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SEPTEMBER 13, 2005
05-280
RESOLUTION
(CARRIED 6-0
LOST
LAID OVER
WITHDRAWN
PURPOSE:
APPROVE MISCELLANEOUS CITY LICENSES
INITIATED BY:
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" LICENSES
(SEPTEMBER 13,2005 thru JUNE 30,2006)
NAME AND ADDRESS:
LOCATION OF PREMISES:
RED ROBIN OF OSHKOSH (Dane County Robins, Inc.) ....................600 S. Koeller Street
Agent: Timothy Gotzien, 6594 S. Oak Lane, Windsor
WISCONSIN FARMS (KIN, LLC) ..................................................2450 S. Washburn Street
Agent: Andrew Dumke, 2030 Menominee Drive
AGENT CHANGE
COMBINATION "CLASS B"
(SEPTEMBER 13,2005 thru JUNE 30,2006)
NAME AND ADDRESS:
LOCATION OF PREMISES:
HILTON GARDEN INN (Beechwood Plaza Hotels of Oshkosh) ...........1355 W 20th Avenue
Agent: Catherine A. Doran, 1516 E. Pershing Street, Appleton
AGENT CHANGE
COMBINATION "CLASS A"
(SEPTEMBER 13,2005 thru JUNE 30,2006)
NAME AND ADDRESS:
LOCATION OF PREMISES:
PICK 'N SAVE #5378 (Ultra Mart Foods, Inc.) ...................................1940 S. Koeller Street
Agent: Michael J. Erickson, 344 Polk Street, North Fond du Lac
SEPTEMBER 13, 2005
05-280
RESOLUTION
CONT'D
AGENT CHANGES
CLASS "B" FERMENTED MALT
(SEPTEMBER 13,2005 thru JUNE 30,2006)
NAME AND ADDRESS:
LOCATION OF PREMISES:
PIZZA HUT (PH Green Bay, LLC)..................................................... 1120 S. Koeller Street
Agent: Michael Rosenberg, 1244 Jackson Street
OPERATOR (BARTENDER) LICENSES
(EXPIRES: JUNE 30, 2007)
Boelke, Patti L., 100 Court Street, #910
Chronis, Kathryn H., 151 Dawes Street, #112
Czaja, Kevin J., 808A Central Street
Drexler, John M., 3820 Purple Crest Drive
Forcey, Jerome J., IV, 2073 Sandy Springs Court, DePere
Griese, Michael L., 802 A W 11 th Avenue
Gwinn, James E., Jr., 520 Mount Vernon Street
Hahn, Aaron W., 10624 E. Spring Valley Road, Newton
Hill, Davin R, 151 Dawes Street, #104
Holman, Peter R, 1120 E. Parkway Avenue #406
Holmes, Jill E., 1149 South Park Avenue, #A
Jackson, Amber M., 1412 Knapp Street
Kumar, Rakesh, 780 W. Packer Avenue, #D
Laabs, Michael L., 379 S. Westfield Street
Messing, Michael G., 748 W 9th Avenue
Miller, Melissa A, 534 W. South Park Avenue
Quandt, Garrett V., 734 Jackson Street
Quast, Maria J., 233 Adams Avenue, Omro
Rieger, Cassiopia R, 1719 Taft Avenue, #E1
Schuhart, Linda M., 2550 W 20th Avenue
Severinsen, Lori L., 317 Stanley Court, Neenah
Sheveland, Bethany N., 237 W 15th Avenue
Tadych, Chad E., 450 Sullivan Street, #3
Toros, Nicholas W., 227 N. Westhaven Drive, #X205
Ulrich, Jennifer R, 1319 Clayton Court, #101
Wolf, Thomas J., 1318 Cedar Street
Zarzana, Stephanie, 944 Hawk Street
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This form MUST be filed with the City Clerk BEFORE the License Application will be presented to
the Common Council for approval.
