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AGEhIT CHAMGE
COMBINATIOM " LASS 6" LICENSES
( .7ULY 1 , 1491 thru JUNE 30, 1992 )
NAME AMD ADDRESS- L.�CATION OF F�'EMISES=
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COMBINATION "CLASS A" LICENSE
� JULY 1 , 1991 thru JUNE 30, 1992)
MAME AND ADDRESS = L�CATIUhI OF PREMISES=
:.:i t.:F�1 U I..._f:' 'I-I f�i f5:I"I F�I(:`Y ( `.:;r.:I-i i.� t�r 1='I-��::t��ri i L:�r_;t,� 1 , , , . , e'.1 0 N . I�l�-i i rt �i I::r E��c:�;�t
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CLASS "B" FERMEMTED MALT LICEN5E
( JULY 1 , 1991 thr�� JUNE 34, 1942)
NAME AND ADD�ESS = LOCATIUM �F PFtEMISES =
Rt1i-:I�:Y F,CICOC: i�i f'w�iw �:�1 YI..E: r':i: ��'F-� t �J�=� ! lE:�u
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CLASS "Ap FERMEMTED MALT LICEMSES
(.7ULY 1 , 1991 thru JUNE 30, 1992�
MAME AND ADDRESS= LOCATION UF F'REMISES=
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— 38 —
r1 r��tif ;, , t �;;<e:i. 91—222 r� :r: �:>[�i.. ,._�_�..:r ra i�i
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�,— _
— 39 —
' Res 91-222
This form MUST be filed with tt�e City Clerk BEFORE the License �pplication
will be presented to the Common Council for approval .
APPLICATION QU�STIONNAIRE FOR CITY OF OSE3ROSH LIQUOR LIC�NSE
NAME OF BUSINESS _ C�/S�C. �S�( ��i ,]Lv ,� d �cnr u-e��c�u r� �w�"
Y�'
BUSINESS ADDRESS � ,IC��/ 7`/C �u ,',ti, S'f �,�'��� ,�
APPLICANTS NAME ,�c. �.,.,�,� � ,�_�S S U �
APPLICANTS HOME ADDRESS �.� S /�1 Y�i� f"f �-d-� �5�,�. c�S �`-
APPLICANTS HOME PHONE _ _ �� C `�' �3�Z BUSINESS PHONE NUMBER �3�SacU
You are applying for this license as an ID]DIVIDUAL PARTNERSHIP or
AGENT FOR A CORPORATI�
**DATE and NAME OF INDIVIDUAL that ' nterviewe ou � the OSF3KOSF1 POLICE
DEPARTMENT ,� --2 b'— �/ �'� � �,�
What type of establishment do you intend to operate? FAP4ILY TYPE BAR
TEEN BAR COCKTAZL LOUNGE COCKTAIL LOUNGE/RESZ'I�URAN�P
OTHER ���Q�
Do you understand the State Statutes and City Ordinances concerning the Laws
and Regulations in �he operation oL- this establishment? YES ) NO
(�_.�
Do you understan re must be a licensed bartender or yourself on duty at
all times? ES / NO
What experien�e do you have in the operation of this . type of establishment?
,
�G � S
Will you have any type of live enter aiment? YES/ NO If so, what
type of entertainment? �� N o ���s, L ��=�"^`
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 will you use to check for rninors (underage of
21 years) entering your establishment? l��, �v-c2 �.s � e�
� ���
Will you use the "Sook System" when checking aye? YES NO
Do you understand that the license you are applying for will expire June 30th
of each year, and that checks will be mac�e by the Police Department , that
records will be kept of complaints , and these recor ��ia Yiave a beariny oii
the Common Council renewing any future licens.es? YE.S� ;� NO j
p � � � � dC� _ �; / /
C� _��_ `�--' �_Z.��
� APPLICANTS SIGtVATU� Date
51991 �
- 39a -
�:fTY CLERI<"S C?�rt�:�.�
� Res 91-222 .
This form MUST be filed with ttle City Clerk nEFORE the License Application
will be presented to the Common Council for approval .
