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RES 2002-1667 - Appoint Kyong S Lee manager of Kobe Steak House of Japam STATE OF NEBRASEIVE [) -z8E��TszE,, NEBRASKA LIQUOR CONTROL COMMISSION i. ./''^tom o4'�, ns� JU4 _7 Ail p: 39 Forrest D. Chapman v- _ y, Executive Director Aal ' 301 Centennial Mall South,5th Floor '6'�n$it fie' m' P.O.Box 95046 oI � 'Irjf i CITY ITi CLERK Lincoln,Nebraska 68509-5046 \ ��+ ° Phone(402)471-2571 r9, l9! e= QMAHA, ItuRMS6r Fax(402)471-2814 TRS USER 800 833-7352(TTY) Mike Johanns web address:http://www.nol.org/home/NLCC/ Governor June 6, 2002 City Clerk Omaha/Douglas Civic Center 1819 Farnam LC-1 Omaha NE 68183 RE: Manager Application Submittal Dear Sir/Madam: The enclosed Application for Manager is being submitted by Kobe Inc DBA Kobe Steak House of Japan located at 120 Regency Parkway, Suite 139, Omaha, NE 68114-4399 (Douglas County) which holds a Class I License #35376 the applicant's name is Kyong S. Lee. Please present these applications to your City/County Council and return to us"the results of the action taken. If you have any questions or comments,please give me a call. Sincerely, • elle Petersen Licensing Division Enclosure Rhonda R. Flower Bob Logsdon R.L. (Dick)Coyne Commissioner Chairman Commissioner An Equal Opportunity/Affirmative Action Employer Printed with soy ink on recycled paper Application for Co r i 1 a e Manager RECEIV �1` � *Must Be A Nebr.s. rill',•..'i t 4WE D • Please submit in Tri licate MA 3` ' 1 Return to: Nebraska Liquor Control Commission,PO Box 95046 JuN 0 5 2002 ?O ram= 1,7 301 Centennial Mall So.,Lincoln NE 68509 NEi Phone: (402)471-2571 Fax: (402)471-2814 Web address: http://wki�'�iW C/ CONTROL OMM$0 ON CONTROL COMMlssir .- LIQUOR LICENSE INFORMATION NAME OF LICENSED CORPORATION CLASS&LICENSE NUMBER k o RE., 11Uc. ol✓ Ct-11ss "I" 4 35 3')G al--- TRADE NAME OF LICENSED PREMISE i<o a€. STEW HO' $E. o F 541,4•61 p STREET ADDRESS OF LICENSED PREMISE CITY COUNTY ZIP CODE 1-Qo REGENcy eirigbccdny,Satiea©,� ornorai� oQuGLits tv�sllti- w3y5. . 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) SOCIAL SECURITY NUMBER I DATE OF BIRTH PLACE OF BIRTH FCM L. K`(ono vunnj _ , V95� c5a�f Ko HOME STREET ADDRESS CITY COUNTY STATE ZIP CODE /733 scay'6Or'ocA8h .Or- a BeIIevc.Je 3cxrp y N 6Sr-a3 HOME TELEPHONE NUMBER BUSINESS TELEPHONE NUMBER DRIVERS LICENSE NUMBER&STATE 93a- 5 9,3 9 , - /7s, H / 07198/7 SPOUSE'S INFORMATION (IF NOT MARRIED INDICATE NONE) FULL NAME(LAST,FIRST,MIDDLE,MAIDEN) SOCIAL SECURITY NUMBER DRIVERS LICENSE NUMBER &STATE NONE >c DATE OF BIRTH: K PLACE OF BIRTH: 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 3k the time of this application. If more than one party,please list charges by each individual's name. • ❑ YES rig NO 2. Haveyou oryour spouse ever made application for anyliquor license or manager for anyliquor license?IF YES,for what premise P PP 9 g 9 give license number and date. ❑ YES L9'NO • FORM 35-4013 REV.8/01 PAGE 1 3. Have you or your spouse ever made a compromise settlement for violation of such laws? •' ❑ YES try 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) ri YES ❑ NO •. • • 5. Have you filed fingerprint cards and PROPER FEES(if check, made out to the NE State Patrol), with this application? W1 YES ❑ NO • - `LIST PRINCIPAL'RESIDENCE FOR PAST i0 YEARS,APPLICANT'AND SPOUSE.MUST COMPLETE • APPLICANT:CITY&STATE YEAR SPOUSE:CITY&STATE YEAR FROM TO FROM TO Il /-iOsilSei) ; e/%1P M 19d49 ,,a_013 o 9 9 W oh;o Sf Owl e. N66 -ol .vow /73,3 Lcar6o t ai/ Pr 113L eedeVue-.2062 phasai6 EMPLOYERS LIST LAST TWO EMPLOYERS { YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO • Qd /9 q 6 z rt'c rtif)aiaJce ' , , D a.nn � [�! 