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RES 2008-0521 - Appoint Michael Manion manager of Olive Garden Italian Restaurant #1302 N09 ri _ STATE OF NEBRASKA RECEIVED bi ��s C t.,[ l� NEBRASKA LIQUOR CONTROL COMMISSION Dave Heineman ?; = �. 4'':x Governor Hobert B. Rupe ' . �"_` 081` AR 26 AM 8: 5 Executive Director 1i9R�yjn.rs�_ _�� 301 Centennial Mall South,5th Floor P.O.Box 95046 CITY C L L M j.; Lincoln,Nebraska 68509-5046 OMAHA: PEPRP(74, Phone(402)471-2571 Fax(402)471-2814 TRS USER 800 833-7352(TTY) web address:http://www.lcc.ne.gov/ March 25, 2008 OMAHA CITY CLERK 1819 FARNAM STREET LC-1 OMAHA NE 68183 Dear Clerk: • Enclosed is a copy of a manager application for Michael Manion in connection with GMRI Inc dba Olive Garden Italian Rest #1302, located at 7505 Dodge Street, Omaha NE. • Please present this application for manager to your Council and send us the results of their action. Sincerely, NEBRASKA LIQUOR CONTROL COMMISSION , eo Je ' n Cash Licensing Division • Jc encl. cc: file Rhonda R.Flower Bob Logsdon Pat Thomas Commissioner Chairman Commissoner An Equal Opportunity/Afrmatiue Action Employer Printed with soy ink on recycled paper ents 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 respon.ible to he '• 'er of this Special Designated License. sign Managing Member 4/1/2008 here - Aut e ' = ese, :tive/Applicant Title Date Gregory J.Suiter 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. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO MANAGER APPLICATION Office Use t INSERT-FORM 3c RECEIVD NEBRASKA LIQUOR CONTROL COMMISSION A 1 200Q{J 301 CENTENNIAL MALL SOUTH • A PO BOX 95046 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 NEBRASKA LIQUOR FAX:(402)471-2814 Website:www.Icc.ne.gov CONTROI r,oMMISSION Corporate manager,including their spouse,are required to adhere to the following requirements F?E 1) Must be a citizen of the United States Vet) 2) Must be a Nebraska resident(Chapter 2—006) `,3) Must provide a copy of their certified birth certificate or INS papers MAR 2 4) Must submit their fingerprints(2 cards per person) ��� `� 200Up 5) Must be 21 years of age or older r.,SKA 6) Applicant may be required to take a training course NTgJC c0 Cora,oration/LLC information Name of Corporation/LLC: 651 Al IZ I, 1 n t, ragiise information- . SIMON`ice e� t (4) e2- er; Premise Trade Name/DBA: T2 NN e, ActettiAPc �t> keiScrtvfa Vi l t 1 Z Premise Street Address: ?S7)5 p� City: 0 n Y1 G • State: N G Zip Code: . Co 61 ( -(' Premise Phone Number: (L1 J-v Lj()"1 i i• f Y'.1� Sj'4-MLA _S, y� �; � .� -y - - indiy4duai whose hame,as" ste ,m the presitlen {oi5;, on' c1 member c'itegoi y ni either insert form 3a or 3b ifIn igliit�team `below r_�._:. ., ' . `... � • eD: �eftrCff4€ER,s C7N, 11' 'URE `) (Faxed signatures are acceptabl'' - 0800006524 ce 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 respon.ible to he '• 'er of this Special Designated License. sign Managing Member 4/1/2008 here - Aut e ' = ese, :tive/Applicant Title Date Gregory J.Suiter 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. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO ML.ANAGER APPLICATION orcom ust t INSERT-FORM 3c REOb t 1..y r 1 NEBRASK4 LIQUOR CONTROL COMMISSION �A� c� 301 CENTENNIAL MALL SOUTH MAR 2 1 2008 PO BOX P5046 • LINCOLN.NE 68509-SO46 PHONE!