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RES 2009-0416 - SDL for beer garden at Dario's Brasserie May 16 2009 _ Prl nt`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 #8) • - 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 MI Beer G'Wine ®'Distilled Spirits • 2. Liquor license number and class (i.e. C-55441) C 7.4 3. Licensee name (last, first, middle), Corporate name, Limited Liability Company (LLC) NAME: O L C ADDRESS: Cg// GiL/...4p ,pet) -IZO COUNTY ,Pini76,L ing changes to the type of business or the type of activities that will be operated on the new premises. Please complete and return the attached. Ordinance No. 37046, passed June 7, 2005, requires each applicant to submit a written statement describing all types of business or activities that will be operated on the premises in conjunction with the proposed license. Attached is the statement to be signed and returned (hand deliver, mail or fax) to the City Clerk's Office 7 days in advance of the public hearing. Sincerely yours,,,,,, 4t4 Buster Brown City Clerk BJB:clj OR VETERANS 0 - --EOI-L-EGE OR UNIVERSITY 6•A. _________________„. 4 . 14' (Authorized Signature) (Date) tly address any complaints submitted to IGH by Guest Relations or complaints made to Landlord directly. Tenant agrees to immediately remedy any issues with regard to its operational procedures and or staffing required to bring Tenant into compliance. 7. Miscellaneous. (a) Lessee agrees to accept, abide by and be subject to all rules, regulations, inspections and requirements of Six Continents Hotels, Inc. and Holiday Hospitality Franchising, Inc. ("Licensor"); 2 t 8 weeks prior to the scheduled date of substantial completion of the tenant improvements for the purpose of completing the tenant improvements, installing the equipment and preparing for the conduct of it's business on the leased premises. Tenant's early access will be under all of the terms of this lease except that no rent or additional rent will accrue for this period, until the commencement date. Tenant will be responsible for all utilities after receiving access to the premises. 1 . r-11',;f',•1'!" 1':.'/:•:r•',.' :.l:. 2':eZt=r1,t'1''r1,...LLla.4ni.':yI II"_ . 7 1r�(y-, .+r.<-�c i�-`�+h T t i •1:a:'•'s_v.<i". a '^`d ,:.w•.- I 4•.'\•° 4✓r•.•i-P:7i{..t:7'A' s:ti. .r�.,gL}-•fie,y <rr :';' •1;�;:,,-,..;`;.; r.'>n•:%'.v.r;:..r.Y.'r.':..'. :/ril,:•t`:•_Kii"44't'J:? tic!,':•''-s4ti _ j. y' ... },{y; .,4:.r..,,'t<f�>%•+!C•!%'2'•J ofat,v`,•.--:,•i."':rl,':-. L{il .i . .`y'1"t•ram i...-?0,•1:Ji l.•C .e irt.,t ti 1.pei :•.>. ,. ....,i. ,:••.'N.-• u... ; >;,r r'i+ • i '.L,.t.<•.. .:' • •�;iV;:,,,',l''!•:t ;L.Pt�.7,•Y,x. J, -n. 'T,Ir7,,rillr - -- 1 • F.ZY__''"�' .<•.t, -? a rri•• _.!.:r. �`•tti�". E.j<r•.+J.t 'C•e••/• •c, , -.,<;.1.LS:`r:n,`. 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Sf. .wok x„iS•,t';•.•./'.•�i•y/.:o:�k A•••••••:�+`•+ S..c,...;•• Y.�-- . y4\iN�w., JSJ .t•:ep... • •-f*. +]J...J.e,`i',T�'+1 'xJ•'• •._ •• _ 20,v'• .['F .:.�;i^. se. .,f•w'. r••':'-t,'..y 1K"G 4+• •< :. 1,.. _'?`''i:•_ •.tif�rl FA. •. ;•',•'. -•�..�: ?/:t.:'• +;i'i`.r><+••:;r .<ff ,,,,,' ;' 4. Location where event will be#hheld; name, address, city, county, zip code Atipio ADDRESS: 2D .) 61! COUNTY DeGP6� 061/4-/yi+'Je 6 ' /3 a. Is this location within the city/village limits? DYES❑NO b. Is this location within the 150' of church, school, hospital or home aged/indigent or for veterans their wives? ❑YESIRNO c. Is this location within 300' of any university or college campus? ❑YESCNO 5. Date(s and Time(s) of event (no more then six(6) consecutive days on one application) Dateracp6 Dater Dater Dater Dater Dater Hours From (0 ielHours From Hours From Hours From Hours From Hours From To U Aft To To To To To a. Alternate date: b. Alternate location: (alternate date or location must be approved by local and law enforcement) 6. Indicate type of activity to be carried on during event ❑Dance ❑Reception ❑Fund Raiser 'Beer Garden ❑Sampling/Tasting ❑Other 7. Description of area to be licensed ❑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 x (not square feet or acres) If outdoor area, how will premises be enclosed gl fence, type of fence tent nn I � other, explain �' r I ' S i C .. kit I j ( -,A 0 /7. i't'l (ill (� )� 1 *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 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? ®'YES ❑NO a. Are there separate toilets for both men and women? ® YES❑NO -EOI-L-EGE OR UNIVERSITY 6•A. _________________„. 4 . 14' (Authorized Signature) (Date) tly address any complaints submitted to IGH by Guest Relations or complaints made to Landlord directly. Tenant agrees to immediately remedy any issues with regard to its operational procedures and or staffing required to bring Tenant into compliance. 