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RES 2002-1804 - Class I liq lic to Los Mayas Restaurant {. w + C-ZSA CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebr Q14...l...3..2002 RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, the following application for license to sell On Sale Beer, Wine and Liquor at retail for the period ending May 1, 2003 submitted to this Council by the Nebraska Liquor Control Commission in accordance with the provisions of Section 53-134, RRS Nebraska, 1943, as amended, and upon hearing held within 45 days after the receipt of said notice from the Commission, be and the same is hereby recommended to said Liquor Control Commission to grant said license. Los Mayas Restaurant, Inc., dba "Los Mayas Restaurant", 3727 "Q" Street THAT,the cost of publication of notice of said hearing was $26.00. P:\CC\11874maf.doc August 13, 2002 - Document No. 1801 -Application Read. Document No. 1802—Amendment "A"—Approved 7-0 Document No. 1803 —Amendment "B"—Approved 7-0 Resolution No. 1804—Grant as amended Carried 7-0 By Councilmember Adopted AUK"44 3 City Clerk Approved ��Mayf7:47S _ MICH•AELT. LEVY` _ ATTORNEY/AT-- LAW R F r E ED -' , Oel 2:::\: - CITY e -OMAHA hirer: _ . I �5kA,__ July 18, 2002 - Jill Nelson _. , Nebraska Liquor Control Commission P:O. Box 95046._ Lincoln,Nebraska 68509 Re: Application-of Los Mayas Restaurant _ Dear Jill: I am writing for the purpose of amending the application of Los Mayas Restaurant,Inc. for a liquor license at 3727 Q Street, Omaha,Nebraska. The application was originally filed for the issuance of a class "C" license. The applicant does hereby amend the application to request the issuance of a class "I" license. Please advise if further documentation is required to effectuate the amendment. Thank you for your continued assistance. , -8:";f_: ‘1.,r ,2, _ Yours very truly, _ - _ - ichael T. Levy - MTL/sel ` - cc: Carmen, Omaha City Clerk's-Office. Omaha City Councilman Garry Gernandt - ADDRESS CORRESPONDENCE TO: P.O. BOX 6309 • OMAHA, NE 68106-0309 OFFICE ADDRESS: 505 SOUTH 53RD STREET--• OMAHA, NE 68106-1311 402-556-0200 • FAX: 402-556-0233' • • • • • • UQ vni n CD c (D N d An 0 O 00 F ° CD N * - ' r CD 0 • . cn • • STATE OF NEBRASKA - RECEIVED Mike Johanns 02 J U L 25 NI8: 4•r, 1 NEBRASKA LIQUOR CONTROL COMMISSION Governor Forrest D.Chapman Executive Director 301 Centennial Mall South CITY CLERK P.O.Box 95046 O T i A H/ N E E R j Lincoln,Nebraska 68509-5046 S Phone(402)471-2571 Fax(402)471-2814 TRS USER 800 833-7252(TTY) July 23, 2002 City Clerk RE: Manager Application for Class I56577 Liquor License Omaha/Douglas Civic Center Applicant-Aman Gonzalez 1819 Farnam, LC-1 Los Mayas Restaurant Inc Omaha NE 68183 "Los Mayas Restaurant" 3727 Q Street Omaha NE 68107/Douglas County Dear Clerk, Enclosed is a copy of a manager application for Aman Gonzalez. It is filed in connection with the Class I Liquor License of Los Mayas Restaurant Inc. Please present this application to your City Council and send us the results of that action. Sincerely, NEB' • SKA LIQUOR CONTROL COMMISSION _ . Jill Nelson • Licensing Division enclosure cc: enforcement follow-up file Rhonda Flower Bob Logsdon R.L.(Dick)Coyne Commissioner Chairman Commissioner An Equal Opportunity/Affirmative Action Employer _ --MICHAEL T. LEVY _ - ATTORNEY .AT=LAW E C E Y E 11 - _ _ 02 JUL 22 n14 8t 4 I~ CITY CLERK OMAHA, NEERASK- _ July 19, 2002 - — - Jill Nelson Nebraska Liquor-Control Commission P. O. Box 95046 Lincoln,Nebraska 68509 Re: Application of Los Mayas Restaurant, Inc. Dear Jill: Because of the requirement of the City of Omaha that the corporate manager must be a citizen of the United States, a requirement not met by the original applicant, Bonfilio Aviles, it is necessary that a new manager"be designated. Accordingly, I enclose, in triplicate, Application for Corporate Manager designating Aman Gonzalez to be the corporate manager-of the applicant. Please note that Mr. "Gonzalez had Originally executed an affidavit of non participation in the operation of the applicant, however, because of his status.of manager, that affidavit should be withdrawn from the application. Also enclosed are two fingerprint cards for Mr. Gonzalez and check in the amount of$33.00 for processing the fingerprints. Thank you for your continued assistance in processing this application. Yo very tru - ichael T. Levy MTL/sel cc: Carmen, Omaha City Clerk'-s Office • ADDRESS, CORRESP9NDENCE TO: P.O. BOX 6309 •-'OMAHA, NE 68106-0309---.