(402)471-2571 NEg 1(g1ICU0R FAX (402)471-2814 w CONTR�I rOMMISSION Wcb3ite:w wJeo.ee,gov Corporate manager,including their spouse,are required to adhere to the following requirements " 11) Must be a citizen of the United States , 2) Must be a Nebraska resident(Chapter 2—006) AMR 2 g 3) Must provide a copy of their certified birth certificate or INS papers �Q�� 4) Must submit their fingerprints(2 cards per person) Nea years of age or older ti 6) Applicant 1may be required CO take a training course CONTR 101 coMM,S,R MfSS/Qv . ' • . c A •; ......P 111 ma Q ' . 'ry. : i.. .t.. nef,:•F w Name of Coaporation/LLC: �;I Ai 41, .:L • I/ .,.�1� • Y1 , 1.'',ldl: air@�.' Y i�: 1'••':' `M'' • •�•.• �:� ..., i .'.�.;�.•,i. . r. : a „....,; rv..•}..; 'a .2.; It',`..':.; i. • 'k . .r•• ,, .:...•... :' .::Y1.'1. � , ,� , r,.�•. .: '.., .:.,.. ,... io-11' „ , .—.;.1'�i4Lhi i. � . - �.1,•ii.ir••i ..... ......_.." . .r._n 1•'.I..:•t•, ........ Premise License Number: J 82_ Premise Trade Name/DBA:-The. NNE &if I 4-4 U' ,, va.v1 k-it &2- Premise Street Address: -7 5 i 4— • City: g State: e Zip Code:. Lo 61 (4 Premise Phone Number: ( 1oieM3-B. c)11 ....___________.. r ,,�f.�"1• ,r• ;,,,I �,•r a -„rVSy,, ,,. ,.,,,,.:. I ''S;,.i.i'" nr.4Y„ a. �::+,, ,,,,'•,.'r,l �a'?>r��.E'�F'n.L:J,i�'�I 1•._ �'�° r ',,}1:j� J�''Yn:�aR•;�:�5.�:. '>;r .'� ;,:� .... .,V'+'.�.;._ :+„v'• �`1.�. .�.. C.,,,,,:Ir, ,;� c 1, :,,i'il`t ,. ti:i" a1:�yY1-91r :I: tar=,lii1.iit ei,;r,.TiE'i `1•• ,.aii, ir.; I i .e 1'il:i.iVII t; im3Q � tw, 4 :•, i'i•Z? I tar•.. - :•. . >,*.:.. , KF" ..r • ' �t :i,w1;a-v3x` '�• `} � ,��;�r' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO Manager's information must be completed below PLEASE PRINT CLEARLY Gender: RIMALE ❑ FEMALE Last Name: 1A46,0,i o-'1 First Name: A ltiaz ( MI: P 1 Home Address (include PO Box if applicable): (Z k 06 1,(4.- - 1P c l'e v� State: // cf City: � � � Zip Code: (9� � �D Home Phone Number: �'l0 sbZ - I Lt& • Business Phone Number:6 U Jc3- di46 Social Security Number: , . _ Drivers License Number& State:_ - - Date Of Birth: tr I Place Of Birth: Bc,K , e (Ant )3 [Are you married? If yes, complete spouse's information(Even if a spousal affidavit has been submitted) RYES ❑ NO Spouse's information _ - : , e Last Name: First Name: \e_.:7 L S ous s Yv�. � � MI: • Social Security Number: f' Drivers License Number& State: i" Date Of Birth: t Place Of Birth: Gk4,41(0VI NG / I APPLICANT AND SPOUSE MUST LIST RESIDENCE(S) FOR THE PAST 10 YEARS APPLICANT SPOUSE CITY&STATE YEAR CITY&STATE YEAR FROM TO FROM TO OvJi& jg slo-- 1' � d kk; 11) - ,� 5/o 7- k.. f Lihc41A , A �- // i •Jo7 LiJ /h //oz sf o7- et43 , (A)y 1 19 1, ilw (0) MANAGER'S LAST TWO EMPLOYERS YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO a 1 Pde f �rf 4i ilia. as��yhuP -id Olt 13D2 ./1 vice 120ke5Dn 467-Z45--�f331 D3- 0 ill D 1 -; l A 11 n 4OP_ r,f 4 Deeb' 12S 9 - 3W? ate: e Zip Code:. Lo 61 (4 Premise Phone Number: ( 1oieM3-B. c)11 ....___________.. r ,,�f.�"1• ,r• ;,,,I �,•r a -„rVSy,, ,,. ,.,,,,.:. I ''S;,.i.i'" nr.4Y„ a. �::+,, ,,,,'•,.'r,l �a'?>r��.E'�F'n.L:J,i�'�I 1•._ �'�° r ',,}1:j� J�''Yn:�aR•;�:�5.�:. '>;r .'