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NEW APPLICANTS
CDMBINATIOM "CLASS g" LICENSES
(EXPIRES= JUME 30, 1991j
NAME AND ADDRESS= LOCATIOM OF F�EMISES=
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CLA55 "B" FERMENTED MALT LICEMSE
(APRIL 15, 1991 thr�� OCTOBER 15, 1991 )
NAME AND ADDRESS= LOCATI�N OF PREMISES=
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�� ,
- 14 -
� -�°Y�� Res 91-156
This form MUST be filed with the City Clerk BEFORE t e..� icense Application
will be presented to the Common Council for approval � � � C� U V ,s.�_
�U� ,:.;
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APPLICATION QUESTIONNAIRE FOR CITY OF OSHROS QUDR LIC 5E �
� � ' M� 251991 � [J �
NAME OF BUSINESS ;
BUSINESS ADDRESS SiI�( ILl • N1�+ ] 1J �rT'}' (�(_� `"�"�"
---,__�._e�..�,�� _ --
APPLICANTS NAME �Sa.b�f2"� �• ��5�-��g��.C� ~ �^
APPLICANTS HOME ADDRESS �3Z-� tJUf�U�o c� �'���'�
APPLICANTS HOME PHONE 23�`��1� BUSINESS PHONE NUMBER
You=e_a-� or this license as an IrTDIVIDUAL PARTNERSHIP or
��NT FOR A CORPOR . i
—.—___
� **DATE and NAME OF INDIVIDUAL that ' nterviewed u� th�EIKOSH POLICE
DEPARTMENT ___.�•— ���Q� CC ,� � , '
What type of e �i�e�r ou intend to operate? FAP9ILY TYPE BAR
TEEN BAR ��-CQ.�.�TAIL LOUNGL COCKTAIL LOUNGE/RESTAURANT
OTHER
Do you understand the State Statutes and City Ordinances c rning the Laws
and Regulations in the operation of this establishment? YES NO
Do you und�rstand there must be a licensed bartender or yourself on duty at
all times? YE NO
What experience do ou have in the operation of this type of establishmeiit?
.g�42 V11fl�(��x-�C ��b�flrH t3Aaz �ccz. PA�v) JZtdrmqNr� ,' /�Isc kssi'�r S�v� N�c��,t�'h
+ ' P,�Nk�s t�y�� c'z��r.�5�r.
Will you have any type of live entertaiment? YES NO If so, what
type of entertainment?___,__�►ad - �Iu�s �- ht�s��L- _ _
Will you have live music and/or an amplified music system? �r�� ,__
Will the music be kept at a level acceptable to the neighborhood? YE NO
What form of I .D. or process will you use to check for minors (underage of
21 years) entering your establishment? $fl�-t���5 �v`�l � EX �'�-r�D
'�-o ��c.k. T,p. ��SO L} Cy llt'C�R- lx:i 1( �F A-f R.o�vT DC�2 , !Z UC.� �I S�N�� " lAl � S
`.�.��. �D r
Will you use the "Book System" when checking age? YES �N��
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 ' censes? YES NO
� _�:�C' _ � ���4 �5-- �'i�� 9 �
� AP LICAP�TS SI�NATURE Date
- 14a -
• � � Res 91-156
This form MUST be filed with the City Clerk BEFORE the License Application
will be presented to the Common Council for approval .
--...._.__...._r......� _
AI'PLICATION QUESTIONNAIRE FOR CITY OF OSHKOS �I�E��S�' �'i�
i�
NAi�IE OF BUSINESS __ � � � u, � C �����
�
BUSINESS ADDRESS _ 1 .-'—, I 'I C�, r- e ��, c> �,r� S� , ; �
A P P L I C A N T S NAME �� �7° � -� ;� ±-�:°��3� C�ERI<'S �?F F 6 G E
� �\—� ��t r r 2-� 1�. --
APPLICANTS HOME ADDRESS 1 �� � c� �-� r e �; �� �. `7 -
APPLICANTS HOME PHONE ���, -- I�I '1 ;�. BUSINESS PHONE NUMBER ,�� ',- --� �'} 1
You are applying for this license as an Ir1DIVIDUAL PARTNERSHIP or
AGENT FOR A CORPORATION
**DATE and NAME OF INDIVIDUAL that � tervi wed y u at the OSF�KOSFI POLICE
DEPARTMENT � �- L���% -
What type of establishment do you intend to operate? (FAMJ' ILY TYPE BAR �
TEEN BAR COCKTAIL LOUNGE COCKTAIL LOUNGE/RESTAURANT
OTHER _
Do you understand the State Statutes and City Ordinances conc ing the Laws
and Regulations in the operation of this establishment? Y� NO
Do you understand there must be a licensed bartender or yourself on duty at
all times? YE NO
What experience do you have in �he operation of this type of establishment?
�J F
L\Y`r\ \ L� �.l � L; `'_\ �_ 't1� ;� :'_ �T v o �y__� r�S' __._.__
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? � r ��_� _
t�.� `� �i c` r� --a Lx�r ;r�.
Will the music b.e 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? � ,��� . ��, �� ��� � �-- � i c• r r �� �
--�� , �- -� v � �\ — —
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 recor s—may have a bearing on
the Common Council renewing any future licenses? YES� NO,�,
, /- . --=-�' �
�/ �-:�_ %i-�L-��.' %�.,�—��1 C� (
APPLICAP�TS SIGNATURE Date
- 14b -
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