• • OFFICE ADDRESS: 505 SOUTH 53RD STREET • OMAHA, NE 68.106-1311 402-556-0200 • FAX: 402-556-0233 _ . • Application for Corporate Manager *Must Be A Nebraska Resident* Please submit in Triplicate Return to: Nebraska Liquor Control Commission,PO Box 95046 301 Centennial Mall So.,Lincoln NE 68509 Phone: (402) 471-2571 Fax: (402)471-2814 Web address: http://www.nol.org/home/NLCC/ LIQUOR;LICENSE INFORMATION NAME OF LICENSED CORPORATION CLASS&LICENSE NUMBER Los Mayas Restaurant, Inc. I TRADE NAME OF LICENSED PREMISE Los Mayas Restaurant STREET ADDRESS OF LICENSED PREMISE CITY COUNTY ZIP CODE 3727 Q Street Omaha Douglas 68107 On behalf of the corporation.I designate this individual as corporate manager. Signature of Corporate President/CEO: APPLICANT INFORMATION (MUST BE 21 OR OVER) NAME(LAST.FIRST.MIDDLE.MAIDEN) SEX SOCIAL SECURITY NUMBER DATE OF BIRTH PLACE OF BIRTH Gonzalez, Aman FM M r 12-24-63 Mexico HOME STREET ADDRESS CITY COUNTY STATE ZIP CODE 6918 South 33rd Street Omaha Sarpy NE 68147 HOME TELEPHONE NUMBER BUSINESS TELEPHONE NUMBER DRIVERS LICENSE NUMBER&STATE ( 402) 734-8909 402 )733-3024 H12383640 NE SPOUSE'S INFORMATION (IF NOT MARRIED INDICATE NONE) FULL NAME(LAST,FIRST,MIDDLE,MAIDEN) SOCIAL SECURITY NUMBER DRIVERS LICENSE NUMBER &STATE Hernandez, Emma H12159688 NE DATE OF BIRTH: 8-19-68 PLACE OF BIRTH: Mexico 1. READ CAREFULLY—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 criminal charge?Criminal charge means any charge alleging a felony or misdemeanor violation of a federal or state law; or 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. ❑ YES 1:1(NO 2. Have you or your spouse ever made application for any liquor license or manager for any liquor license?IF YES,for what premise give license number and date. ❑ YES XI NO FORM 35-4013 REV.3/01 PAGE 1 • 3. Have you or your spouse ever made a compromise settlement for violation of such laws? ❑ YES 7 NO 4. Do you, as a manager,have all the qualifications required by any person entitled to hold a Nebraska Liquor License? Nebraska Liquor Control Act(§53-131.01) n YES ❑ NO 5. Have you filed fingerprint cards and PROPER FEES (if check, made out to the NE State Patrol), with this application? XI YES ❑ NO LIST PRINCIPAL RESIDENCE FOR PAST 10 YEARS,APPLICANT AND SPOUSE MUST"COMPLETE APPLICANT:CITY&STATE YEAR SPOUSE:CITY&STATE YEAR FROM TO FROM TO Omaha, NE 94 Present Omaha, NE 99 Present South Lake Tahoe, CA 92 94 South Lake Tahoe, CA 92 99 EMPLOYERS-LIST LAST TWO EMPLOYERS YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO 94 Present Nebraska Beef Victor LNU 733-3024 Only Emplouer in U.S PERSONAL OATH AND CONSENT OF INVESTIGATION-MUST BE SIGNED BY APPLICANT &SPOUSE STATE OF NEBRASKA ) ) SS • COUNTY OF ) 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 hisiner background including ail 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,an affidavit may be attached however,fingerprint cards are still required to be filed. 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 and inaccurate. f}POdefh Ge f.n4-e - Reord.�_Z, Signature of Applicant Signature of Spouse(if applicable) Subscribed in m . 'senc, and sw. , •-4-n ire this Subscribed in m .resen/d s . i to .ef. - • . day of �, i./✓ i•// day of .../ .' L GENE 1 . 411117,111r►T // ar ,71p,/ PlAr MICHAEL r. asks y" i'% No art'Signatur� . MYCorr►ro. Eyy �,,tart' i_ � bras Jl1!, • � FORM 35-1013 REV.8/01 PAGE 2 • :, ,k ` x, A. ram- , ;' :'. 'e" q \, M i ° J Atc- rut ) wP $• �f 1 cm t C c 4.,, ., of 'b a to N c,*. co ..p I N z, 3�:�n 1��: c ',•' !''Cii . C.) I� 77) r CD • V •V I I�t''1t' Lo N •I VJ �" , ,� OJ �,l,Y'�G .. `� 1� O Imo. I �y '` I � 1tt 14 tx ex r .d V � 4. v" „ is N o�\\ b '�Q _tom>_Y P. 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