� ;,:� .... .,V'+'.�.;._ :+„v'• �`1.�. .�.. C.,,,,,:Ir, ,;� c 1, :,,i'il`t ,. ti:i" a1:�yY1-91r :I: tar=,lii1.iit ei,;r,.TiE'i `1•• ,.aii, ir.; I i .e 1'il:i.iVII t; im3Q � tw, 4 :•, i'i•Z? I tar•.. - :•. . >,*.:.. , KF" ..r • ' �t :i,w1;a-v3x` '�• `} � ,��;�r' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO Sr PERSONAL OATH AND CONSENT OF INVESTIGATION 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. If spouse has NO interest directly or indirectly, a spousal affidavit of non participation may be attached. 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. / / //0,, . _illy.e%- M._(st (- -- ,� Signature of Manager Applicant Signature of Spouse NE .YZ Li c ' 146 i( LC% ' • State of Nebraska • County of 0--r id3(4..2i(LS' County of Il-2.t The foregoing instrument was acknowled ed before The foregoing.,inst , ment was acknowledged before me this 1GI +2 S 1fp,rck �tj-DR by / ; k— me this Ie df'1� rJ ,) Dy by jie.h Vk&r ts- tin a-r); t)- 4.e._,,t_ r� a_41.4,-,--16_44....c-/td_.., ot�lry Public signature NotaryfPublic signature Affix Seal Here Affix Seal tfiii GENERAL NOTARY-State of Nebraska GENERAL NOTARY-State of Nebraska MARY ANN TEVENS III MARY ANN STEVENS @"66— My Comm.Exp. SLY/ '._l— "I My Comm.Exp.7 J.�-- // 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 altemate format. Revised 5/2007 ' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO • 'Manager and spouse must review and answer the questions below PLEASE PRINT CLEARLY 1. READ PARAGRAPH CAREFULLY AND ANSWER COMPLETELY AND ACCURATELY. Has anyone who is a party to this application, or their spouse, EVER been convicted of or plead guilty to any charge. Charge means any charge alleging a felony, misdemeanor, violation of a federal or state law; a violation of a local law, ordinance or resolution. List the nature of the charge, where the charge occurred and the year and month of the conviction or plea. Also list any charges pending at the time of this application. If more than one party, please list charges by each individual's name. VIES ONO If yes,please explain below or attach a separate page. Mke, h0 y gs,s(sv4in 201 Av h24 rr t� O cc_ti red H ,`- fro. g6(rxes.,5119_,-) 0t- s, rz 0/14(4.vidva. 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. OYES1O 3. Do you, as a manager, have all the qualifications required to hold a Nebraska Liquor License? Nebraska Liquor Control Act(§53-131.01) OcYES ONO 4. Have you filed the required fingerprint cards and PROPER FEES with this application? (The check or money order must be made out to the Nebraska State Patrol for $38.00 per person) YES ENO PR 1N1S cws£fl re of Spouse NE .YZ Li c ' 146 i( LC% ' • State of Nebraska • County of 0--r id3(4..2i(LS' County of Il-2.t The foregoing instrument was acknowled ed before The foregoing.,inst , ment was acknowledged before me this 1GI +2 S 1fp,rck �tj-DR by / ; k— me this Ie df'1� rJ ,) Dy by jie.h Vk&r ts- tin a-r); t)- 4.e._,,t_ r� a_41.4,-,--16_44....c-/td_.., ot�lry Public signature NotaryfPublic signature Affix Seal Here Affix Seal tfiii GENERAL NOTARY-State of Nebraska GENERAL NOTARY-State of Nebraska MARY ANN TEVENS III MARY ANN STEVENS @"66— My Comm.Exp. SLY/ '._l— "I My Comm.Exp.7 J.