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HomeMy WebLinkAbout03-464.docNOVEMBER 11, 2003 03-464 RESOLUTION CARRIED 7-0 LOST LAID OVER WITHDRAWN ) PURPOSE: INITIATED BY: APPROVE MISCELLANEOUS CITY LICENSES CITY CLERK WHEREAS, an application for a license has been made, fees deposited, and all legal procedures have been taken as per Ordinance of the City of Oshkosh, NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the following licenses be granted: AGENT CHANGE COMBINATION CLASS "A" LICENSE {NOVEMBER 11, 2003 thru JUNE 30, 2004) NAME AND ADDRESS: LOCATION OF PREMISES: OPEN PANTRY FOOD MART (Open Pantry Food Marts of Wisconsin, Inc.) ......................................................................... 2124 W. 9th Avenue Agent: James L. Schutz, 4045 S. Adell Avenue, New Berlin AGENT CHANGE CLASS "A" FERMENTED MALT LICENSE {NOVEMBER 11, 2003 thru JUNE 30, 2004) NAME AND ADDRESS: LOCATION OF PREMISES: SPEEDWAY STARVIN MARVIN #2083 (Speedway Super America, LLC) .............................................................................. 3219 Algoma Blvd. Agent: Steven J. Fredrick, 2210 Golden Avenue NOVEMBER 11, 2003 03-464 RESOLUTION CONT'D OPERATOR (BARTENDER) LICENSES (EXPIRES: JUNE 30, 2005) Colon, Diane E., 226 W. 7th Avenue Cook, Bradley P., 689 County Road I Cross, Christine A., 224 E. Lincoln Avenue Daly, James R., 703 Elmwood Avenue, 224 Breeze Hall Dobish, Cynthia L., 1185 Christian Drive Erstad, Casey L., 3401 Logan Drive, #8 Gallas, Jennifer M., 452B N. Main Street Kalbes, Amber M., 1191 High Avenue, B103 Katers, Ryan M., 304 Dawes Street Lienhard, Jason W., 808-A W. 20th Avenue Londre, Tina M., 4402 W. Medard Place, Appleton McHugh, Andrew J., 554 Algoma Blvd., #4 Meidenbauer, Sarah R., 727 Lincln Avenue, 405 Evans Hall Mueller, Amy, 1506 Walnut Street Muinde, Samuel S. II, 1674 Thorton Drive Prohaska, Danielle M., 780 High Avenue, 110 Taylor Hall Scherer, Jennifer C., 70 W. Snell Road, #1 Smith, Carrie L., 2451 N. Main Street, #11 Steiger, Bryanne E., 719 Woodland Avenue VanderBIoomen, Tracy J., 306 Wisconsin Street, #3 Wilke, Eric C., 1842 Oakbridge Road This form MUST be filed with the City Clerk BEFORE the License Appli, the Common Council for approval. APPLICATION QUESTIONNAIRE FOR CITY OF OSHKOSH ~ ~'~' ~-~ -~ _ APPLICANT/AGENT NAME ~ ~' APPLICANT/AGENT HOME ADDRESS ~~ ~//~ ~~'~ APPLICANT/AGENT HOME PHONE~-~'5?5~BUSlNESS PHONE You are~ fo[this license as an INDIVIDUAL PARTNERSHIP or ~T FOR A CORPORAT~ AGENT FOR LIMITED LIABILITY COMPANY ATE and NAM~ OF INDIVIDUAL that interviewed you at the OSHKOSH POLICE DEPARTMENT hat type of establishment do you intend to operate? FAMILY TYPE BAR ~, TEEN B~R COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT OTHER Do you understand the State Statutes an~Ordinances concerning the Laws and Regulations in the operation of this establishment? ~ NO Do you understand there must be a licensed bartender or yourself on duty at all times? ~¥..E'~. NO What experience do you have in the operation of Will you have any type of live entertaiment? YES entertainment? this type of establishment? ~ If so, what type of Will you have live music and/or an amplified music system? Will the music be kept at a level acceptable to the neighborhood? YES NO ~ What form of I.D. or proces~s will you use to c~heck for minors (underage of 21 ye, ars) entering your establishment? /-.~-~"Y~. ~ ~'¢\ t~ ~;'.,~, ~'-T~ ~--C I SS~) ~- ~ .S ~ I'~ ,~ g Will you usa the "Book System" when checking age? ~ NO Do you understand that the license you are applying for will expire June 30th of each year, and that checks wilt be made by the Police Department, that records will be kept of complaints, and these reco~have a bearing on the Common Council renewing any future licenses? / .~,PPLICANT/AGENT SIGNATURE Date Thi~.f~rrn MUST be filed with the City Clerk BEFORE the License Appli~)~t ,w,~!l. ~lp the Common Council for approval. APPLICATION QUESTIONNAIRE FOR CITY OF OSHKOSH APPLICANTIAGENTNAME 57""~-----~¢-A/ ~ ,/~//-~/~/Oi APPLICANT/AGENT HOME ADDRESS 2z~//~ o~'"~O/--.~2~ /¢~(./f¢~'~"~ (~%L'~'~.'~.~ APPLICANT/AGENT HOME PHONE ///~C-O~,~/. BUSINESS PHONE NUMBER You are app~O~m'~7~ INDIVIDUAL PARTNERSHIP or ~ORA CORPORATION~, AGENT FOR LIMITED LIABILITY COMPANY wATE and NAME OF INDIVIDUAl_L. th. at inte~rviewed you at the, OSHKOSH POLICE DEPARTMENT [qlo% 7 'c. hat type of establishment do you intend to operate? FAMILY TYPE BAR_ TEEN B~AR COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT OTHER ~xJ~ Do you understand the State Statutes a~.Ordinances concerning the Laws and Regulations in the operation of this establishment? ~ NO Do you understand there must be a licensed bartender or yourself on duty at all times NO What/~OZ'~experience~ ~/~J~ ~' do,~/~/~._you ~¢in ~-- ~-the ~tion Will you have any type of live entertaiment? YES entertainment? of this type of establishment? If so, what type of Will you have live music and/or an amplified music system? Will the music be kept at a level acceptable to the neighborhood? YES NO What form of I.D. or process w~ill you use~to check for minors (underage of 21 years) ent.~e..ring your establishment? ~--~,AJ~-~ ]/~1~.~// //,.,I/¢2:¢'~' /I.,v'~,~ ,/~'~?J, Ze~ ~/.-~,t~, ~/c'/~oz"/~ W you use the "Rook System when checking age? ~ NO Do you understand that the license you are applying for will expire June 30th of each year, and that checks wili be made by the Police Department, that records will be kept of complaints, and these record~ma'~ave a bearing on the Common Council renewing any future licenses? A~A/I~/A G E NT SIGNATURE