BUSINESS ADDRESS
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APPLICATION QUESTIONNAIRE FOR CITY OF OSHKOSH lO mp@
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APPLICANT/AGENT NAME
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APPLICANT/AGENT HOME ADDRESS
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APPLICANT/AGENT HOME PHONE '1'2ð.-4zo-01'10 BUSINESS PHONE NUMBER ...9'20"L~7-S-Ló ,
You are at' . se as an
,AGENT FOR A CORPORATION
INDIVIDUAL PARTNERSHIP or
AGENT FOR LIMITED LIABILITY COMPANY
DATE and NAME'OF INDIVIDUAL that interviewed you at the OSHKOSH POLICE DEPARTMENT
~%:Io"t()o, ~Ap"A~\"-o.. J2.+~\J/ VA-rJ IDES~
What type of establishment do you intend to operate? FAMILY TYPE BAR TEEN BAR
[COCKTAIL LOUNGE] COCKTAIL LOUNGE/RESTAURANT OTHER
Do you understand the State Statutes and City 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? \yES}
NO
What experience do you have in the operation of this type
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of
establishment?
Will you have any type of live entertaiment?
entertainment?
'YES
[Nõl
If so, what type of
Will you have live music and/or an amplified music system?
,
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Will the music be kept at a level acceptable to the neighborhood? ~.Qj
NO
What form of LD. or process will you use to check for minors (underage of 21 years} entering your
establishment? . ~J'~\~ ,~s.t>"-~ {}QtV) {¿\... ).\.tç:~~c:.. IT (J ,.t..A~,,-C)
Will you use the "Book System" when checking age?
YES
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Do you understand that the license you are applying for will expire June 30th of each year, and that
checks will be made by the Police Department, that records will be kept of complaints, and these
recor~ have a bearing on the Common Council renewing any future licenses?
~ NO
. .
This form MUST be filed with the City Clerk BEFORE the License Application will be presented to
the Common Council for approval.
APPLICATION QUEST10NNAIRE FOR CITY OF OSHKOSH LIQUOR LICENSE
NAME OF BUSINESS f1tk 1~ &-vt i:Þ 537f9
BUSINESS ADDRESS /9r¡t? peW S/.r-ed-. ¿J5ÆþK, to¡: t;:,/9c;>t/
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APPLICANT/AGENJ HOME ADDRESS 344 7?/k.*t!~¡'/ Iff ~9'~ A/.t1d¿¿'~. ú!lqc~b
APPLICANT/AGENT HOME PHONE 9~tJ-q'"t{-1'3~5 BUSINESS PHONE NUMBER C¡tM~$"3-93ðO
APPLICANT/AGENT NAME
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You are applying for this license as an
,AGENT FOR A CORPORATION
INDIVIDUAL PARTNERSHIP or
AGENT FOR LIMITED LIABILITY COMPANY
DATE and NAME-OF INDIVIDUAL that interviewed you at the OSHKOSH POLICE DEPARTMENT
C-');'@¡ I;J. ,,/ ú c ~ f:).)';"" A8-¡)..J)7 ?, Ut)..~ ~S S.
What type of establishment do you intend to operate? FAMILY TYPE BAR TEEN ~A"
COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT _OTHER ~~kff
Do you unde.rstand t~e State .Statutes an~ Ordinances concerning the Laws and Regulations
in the operation of thIs establishment? ~ NO '
Do you underst~nd there must be a licensed bartender or yourself on duty at all times? ~ NO
What experience do you have in the operation of this type of
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establishment?
Wifl you have any type of live entertaiment?
entertainment?
'YES
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If so, what type of
Will you have Jive music and/or an amplified music system?
Will the music be kept at a level acceptable to the neighborhood?
YES
NO
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What form of LD. or process will you use to check for minors (underage of 21 years) entering your
establishment? It ~d .A-ll'hW'/'(/ú:I~fs ~~~ ak""'lfrJur/,¡. [)l /9:JrfTc. TO I
/:::\ f? ~s. ~ R>Q'}
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 by the Police Department,' that records will be kept of complaints, and these
recor~have a bearing on the Common Council renewing any future licenses?
D NO
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APPU ANT/AGENT SIGNATURE