�-- // In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the altemate format. Revised 5/2007 ' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO ../> _ . . ` ` ./is+ VED NEBRASKA LIQUOR CONTROL COMMISSION MAR 21 2006 AFFIDAVIT OF NON PARTICIPATION NEBRASKq LIQUOR -nnr111n1 cOMMISSION The undersigned individual acknowledges that he/she will have no interest, directly or indirectly, in the operation or profit of the business, as prescribed in Section §53-125(13) of the Liquor Control Act. Such individual shall not tend bar, make sales, serve patrons, stock shelves, write checks, sign invoices, represent themselves as owner or in any way participate in the day to day operations in any capacity. The undersigned individual will also be waived of filing fingerprint cards, however, will be required to disclose any violation(s)on all applications and sign all necessary documents. natI _..c-- 43-c' 0,1 -21 MAR 2 5 Z000 Signature of Spouse Asking to be Waived NEB hi c--_ W2 L- CONTR0�s�UQuoR -1 COMMISSION SUBSCRIBED in my presence and sworn to before me this i 9 - day of I I�(,.y'ell , ,),0-1)V . GENERAL NOTARY-State of Nebraska ; �i /�' �I MARY ANNSTEVENS l "L.f ;�l(iv� � �0-i��� ' '�" My Comm.Exp.' �� '��� �Sigihature o�f Notary Public The applying individual, whose spouse is requesting to be waived, understands that he/she is responsible for compliance with the conditions set out above, and that if such terms are violated,the Commission may cancel or revoke the license. M ke-- kCia,it t WI_ �___.... — , Print name of applying individual *Signature of applying individual (spouse of individual listed above) Al c ate- L_i c t( ' SUBSCRIBED in my presence and sworn to before me this / day . of /Nth , BUD f . ft GENERAL NOTARY-State of Nebraska • .. MARY ANN STEVENS _ My Comm.Exp.7- `� - 1/ Sign Lure of Notary Public *spouse of individual listed above is the individual required to sign bottom portion of affidavit FORM 35-4178 REV 9/05 I rt form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the altemate format. Revised 5/2007 ' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO • OMAHA, �, City of Omaha, fAre bras a ik° 811,/ =14(v DrArtVrila 1819 Farnam — Suite LC 1 Omaha, Nebraska 68183-0112 0 �';T . �' Buster Brown (402) 444-5550 • City Clerk FAX (402) 444-5263 O,? .11'Fo FEgRut►*k • April 1, 2008 GMRI, Inc. Application to appoint Michael Manion Dba"Olive Garden Italian Rest. #1302" manager of your present Class "I" Liquor 7505 Dodge Street License Omaha, NE 68114 • 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 April 15, 2008 _ 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 esting to be waived, understands that he/she is responsible for compliance with the conditions set out above, and that if such terms are violated,the Commission may cancel or revoke the license. M ke-- kCia,it t WI_ �___.... — , Print name of applying individual *Signature of applying individual (spouse of individual listed above) Al c ate- L_i c t( ' SUBSCRIBED in my presence and sworn to before me this / day . of /Nth , BUD f . ft GENERAL NOTARY-State of Nebraska • .. MARY ANN STEVENS _ My Comm.Exp.7- `� - 1/ Sign Lure of Notary Public *spouse of individual listed above is the individual required to sign bottom portion of