APPLICATION QUESTIONNAIRE FOR CITY OF OSHROSH LIQOOR LICENSE
NAi�IE OF BUSINESS �_� � �� � f L�n.,��<. c�IC�C-�
_ n c tC�fi•S�S _l_.nC . D� ,v �.C[.un.5'� n
BUSINESS ADDRESS �5��-, � S� , � -�-� _,_ �.-.. __T____
� � -�- t7�_
APPLICANTS NAME ��.� � L, ��.�,��/ _+ _____ __
APPLICANTS HOME ADDRESS � �� ��Trr�c � APR 2 61991 '
� -- —
APPLICANTS HOME PHONE o��-'U ��1 J BUSINESS P�IO�I�r��IG1�`R, � t-I` `�
_ ._:.�._____�_�. -FPCc
You are applying for this license as an ID]DIVIDUAL PARTNERS�1 or
AGENT FOR A CORPORATION
—__
**DATE and NAME OF NDIV DUAL at ' nterviewed you at the OSF3KOSH POLICE
DEPARTMENT - _ �.__���, —
What type of establishment do you intend to operate? FAP�ILY TYPE BAR
TEEN BA� COCKTAI� LOUNGE COCKTAIL LOUNGE/RESTI�URANT
OTHER � ��i cr u�u�� ��Yy__
Do you understand the State Statutes and City Ordinances concerning the Laws
and Regulations in the operation o£ this establishment? YES NO
Do you understand here must be a licensed bartender or yoursel.f on duty at
all times? YES NO
What experience do you have in the operation of this type of establishment?
11�l1t1� --- ---- --------
Will you have any type of live entertaiment? YES NO 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? ES NO
What form of I .D. or process will you use to check for minors (underage of
21 years) entering your establishment? 'i s� , "�������,��___ ___
Will you use the "Book System" when checking aye? YES� 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 the Police Department , that
records will be kept of complaints , and these records have a bearing on
the Common Council renewing any future licenses? YES NO
"s-
---------�--°�-�
APPLI TS SIGNATUF�E Date
- 39b -
- REs 91-222
This form MUST be filed with the City Clerk BEFORE the License Application
will be presented to the Common Council for approval .
APPLICATION QUESTIONNA E FOR CITY OF OSHROSH LIQUOR LICENSE
NAi+IE OF BUSINESS �''�� �`-�
BUSINESS ADDRESS �(/ • r�� ' v �
� � A�
APPLICANTS NAME C�/ t ' /�"� �rt '2 6 199I �
APPLICANTS HOME ADDRESS / "� � � C��C
' �
// / f/ F�(�r
APPLICANTS HOME PHONE 7�(��''7`� 7G� BUSINESS PHONE NUMBER ,-- ' _ �/ �� /
You are applying for this license as an INDIVIDUAL PARTNERSHIP or
AGENT F�R A CORPORATION
**DATE and NAME OF INDIVIDUAL that interv ' wed o at OS KOSH POLICE
EPARTMENT 26 r- — �
What type of establishment do you intend to operate? FAMILY TYPE BAR
TEEN BAR � �OCKTAIL LOUNGE COCKTAIL LOUNGE/F.ESTAURANT
OTHER �/,�`7`G1 � �!i'cs
Do you understand the State Statutes and City Ordinances concerning the Law�
and Regulations in the operation of this establishment? YE NO
Do you understand ere 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 of establishment?
�r ��1�7 s�_
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? ____
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 f�r minors (underage of
21 years) entering your establishment� G,,l%S�6�/.S/ti ��/<��� Ci�'�i��
Will you use the "Book System" when checking age? YES 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 the Police Department, that
records will be kept of complaints, and these records ay have a bearing on
the Common Council renewing any future lic s�s? Y � NO
�• i� �
- =�`�� L.----- -__���
APPLICANTS SIGNATUKE Date
- 39c -
� REs 91-222
This form MUST be filed with the City Clerk BEFOR� the License Application
will be presented to the Common Council for approval .
APPLICATION QUESTIONNAIRE FOR CITY OF OSHROSH �
NAME OF BUSINESS _ ct(, Kc�roc� 's ��` ST, (,e �-ZZ� D
svszNESS ADDRESS �SO ��s�,�,s,� 5 �R I 91991
T' �S��DS�--- —
APPLICANTS NAME __ . C�.QlS K. (...)/��So�, __. ; rIT`r' CLERK'_ S_fl����
APPLICANTS HOME ADDRESS �ad5 rrl��',?t7C �,,� . US�.KoS�
APPLICANTS HOME PHONE �3 - S7�� BUSINESS PHONE NUMBER oZ33 -,�`�/a
y this license as an ID)DIVIDUAL PARTNERSHIP or
AGENT FOR A CORPORATIO
**DATE and NAME OF INDIVIDUAL that i erview d o at t e OSF�KOSH POLICE
DEPARTMENT � y � yr/,G�/L.�'1✓��' �
What type of establishment do you intend to operate? FAP�ILY TYPE BAR
TEEN BAR COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT
HER 2a il����� _
Do you understand the State Statutes and City Ordinances concerning the Laws
and Regulations in the operation of this establishment? ES NO
Do you understa 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 of establishment?
