;.�tT iii 'x
ro;f`,Y-a:`'�.Y77Fs.,:E 5; 5'.''i^:a R+{t lair `fG +lfil e x .'i yV.-P,n t ,� 1".Fi. Shd .r: ry-e`f� t., .- .. g ":1
•��,da`•zaw».b''a+,� �!4'�•.ey,4ss�:� `a•�"�`�:f:t<-a'kt:�:f.;.'t. `a; ,.» r.1,�..n:k,.:ir_ �,:;f.•.itr:�.1t r,: ���r=--a.-�_�-1,.::tt_s...:��r',§+a�.:�L;zkFuSt�,.c?ah.2+
CITY&STATE YEAR YEAR
FROM TO FROM TO
•
mm
oha ,� . //.f' • ' Z ; g000 ,bb e '
(At h /9
iYY44t». toy '
'3 ! .c ' " rJ �-- ,,,�ri-. " r ,a i yS z . y Y' ' � .� - i S ""c , ;r «' r 't " ...7, •.. +'A•`s C
4 `e5y f'4a~'�SF j T �� •,,ft t e Y rt t: t.a 'C 4aC.. i +- . v_•F -�. ak�
,..0.4'r44. •,i uJ! .. , '' f ...@•;1.P4!yi «b h,:k AY.4. .,fewe. ti.,% A_-w.r :-,^?;u l',.:5 : ,. .:1-/ yi3i
P6GtiZP .• "A, s iu7.. M ((•/ , .• ! iStv. . w. ..e.,...^.. _ .^...1:- • - q
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER
FROM TO
,• &O .c:00I. / — - , ci' 1IOL�
�:_ �.. -�ao '
ua.'uiiva rxi i2:ue kAX 402 333 6797 JUNIOR ACHIEVEMENT 1002
•
\,\,/
j,eS ±-
f t
J e tA 5-k.ke w,,. 1 ic.
r---- K(
0 1
car
% P O
77. 0 a ,
g \ BCD
. �. CD v,
2. A
¢ k r
O P • \< n
K /«
2' 7
(N
1
.
. �
.
11. Will there be any games of chance operating during the event? ❑YES aNO
If so, describe activity
•
NOTE: Only games of chance approved by the Department of Revenue, Charitable Gaming Division are permitted. All other
forms of gambling are prohibited by State Law: There are no exceptions for Non Profit Organizations or any events raising funds
for a charity. This is only an application for a Special Designated License under the Liquor Control Act and is not a gambling
permit application.
12. Any other information or requests for exemptions:
V\pvl -e._
13. Name and telephone number/cell phone number of immediate supervisor. This person will be at t
the location of the event when it occurs, able to answer any questions from Commission and/or law
enforcement before and during the event, and who will be responsible for ensuring that any applicable laws,
ordinances, rules and regulations are adhered to. •
'TO(^" 1-k e at(v--y Phone: Before 41 oa So `4 I `i a' During el v� 2 so { q` "q
Print name of Event Supervisorl
t
Signature of Ev Supervisor
Consent of Authorized Representative/Applicant ,
14. I declare that I am the authorized representative of the above named license applicant and that the
statements made on this application are true to the best of my knowledge and belief. I also consent to an
investigation of my background including all records of every kind including police records. I agree to
waive any rights or causes of action against the Nebraska Liquor Control Commission, the Nebraska State
Patrol or any other individual releasing said information to the Liquor Control Commission or the Nebraska
State Patrol. I further declare that the license applied for will not be used by any other person, group,
organization or corporation for profit or not for profit and that.the event will be supervised by persons
directly responsible to the holder of this Special Designated License.
sign
here l Re s k t `i I:3 0 I oc
Authoriz epresentative/Ap ant Title Date
Print Name
The law requires that no special designated license provided for by this section shall be issued by the Commission without the
approval of the local governing body. For the purposes of this section,the local governing body shall be the city or village within
which the particular place for which the special designated license is requested is located, or if such place is not within the
corporate limits of a city or village,then the local governing body shall be the county within which the place for which the special
designated license is requested is located.
