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Home My WebLink About04-130.docAPRIL 27, 2004 REVISED 04-130 RESOLUTION (CARRIED 7-0 LOST LAID OVER WITHDRAWN ) PURPOSE: INITIATED BY: APPROVE MISCELLANEOUS CITY LICENSES CITY CLERK WHEREAS, an application for a license has been made, fees deposited, and all legal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: COMBINATION "CLASS B" LICENSE (APRIL 28, 2004 thru JUNE 30, 2004} NAME AND ADDRESS: LOCATION OF PREMISES: · ELECTRIC LOUNGE (A & K, LLC) .............................................. 500 S. Koeller Street Agent: Tiffany Y. Kunz, 131 E. Third Street, Fond du Lac CLASS "B" FERMENTED MALT LICENSES (APRIL 28, 2004 thru OCTOBER 28, 2004) NAME AND ADDRESS: LOCATION OF PREMISES: BOYS & GIRLS CLUB OF OSHKOSH ALUMNI ASSOCIATION (Boys & Girls Club of Oshkosh Alumni Association, Inc.) ........... 800 Hazel Street Agent: Jamie Wilcox, 350 W. 14th Avenue THE EAGLES CLUB (FRATERNAL Order of Eagles of Oshkosh, Aerie #267, Inc.) .......................................................................... S. Sawyer Street Agent: Dawn M. Brewer, 2217 Ashland Street AGENT CHANGE COMBINATION "CLASS A" LICENSE (APRIL 27, 2004 thru JUNE 30, 2004) NAME AND ADDRESS: LOCATION OF PREMISES: PIGGLY WIGGLY SUPERMARKET #25 (Fresh Brands Distributing, Inc.) ..................................................................................... 525 E. Murdock Avenue Agent: Kerry J. Martens, N4757 Wagner Circle, Black Creek APRIL 27, 2004 04-130 RESOLUTION CONT'D AGENT CHANGE CLASS 'B" FERMENTED MALT & CLASS "C" WINE LICENSE (APRIL 27, 2004 thru JUNE 30, 2004) NAME AND ADDRESS: LOCATION OF PREMISES: POWERCOM SPEED ZONE (Wisconsin Motor Sports LLC) ...............460 County Road Y Agent: Patricia L. Patlengale, 275 Knox Street, Lowell SPECIAL CLASS "B" LICENSE ORGANIZATION & PERSON IN CHARGE: DATE, TIME & LOCATION: UNIFIED CATHOLIC SCHOOLS OF OSHKOSH ...................................... APRIL 30, 2004 Person in Charge: Lori Enders 5:00 pm - 10:00 pm 110 N. Sawyer Street/Gymnasium Event Name: Spring Event - Madhatters OPERATOR (BARTENDER) LICENSES (EXPIRES: JUNE 30, 2005) Ansay, Paula S., 52 W. Scott Street, Fond du Lac Ansay, Ronald P., 52 W. Scott Avenue, Fond du Lac Becker, Kelly L., 1920 Evans Street #3 Denowski, Julie A. 836-K Vine Avenue Hahn, Tammy L., 761 W. Scott Avenue, #204. Fond du Lac Ilk, Trent, D., 5781 Country Club Road Jilling, Amanda L., 617-a Jackson Street Maxwell, Michael E., 3192 County Road G, Neenah Ortiz, Liria Daisy, 609 Nicolet Avenue Pawluczk, Andrew M., 306 Wisconsin Street Seelhorst, Andrea L., 616 W. 7th Avenue Steffen, Amanda L., 808-A Central Street Ward, Jessica K., 1685 Crestview Drive · Indicates Revision This form MUST be filed with the City Clerk BEFORE the License Application will be presented to the Common Council for approval. APPLICATION QUESTIONNAIRE FOR CITY OF OSHKOSH LIQUOR LICENSE NAME OF BUSINESS BUSINESS ADDRESS APPLICANT/AGENT NAME '--1!, lC~' o,_~ ',{ APPLICANT/AGENT HOME ADDRESS Cq~d) APPLICANT/AGENT HOME PHONE BUSINESS PHONE NUMBER You are applying for this license as an INDIVIDUAL PARTNERSHIP or AGENT FOR A CORPORATION ~C'~GENT FOR LIMITED LIABILITY COMPAN_~.~ .-/,,-DATE ~nd NAME OF INDIVIDUAL that interviewed you at the OSHKOSH POLICE DEPARTMENT What type of establishment do you intend to operate? FAMILY TYPE BAR TEEN BAR COCKTAIL LOUNGE _COCK'EAIL LOU.~GE/RESTAURANT OTHER Do you understand the State Statutes and~._.City Ordinances concerning-the Laws and Regulations in the operation of this establishment? ~'ES). NO Do you understand there must be a licensed bartender or ~,ourself on duty at all times? ~ NO What experience do you have in the operation of this type of establishment? Will you have any type of hve enterta~ment. .Y.