/.��25 0� w��--�seti�:�- Q,�� /.2 v�.cs vC �:r�-�c�_� ��o� �.�„�� w�u at- L��_�,�_ Q a...�. .
--� --� m`"`..+-= __ _._�is�,c�l...( �
Will you have any type of live entertaiment? YES NO If so, what
type of entertainment?
Will you have live music and/or an amplified music system? �t�
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 for minors (underage of
21 years) entering your establishment? ,��� L Ds �.�� Q,a�c.� w�s. rt, ue �Q,,,+es
/ �e�. �_ �--
Will you use the "Book System" when checking aye? YES 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 the Police Department, that
records will be kept of complaints, and these records ay t�ave a bearing on
the Common Council renewing any future licenses? � NO
--_��--��-_-- -y�� -��
APPLICANTS SIGNATURE Dai:e
- 39d -
' 9/85 RESOLUTION # g�-222
THIS FORM (�'�1ST BE FILED WITH THE CIIY CLERK BEFORE 1HE LICENSE APPLICATION WIIl BE PRESENiID TO THE CCP�N
COUNCIL FO�PROVAL.
APPLICATION QUESTIONNAIRE FOR CITY OF OSHKOSH LIQUOR LICENSE
NAME OF BUSINESS: __ �o j,"�)o,� �����,�S,��f.�
BUSINESS ADDRESS: �(1 � N. ��j� . o � �i Kas�
T'
APPLICANTS NAME: �; C yjQ�.k � ���'-�-,,�����
HOME ADDRESS: �,�j� — G�j�� Q��'� HOME PHONE: ���-- /�P 7
T
ARE YOU,/�APPLYING FOR THIS LICENSE AS AN INDIVIDUAL, PAKTNER OR AGENT FOR A COPORATION?
H-�C�t�—
**DATE OF YOUR INTERVIEW WITH THE OSHKOSH POLICE DEPARTMENT: ����'�
**NAME OF OFFICIAL YOU INTERVIEWED WITH: �.� �������
DO YOD UNDERSTAND THE STATE STATUTES AND CITY ORDINANCES CONCERNING THE LAW; AND REG-
ULATIONS IN THE OPERATION OF THIS ESTABLISNMENT? �e�
DO YOD UNDERSTAND THERE MUST BE A LICENSED BARTENDER OR YOURSELF ON DUTY AT ALL TIMES?
1125
t
WHAT EXPERIENCE DO YOU HAVE IN THE OPERATION OF THIS TYPE OF ESTABLISHMENT?
WHAT TYPE OF ESTABLISHMENT DO YOU INTEND TO OPERATE? (FAMILY TYPE BAR; TEEN BAR; COCKTAIL
LOUNGE; COCKTAIL LOUNf�/RESTAURA�If; ETC.)
WILL YOU HAUE ANY TYPE OF LIVE ENTERTAINMENT? f��'
IF S0, 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? No �v,usy�
WHAT WILL BE YOUR PROCESS TO CHECK FOR MINORS (U(�ERAGE OF �1 YFJaRS) ENTERING YOUR ESTAB-
LISHMENT? n {�; v�,t� �;row�Q vr w;$,<<•.,,,q,k,�, X'O
WILL YOD USE THE "BOOK SYSTcM" WHEN CHECKING AGE? �1/�j
WHAT FORM OF I.D. WILL YOU REQUIRE WHEN CHECKING AGE? (�r;v�r�, (���,�rvs e
DO YOD UI�IDERSTA(� THAT 11-{E LICEI�lSE YOU ARE APPLYING FOR WILL D(PIRE ON JUNE 301H OF F�CI-I YEAR, AND THAT CHECKS
WILL BE MADE BY THE POLICE DEPARTNENf: THAT RECORDS WILL BE Kf-PT OF CCNPIAINTS, A1� 1}iESE RECORD.S MAY HAVE A
BEARING ON THE CCM`�qN COUNCIL RQVEWING ANY FUTURE LICENSES? y e�
DATE: '�'^����� .R��
igna ure o pp ican
p f� � � � V ;�' i_:;�
�r � ''
APR 2 61991 � `;
- 39e -
,�1TY CLERK'S aFFtCE
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