?J
t ,e&�� r y c 's itF ,'G, J e 3.� t id -0: ,.,tic . r <s t i���ar,,f t 1 '"" �� 3 � � pSV' t� 7 �s r �`'' : � _ ' r"� r,•f- tri� 1at. , 1-» � ;f -, a, .. � s-� n, r ' J;•�5,,„& ,-. e-i`;. ,. -,.
. / a
Spouses Last Name: As- #- S First Name: G fiex
MI: /VI .
Social SecurityNumber: N �
,__ Drivers License Number&State:
Date Of Birth: ,.', - - . Place Of Birth: ' Mil•' ('' ND.
D
r
. +.!tis .o.,, _
. •rai:,1 eE.p; ?.h3,,tv ,.: + t-.tip rr + a t'2a�..i4 _i ;,f><i .T.+ . ,ter
><, »�-x ''`t.1:. oft p'`'' d� .- �,a d 1 .a r'�•"*;:,. , � .i p° `:,19.*a€`•s r 6 , 3 �
ft`a.' .-kzi:�'t1e P i.(a41:t, r- '7 ' � ,ep20la itLan yt.,b1 4a,t:,k"�.;;i.ti{4 5.E` k . rs �{,' .x•,rd..4'•. •., t}."•'(�' a `.
y� Y �V''';. n e� � , 4,95 r4 y, . J r.,:,E''.Gs a C :147' f,
.i.7..i'4PZ,h' ;�__K..�JF"ii ;t><�.ft e E,V'''' S c:a29,i,l1. :'9'? ' 4:C11y?'` r4 ' i Fib ; '-3,.t ,u` riyIIV.4 9<^. 4 •,.!S>4• _.,.'�. ,c ::CZ1.r 's1 .
. '%F'a`y fF'' ?; 'i'a x,.T + r i'-¢� G .2!tr'„ .N ' G :A,'Cb: .:�,. i rk {n 7{�•ts ,]�' •-t s•--s c-.#`"�<
,gkal eg g �..�, y 1p b i d . rr r '1-.491. J ._5 ' f VE a,}. 4 ,(. �L..,l r -}".5 re 1.�;.�tT iii 'x
ro;f`,Y-a:`'�.Y77Fs.,:E 5; 5'.''i^:a R+{t lair `fG +lfil e x .'i yV.-P,n t ,� 1".Fi. Shd .r: ry-e`f� t., .- .. g ":1
•��,da`•zaw».b''a+,� �!4'�•.ey,4ss�:� `a•�"�`�:f:t<-a'kt:�:f.;.'t. `a; ,.» r.1,�..n:k,.:ir_ �,:;f.•.itr:�.1t r,: ���r=--a.-�_�-1,.::tt_s...:��r',§+a�.:�L;zkFuSt�,.c?ah.2+
CITY&STATE YEAR YEAR
FROM TO FROM TO
•
mm
oha ,� . //.f' • ' Z ; g000 ,bb e '
(At h /9
iYY44t». toy '
'3 ! .c ' " rJ �-- ,,,�ri-. " r ,a i yS z . y Y' ' � .� - i S ""c , ;r «' r 't " ...7, •.. +'A•`s C
4 `e5y f'4a~'�SF j T �� •,,ft t e Y rt t: t.a 'C 4aC.. i +- . v_•F -�. ak�
,..0.4'r44. •,i uJ! .. , '' f ...@•;1.P4!yi «b h,:k AY.4. .,fewe. ti.,% A_-w.r :-,^?;u l',.:5 : ,. .:1-/ yi3i
P6GtiZP .• "A, s iu7.. M ((•/ , .• ! iStv. . w. ..e.,...^.. _ .^...1:- • - q
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER
FROM TO
,• &O .c:00I. / — - , ci' 1IOL�
�:_ �.. -�ao '
•
•
•
4 CAD . UQ p
�- n 0
14. 0o d n r.0 F-
° o o. � C) CD �' .�
'
� b, ' II !
q
.. 'i .
cro
•
•
•
i\
n
K /«
2' 7
(N
1
.
. �
.