RES 2018-0329 - SDL at Roja Mexican Grill & Margarita Bar for beer garden 5-8-18 NEBRASKA LIQUOR CONTROL COMMISSION
301 CENTENNIAL MALL SOUTH
PO BOX 95046 l
LINCOLN,NE 68509-5046
PHONE:(402)471-2571
FAX:(402)471-2814
Website: www.lcc.nebraska.gov ` ,i v' I
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Special Designated License :;l<,
Local Recommendation Form <
Roja, LLC
Retail Liquor License Name or Non-Profit Organization
17010 WRIGHT PLAZA, OMAHA, NE 68130
Retail Liquor License Address or Non-Profit Business Address
083421
Retail License Number or Non-Profit Federal ID#(Form#201 must be submitted as attachment)
Event Date(s): 5/5/18
2PM TO 2AM
Event Time(s):
Alternate Date:
Alternate Location Building&Address:
Event Building Name: ROJA MEXICAN GRILL & MARGARITA BAR
Event Street Address/City: SAME AS ABOVE
Indoor area to be licensed in length &width: X
i
Outdoor area to be licensed in length&width: (/2_ Xl 2- (Diagram Form#109 must be attached)
Type of Event: BEER GARDEN - CINQO DE MAYO Estimate#of attendees: 300
Type of alcohol to be served: Beer X Wine X Distilled Spirits X
(If not marked,you will not be able to serve this type of alcohol)
Event Contact Name: PAT R I C K LYNCH
(Please print)
Event Contact Phone Number: 402-333-7652
Event Contact Email: PLYNCH@ROJAGRILL.COM
MAALocal Governing Body completes below: S 1 ��
The local governing body for the City or County of D\ o 'v. approves the issuance of a Special
Designated License as requested above.
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o 1 Gover g Body Authorized Signature nate
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�/ /0 j/ d � � 3 7 ,,/fir/C.W l� / V FORM REV NOV 2016016
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OUTDOOR AREA DIAGRAM
HOW AREA WILL BE PATROLLED S G1.A. —1 9-1 19 Ael,Py 11'4 \-/
• IF APPLICABLE,OUTDOOR AREA MUST BE CONNECTED TO INDOOR AREA IF INDOOR AREA IS
TO LICENSED
• MEASUREMENT OF OUTER WALLS OF AREA TO BE LICENSED MUST INCLUDED LENGTH&
WIDTH IN FEET
• DOUBLE FENCING IS REQUIRED FOR ALL NON-PROFIT ORGANIZATIONS UNLESS FORM#140 IS
FILED WITH THIS FORM AND IS APPROVED BY THE COMMISSION
• RETAILER LIQUOR LICENSE HOLDERS ARE NOT REQUIRED TO DOUBLE FENCE,ALTHOUGH
MEASURES NEED TO BE TAKEN TO SECURE THE AREA
DIAGRAM OF PROPOSED AREA:
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Form 109
Rev Nov 2016 1
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OUTDOOR AREA DIAGRAM
HOW AREA WILL BE PATROLLED 5 Glil.. —!P Dm `,,01- 1,1
• IF APPLICABLE,OUTDOOR AREA MUST BE CONNECTED TO INDOOR AREA IF INDOOR AREA IS
TO LICENSED
• MEASUREMENT OF OUTER WALLS OF AREA TO BE LICENSED MUST INCLUDED LENGTH&
WIDTH IN FEET
• DOUBLE FENCING IS REQUIRED FOR ALL NON-PROFIT ORGANIZATIONS UNLESS FORM#140 IS
FILED WITH THIS FORM AND IS APPROVED BY THE COMMISSION
• RETAILER LIQUOR LICENSE HOLDERS ARE NOT REQUIRED TO DOUBLE FENCE,ALTHOUGH
-MEASURES NEED TO BE TAKEN TO SECURE THE AREA
•
DIAGRAM OF PROPOSED AREA:
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Form 109
Rev Nov 2016