7. Miscellaneous. (a) Lessee agrees to accept, abide by and be subject to all rules, regulations, inspections and requirements of Six Continents Hotels, Inc. and Holiday Hospitality Franchising, Inc. ("Licensor"); 2 t 8 weeks prior to the scheduled date of substantial completion of the tenant improvements for the purpose of completing the tenant improvements, installing the equipment and preparing for the conduct of it's business on the leased premises. Tenant's early access will be under all of the terms of this lease except that no rent or additional rent will accrue for this period, until the commencement date. Tenant will be responsible for all utilities after receiving access to the premises. 1 . r-11',;f',•1'!" 1':.'/:•:r•',.' :.l:. 2':eZt=r1,t'1''r1,...LLla.4ni.':yI II"_ . 7 1r�(y-, .+r.<-�c i�-`�+h T t i •1:a:'•'s_v.<i". a '^`d ,:.w•.- I 4•.'\•° 4✓r•.•i-P:7i{..t:7'A' s:ti. .r�.,gL}-•fie,y <rr :';' •1;�;:,,-,..;`;.; r.'>n•:%'.v.r;:..r.Y.'r.':..'. :/ril,:•t`:•_Kii"44't'J:? tic!,':•''-s4ti _ j. y' ... },{y; .,4:.r..,,'t<f�>%•+!C•!%'2'•J ofat,v`,•.--:,•i."':rl,':-. L{il .i . .`y'1"t•ram i...-?0,•1:Ji l.•C .e irt.,t ti 1.pei :•.>. ,. ....,i. ,:••.'N.-• u... ; >;,r r'i+ • i '.L,.t.<•.. .:' • •�;iV;:,,,',l''!•:t ;L.Pt�.7,•Y,x. J, -n. 'T,Ir7,,rillr - -- 1 • F.ZY__''"�' .<•.t, -? a rri•• _.!.:r. �`•tti�". E.j<r•.+J.t 'C•e••/• •c, , -.,<;.1.LS:`r:n,`. 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This is only an applicati on for a Special Designated License under the Liquor Control Act and i s not a gambling permit application. 12. Any other information or requests for exemptions: 13. Na me and telephone number/cell phone number of immediate supervisor. This person will be at the lo cation of the ev ent when it occurs, able to an swer any ques tions from Comm ission and/or law enforcement before and during the event, and who will be responsible for ensuring that any app licable laws, ordinances, rules and regulations are adhered to. • L) t© �Ctt(C kL Phone: Before ZJ j _ -7-<- During 2:l "71 7-5 Print name of Event Supervisor Signature of Event Supervisor Consent of Authorized Representative/Applicant • 14. 1 declare that I am the authorized representative of the above nam ed 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 m y background including all records of every kind including police record s. I agree to waive any rights or causes of action against the Nebr aska Liquor Control Comm ission, the Nebraska State Patrol or any other individual rel easing said information to the Liquor Control Commission or the Nebraska State Patrol. I further declare that the license a pplied for will not be used by any other pers on, group, organization or corporation for profit or not for prof it and that the ev ent will be supervis ed by person s directly responsible_ °the holder of this Special.Designated License. sign here 1/f2/ /2C)I Authorized Representative/Applicant Title Date D14- to Print Name The law requ ires that no special designated license provided for by this section shall be issu ed by the Co mmission 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 pa rticular place for which the s pecial designated license is requested is lo cated,or if such pl ace 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. the tenant improvements for the purpose of completing the tenant improvements, installing the equipment and preparing for the conduct of it's business on the leased premises. Tenant's early access will be under all of the terms of this lease except that no rent or additional rent will accrue for this period, until the commencement date. Tenant will be responsible for all utilities after receiving access to the premises. 1 . r-11',;f',•1'!" 1':.'/:•:r•',.' :.l:. 2':eZt=r1,t'1''r1,...LLla.4ni.':yI II"_ . 7 1r�(y-, .+r.<-�c i�-`�+h T t i •1:a:'•'s_v.<i". a '^`d ,:.w•.- I 4•.'\•° 4✓r•.•i-P:7i{..t:7'A' s:ti. .r�.,gL}-•fie,y <rr :';' •1;�;:,,-,..;`;.; r.'>n•:%'.v.r;:..r.Y.'r.':..'. :/ril,:•t`:•_Kii"44't'J:? tic!,':•''-s4ti _ j. y' ... },{y; .,4:.r..,,'t<f�>%•+!C•!%'2'•J ofat,v`,•.--:,•i."':rl,':-. L{il .i . .`y'1"t•ram i...-?0,•1:Ji l.•C .e irt.,t ti 1.pei :•.>. ,. ....,i. ,:••.'N.-• u... ; >;,r r'i+ • i '.L,.t.<•.. .:' • •�;iV;:,,,',l''!•:t ;L.Pt�.7,•Y,x. J, -n. 'T,Ir7,,rillr - -- 1 • F.ZY__''"�' .<•.t, -? a rri•• _.!.:r. �`•tti�". E.j<r•.+J.t 'C•e••/• •c, , -.,<;.1.LS:`r:n,`. 'L�a•1TY.wfi a��'. .,aCw`., t L�1J'*.� .1''�y fir., Zf1�_ • ,-r• r t.1„:. i C:.•+.\i ,.:,'.. ^..;.V ,,- `,.•:iiJ>•:: tt"•!•,:,'�� ,,,4, ,l:'.'•t• ..1 • ,,,.;:,!.e: :;..w...,,,''yt,,,L'.r•-haa,r,a.•..i..:4:-. .1 dr_'._•.6.".ry '"?+,.�e•,y,'r:C� 4 �. 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