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NEW APFLICANTS
COMBINATION "CLASS B" LICENSES
( JULY l , 1991 thru JUNE 30, 1992�
hIAME AND ADDRESS = I.00ATION OF FREMISES =
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CLASS "B° FERMENTED I'1ALT LICEMSE
(JULY I , 1991 thru JUNE �U, 1992j
NAME AND ADDRESS = LOCATION OF FREMISES=
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�Y�E�Y� �' 9 i `��:� 91-223 �t E_��0 I...lJ��f T lJ I�i
i"i:;�°i t: '� r i i..�r:'i:l
C A S "fi" FERMENTED MALT LICENSE
(JULYt1 , 1991 thru JUME 30, 1992)
NAME AND ADDRESS= LOCATIDN UF RREMISES=
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' Y Res 91-223 �' '�� ��
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This form MUST be filed with tt�e City Clerk I3EFORE the License I�pplication
wi11 be presented to the Common Council for approval .
. � "� CP -�'���
APPLICATION QUESTIONN�IRE FOR CI�Y OF OS�IROSII LIQUOR LIC�NSE
NA1+IE OF BUSINESS � � '
BUSINESS ADDR�SS ��q��/''/�/ �� � D
— b �'...���
APPLICANTS NAME _ �/"_.( ��n ��C��1 ;Q APR ?f'j f �
APPLICANTS HOME ADDRESS ° ' � � , rj�}�C ,
. $ ���� �— –
��PPLICANTS HOME PH�NE �✓7(�- ,[(��(; BUSINESS PHONE NUMBER ;�. -
You are applying for this license as an IrIDIVIDUA� PARTNERSF3IP or
AGENT FOR A CORP�RATION
**DATE and NAME OF INDIVIDUAL tha inte view�eQ you t the OSHKOSH POLICE
DEPARTMENT L��'2 � –9� ---������`_'� � ��
What type of establishment do you intend to operate? AP�ILY TYPE B11
TEEN BAR COCKTAIL LOUNGE CUCKZ'AIL LOUNGE/RES'I'I�UR11N'i'
OTHER
Do you understand the State Statutes and City Ordiiiances concerning the Laws
and Regulations in the operation of this establishment? YE NO
Do you understand there must be a licensed bartender or yourself on duty at
all times? Y S NO
What experience do you have in the operation of this . type o£ nestablishment?
" ,��t c`t�o nt ..., :��
Will you have any type of live entertaiment? YES NO� If so, what
type of enter�ainment?
Will you have live music and/or an amplified music system. �
- - ' _ "' 1��, �-.
Will the music be kept at a level acceptable to the neighborhood? YES NO
What form of I .D . or process will you use to check £or niinors �underage of
21 years) entering your establishment? � �.� � L�2��.� . �.��rt��_.
11�[Kt4 ��ro p �
Will you use the "Book System" when checking age? YES NO
Do you understand that the license you are applying for will expire June 30tt�
of each year , and that checks will be made by the Police Department , that
records will be kep� of complaints , and these records may tiave a beariny on
the Common Council rene�ving any future licenses? YES NO
���������� ��U=1
APPLICRPJTS SIGNATURE Date
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