'i/ )(33o--as.ek • / 9 99 PM6er1-6 KQ 8 k(A -1:en1wi. t'(4aL).397 06--L - PERSONAL OATH AND CONSENT OF INVESTIGATION-MUST.BESIGNED BY APPLICANT&SPOUSE • STATE OF NEBRASKA ) SS COUNTY OF Dog6LRs ) • • • 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,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. Signature o pplicant • Signature of Spouse(if applicable) Subscribed in my presence and sworn to before me this 24 Subscribed in my presence and sworn to before me this day of 70)Z • day of • A GENERAL NOTARY-State of Nebraska III BRANDIE RAGAN My Comm.Exp.July 10,2004 Gnat ie&&al Notary Signature&Seal • FORM 35-4013 REV.8/01 PAGE 2 Jul 04 02 11 : 39p user 4023913437 p. 1 07/03/2002 16:22 4024445263 CITY CLERK/COUNCIL PAGE 02/02 �N1AHA, Np OQ 4 City ofOmaha, Nebraska � �a ► 1819 Famam--Suite LC 1 WI rdlao Omaha, Nebraska 68183-0112 0• � • Buster Brown (402)444-5550 pi0 ro City Clerk FAX (402) 444-5263 0 ''1 Fe$Sv1'�`4 tV n M ril . AFFIDAVIT ft xa+ s aD in cia I, Kyong Sunny Lee,on the J day of July, 2002, hereby state the following to the City Council of the City of Omaha. I am a United States Citizen and that I am in the process of obtaining a duplicate copy of my citizenship papers. I am in full understanding that a copy of my citizenship papers must forwarded to the City Clerk's Office when they are received. KYONG SUNNY LEE THE ABOVE INDIVIDUAL STATES THAT THE ABOVE STATEMENT IS TRUE AND CORRECT. SUBSCRIBED IN MY PRESENCE AND SWORN TO BEFORE ME THIS 3 DAY OF , kL. I'I GENERAL NOTARY-Slate of Nebraska BRANDIE RAGAN NOTARY PUBLIC GNATURE at SEAL ' My Comm.Exp.July 18.20114 . 0MAHA, NF City of Omaha fAleôras&a I' ._ 1819 Farnam—Suite LC 1 z t0. imk 74 -.t Omaha, Nebraska 68183-0112 0 v.r-- Buster Brown (402) 444-5550 4. City Clerk FAX (402) 444-5263 O��TF0 FEBR.9.' July 8, 2002 Kobe, Inc. Application to appoint Kyong S. Lee Dba"Kobe Steak House of Japan" manager of your present Class "I"Liquor 120 Regency Parkway, Suite 139 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 July 23, 2002. 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. City Council Rule No. 14, requests each applicant to submit a signed statement representing that a sign indicating the birth date for buyers of alcohol will be prominently displayed on the licensed premises and that approved training in the proper procedures for checking buyers' identification will be provided to employees. Attached is the statement to be signed and returned (hand deliver, mail or fax) to the City Clerk's Office before your public hearing. FOR YOUR FILE,ATTACHED SENT TO MANGER. p +iricerely yours, Buster Brown City Clerk BJB:clj OMAHA, NF City of Omafia, SAre6ras&a 74„,, ordrvitviigi 1819 Farnam—Suite LC 1 ►�"� -«d Omaha, Nebraska 68183-0112 0 �' Buster Brown (402) 444-5550 ro ti' City Clerk FAX (402) 444-5263 04) FEBR��4- July 8, 2002 Kyong S. Lee Application to be appointed manager of the 1733 Scarborough Dr, #3L Class "I"Liquor Licenses for Kobe, Inc., dba Bellevue,NE 68123 "Kobe Steak House of Japan", 120 Regency Pkwy, Ste 139 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 July 23, 2002. • 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. City Council Rule No. 14, requests each applicant to submit a signed statement representing that a sign indicating the birth date for buyers of alcohol will be prominently displayed on the licensed premises and that approved training in the proper procedures for checking buyers' identification will be provided to employees. Attached is the statement to be signed and returned (hand deliver, mail or fax) to the City Clerk's Office before your public hearing. f,S.incerely yours, •.46 A Buster Brown City Clerk BJB:clj i r -tj �. p o 0 cn tro 9 N Q ti ' o ° d � o NPo 4 ---..___SI 0 ,E4 \ 01 � NC C o cra 0 co .-. w V' � & y P 0o o