~-E-~ entertainment? NO 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? NO What form of .I.D. or process will you use to check for minors (underage of 21 years) entering¥our establishment? %~ 12~ 0~¢,~'J~. ["'Z'-;h~ ~ 0[~('C~ ,g6%h~ ~ 11~: rY~b~dq ?R~56Y~ )¢a!~id Will you use the "Book System" when checking age? E~ NO Do you understand that the license you are applying for will expire June 30th of each year, and that checks will be made by t t records will be kept of complaints, and these records may have a bear ;il renewing any future licenses? CLERK'S OFRC Y~ NO Date This form MUST be filed with. the City Clerk BEFORE the License Application will be presented to the Common Council for approval. APPLICATION QUESTIONNAIRE FOR CITY OF OSHKOSH APPLICANT/AGENT HOME ADDRESS ~5~ ~N,~ ~c,¢ % APPLICANT/AGENT HOME PHONE ~O ¢~-0~¢% BUSINESS PHONE You ar9 ap.pl¥i.ng-fe.~-this.license as._a~n INDIVIDUAL PARTNERSHIP or ~_GENT FOR A CORPORATION~ AGENT FOR LIMITED LIABILITY COMPANY yTE a~d NAME OF INDIVIDUAL that interviewed you at the OSHKOSH POLICE DEPARTMENT ~'- What type of establishment do you intend to operate? FAMILY T~AR TEEN.BAR COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT ~~e.?~o~ Do you understand the State Statutes an, C-GLt~ Ordinances concerning the Laws and Regulations in the operation of this establishment? (YES/~ NO Do you understand there must be a licensed bartender or yourself on duty at all times? NO What exper, j,ence,~ dq ty~u ~ave in the , operation of this type of establishment? · .,/J I z Will you have any type of live entertaiment? YES If so, what type of entertainment? Will you have live music and/or an amplified music system? PO Will the music be k~pt at a level acceptable to the neighborhood? ~ NO What form of I.D. or process will vou use to check for minors (underage of 21 years) entering your establishment? ~L)~- (~.,~ ~ ~- 0/v~¢~L Will you use the "Book System" when checking age? YES NO Do you understand that the license you are applying for will ~xpire June 30th of each year, and that checks will be made by the Police Department, that records will be kept of complaints, and these 'record/s-ma~have a bearing on the Common Council renewing any future licenses~ NOf SIGNATURE Date This form MUST be filed with the City Clerk BEFORE the License Application will be presented to the Common Council for approval. NAME OF BUSINESS (/:~i.~,OQCgc~'r}, }r~)e~cx~.g¢'~ U~ ~ ~~ BUSINESS ADDRESs ~O' ~ ~ ~ ~ ~N APPLICANT/AGENT NAM 0~ ~- Q~ APPLICANT/AGENT HOME ADDRESS ~ ~, ~ ~~, (~ ~%~ APPLICANT/AGENT HOME PHON~~ BUSINESS PHONE NUMB~)~/~g You are applying for this license as an INfl)J-V~UAL _ ~ AGENT FOR A CORPORATION ( AGENT FOR LIMITED LIABILITY COM_P. ANY~ ~DATE arid NAME OF INDIVIDUAL that interviewed you at the OSHKOSH POLICE DEPARTMENT What type of establishment do you intend to operate? FAMILY TYPE BAR TEEN BAR COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT OTHER-~/7~ ~ Do you understand the State Statutes and/~'~ 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?~S~ NO What experience do you, have in the operation of this type of establishment? Will you have any type of live entertaiment? 'YES N~ If so, what type of entertainment? 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 A-'//~z What form of I.D. or process will you use to check for minors (underage of 21 years) entering your establishment?~3t~o.~ ~% .v.Oi) ~L Co ~ 'O.- tOO ~8/_.g--;, Will you use the "Book System" when checking age? YES Do you understand that the license you are applying for will expire June 30th of each year, and that checks will be made b _. , ~ mt records will be kept of complaints, and these ncil renewing any future licenses? NO Date NOTE: RETURN .TO CI'~ CLERK WITH LICENSE APPLICATION AND ATTACH MAP REQUEST FOR SPECIAL |" LICENSE NAME OF LOCATION OF DATE(S) OF EVE~ DESCRIBE AREA CONSUMED W CE AND DATE SUBMITTED: RE: ~B:OFFICEFORMS\SPECB,FRM .