affidavit FORM 35-4178 REV 9/05 I rt form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the altemate format. Revised 5/2007 ' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO rrt,414.HA, N� City ofOmaha Webraska �III ' Suite LC 1 1819 Farnam — ImIt1011111u n Omaha, Nebraska 68183-0112 0 ';_ Buster Brown (402) 444-5550 � �' City Clerk FAX (402) 444-5263 o�'�ED FEaR��� April 1, 2008 r Michael Manion Application to be appointed manager of the present 12106 Erskine Circle Class "I" Liquor License for GMRI, Inc., dba Omaha, NE 68164 "Olive Garden Italian Rest. #1302", 7505 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 April 15, 2008 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 nds that he/she is responsible for compliance with the conditions set out above, and that if such terms are violated,the Commission may cancel or revoke the license. M ke-- kCia,it t WI_ �___.... — , Print name of applying individual *Signature of applying individual (spouse of individual listed above) Al c ate- L_i c t( ' SUBSCRIBED in my presence and sworn to before me this / day . of /Nth , BUD f . ft GENERAL NOTARY-State of Nebraska • .. MARY ANN STEVENS _ My Comm.Exp.7- `� - 1/ Sign Lure of Notary Public *spouse of individual listed above is the individual required to sign bottom portion of affidavit FORM 35-4178 REV 9/05 I rt form 3c is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the altemate format. Revised 5/2007 ' �.;i5t;..-,..,.mv'�,. rU+IW., ',Fe" :� A�� aS'.- I II 41IG1, qI 1 u,, It rr ' cf-:j.c, •%Ar. < i:':nr? I Ix411., .,r�. • :y ,I .1:71_.....,e. . • E Charlene Abney CORPO ' OFFICER SIGNATURE VP/Secretary (Fax ignatures are acceptable) t 'd 0080 '°N Wd85: 1 900/ 'tiZ 'I PW designated license is requested is located. rned iiiadvar Matlrrkreve9,10 d rf(?� y,�are ays o any �eason�;tlg c:t.;;�.,.,�aw•enfi��,cemgtit -' - .r :,;...r..;1.,,,;,:, .;:��;,, f � �4., x�<_`•;zn.�;r' e,��`i ..ar=., .t�•t .Yt - -a.Y;."A"T-,ate ..l,.,Si: 'h.. 'F-... .s, ai �`r"��r�,..':4;. .; .�x.r �.�. :..r.�:�tis`:�2. v[�t..::<3a`•n•Y"tee:,��:�':r,. ..in�il:r..:E<� "�lw r� ^!;;Zs� ,..t,:.:rf�':<<}F< ,i�'�.m.:Yrl�., .<,;;�c;,..,c.<��,;.�r aa..-: <;$•:P}.`.a•:�� t�.-�,�,-�::k, •.ld,>'..,;ot; cur.��:� �d;r� °�1�.t:E �z-=� ;• Y''��:._z.<, �. - s:,�`',:�:��eYaenl,:;$llOtl.:.__�..<..:_aoG,.o-..,. -,,..r...=t£•:..,.L,�'x�,r_•;-,......_.Arr3....a'G�;s<3.'e .::3`rwx.,!:;.,.s�'._ _s.d,...r.,.x..ar..s_...,1�.e._�_._.....�a.. _ 9. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. • 5 E C R Ts C tI 611 10. Will premises to be covered by license comply with all Nebraska sanitation laws? . © YES 0 NO • a. Are there separate toilets for both men and women? 0 YES D NO (roD C17 n 9 t a o v, N `~ CD CD c C o' �' 0o d °� ° It0 o 0o O O WV O i i. N ¢. 'CS � Pt N O O - 0 d O ¢. 0 4 A)\ n � �.� `- c4cn 0, x O C> TACHED) ADDITIONAL INFORMATION: APPLICATION APPROVED CONTIGENT UPON THE OMAHA CITY COUNCIL APPROVING THE APPLICATION ON APRIL 8, 2008 FOR MUSIC TO END AT 12:00 MIDNIGHT APPROVED: X DENIED: REASON FOR DENIAL: APPROVED BY: y 04/02/08 Buster Brown, City Clerk, City of Omaha Date APPROVING THE APPLICATION ON APRIL 8, 2008 FOR MUSIC TO END AT 12:00 MIDNIGHT Sincerely yours, ster r n City Clerk BJB:clj Enclosure