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NEW APFLICANTS
COMgINATION "CLASS g" LICEMSES
[EXPIRES= JUNE 30, 1991j
NAME AMD ADDRESS= LOCATIOM OF FREMISES=
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— 37 —
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Res 91-221
This form MUST be filed with the City Clerk IIEFOR� the License Application
will be presented to tY�e Common Council for approval .
APPLICATION QUESTIONNAIRE FOR CITY OF OSHROSH LIQUOR LICENSE
NAI�IE OF BUSINESS _, ��G � D`y /S
/ �/ �
BUSINESS ADDRESS l � �3 � ��,y p� �/S/� �S �/�___�_
� � �
APPLICANTS NAME _ ����D�D� �^ �^� ��—'�� +_
C/ e
APPLICANTS HOME ADDRESS ��T �7 �i��D�'�_ 6�.5��������.�–
APPLICANTS HOME PHONE ��,�--SU y BUSINESS PHONE iJUMBEI�J�_S^=?�
You are applying for this license as an IDIDIVIDUAL PARTNERSHIP or
AGENT FOR A CORPORATION
**DATE and NAME OF IND VI UAL that inte iewe you t the SfiKOSH POLICE
DEPARTM�NT �'– �- � �_����Q� Gf� -
What type of esta shme�t doyouu intend to operate? FAP9ILY TYPE BAR
TEEN BAR COCKTAIL LOUNG-E'1� COCKTAIL LOUNGE/RESTAURANT
OTHER �
Do you understand the State Statutes and City Ordinances conc ng the Laws
and Regulations in the operation of this establishment? YES NO•
Do you understa 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?
� ,� .� J�.Q� -1-�'r---���°---�,�'�=-- - ------
Will you have any type of live entertaiment? YES NO If so, what
type of entertainment?___ __ ___ _,_
Will you have live music and/or an�mpl f eii d music system? _____
Will the music be kept a� a level acceptable to the neighborhood? YES NO
What form of I .D. or process will you use to c ck for minor (under e of
21 years) entering your establishment? ���_____G���"___1��--�_���._
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 maae by the Police Department , that
records will be kept ot complaints , and these record have a bearing on
the Common Council rene�ving any future licenses? YES' NO
O � � L5 � d �s� =�__z��1� Q2 ��-7L!�-�'J�� _
L
APPLICAr�TS SIGNAZ'UKE Date
,
APR 2 41991
� - 37a -
��ITY CLERK'S QFF�C�c
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