No preview available
HomeMy WebLinkAbout1999.0706.TCSMP.Packet 0. 11'�N 41 NOTICE OF SPECIAL SESSION 4? ill4.1 OF THE ci a� ° i� FOUNTAIN HILLS TOWN COUNCIL 'that is P Mayor Morgan Councilman Apps Councilwoman Wiggishoff Councilman Wyman Councilman Poma Vice Mayor Mower Councilwoman Hutcheson WHEN: TUESDAY, JULY 6, 1999 TIME: 3:00 P.M. WHERE: TOWN HALL CONFERENCE ROOM 16836 E. Palisades, Building C • CALL TO ORDER—Mayor Morgan ‘iw • ROLL CALL 1.) Consideration of the LIQUOR LICENSE APPLICATION submitted by Albert Poma for Casa Fiesta Grille located at 17149 Amhurst. The application is for a new Class #12 restaurant liquor license. 2.) Pursuant to Section 2-6-1.0 of the Town Code of the Town of Fountain Hills, consideration of PLACING REFERENDUM 99-R002 on the November 2nd ballot. 3.) RECONSIDERATION of the vote on the Town's APPLICATION TO "WAIVER OUT" of the Alternative Fuel Program mandates as required by the Arizona Department of Commerce Energy Office. 4.) RECONSIDERATION of the Town's APPLICATION TO "WAIVER OUT" of the Alternative Fuel Program mandates as required by the Arizona Department of Commerce Energy Office. 5.) ADJOURNMENT. DATED this 2nd day of July, 1999. 1 By: ejti..44‘,L Cassie B. Hansen,Town Clerk iilliw The Town of Fountain Hills endeavors to make all public meetings accessible to persons with disabilities. Please call 837-2003 (voice) or 1-800-367-8939 (TDD) 48 hours prior to the meeting to request a reasonable accommodation to participate in this meeting. J L Interoffice Memo To: HONORABLE MAYOR AND TOWN COUNCIL From: CASSIE HANSEN, TOWN CLERK Date: 07/02/99 Re: SPECIAL SESSION AGENDA FOR JULY 6, 1999 As you all know, a special session has been scheduled for Tuesday, July 6 at 3:00 p.m. in the Building C conference room. Originally scheduled for one item, two additional issues have been added. The meeting should still be relatively short. Items appearing on the agenda are as follows: AGENDA ITEM #1 — LIQUOR LICENSE APPLICATION FOR CASA FIESTA GRILLE Albert Poma has submitted a liquor license application for Casa Fiesta Grille, a new restaurant I. ' • A mhurst. The application is for a new Class #12 restaurant liquor license for the . • r t led to open in early August. The premise will have been posted for the ory4twe " •-riod prior to the Council meeting. To date, no written arguments for or against the applicatio ' ave been received at Town Hall. Marshal Gendler has performed a Aripa$kgrot.iod investigationnd is satisfied that all statutory requirements for the license have been ' e -ttacila emo from Steve). An application for a Town business license has been t o01 and is being processed. Staff recommends approval. 1 AGENDA *2 - REFERENDUM 99-R002 Op June 17, ]999 4Car n Huske and the Logical Land Use Committee filed referendum #99-R002. • he i tip process, 4 signature pages bearing 55 signatures were disqualified due to i tile ' Bator's affidavit. Three additional signatures on the remaining petition sheets were a ineligible due to lack of physical address. Using a program provided by the Secretary of State's Office, a statutory, five percent random sample was taken on the remaining 1,072 signatures. The random sample, consisting of 54 signatures, was transmitted to the County Recorder's Office for verification. The County Recorder's Office found that 7 signers were not qualified electors at the time of signing the petitions and therefore ineligible. The invalidated signatures resulted in a 12.9 percent failure rate leaving referendum petition #99-R002 with 934 valid signatures. Since the valid signatures are at least 105 percent of the minimum required, referendum #99-R002 qualifies to be placed on the ballot. A final receipt certifying that there are sufficient signatures to place the referendum on the ballot is being sent to the applicant today by certified mail. A copy of this receipt/certification is included in this packet. According to state statute, a referendum question is to be placed on the ballot at the next primary or general election. It does allow local jurisdictions to authorize, by ordinance, the call of a special election for the referendum question. Pursuant to Sections 2-6-1.C. and D. of the Town Code, the Page 1 of 2 Cassie Hansen Last printed 07/02/99 1:30 PM 07/02/99 J July 2, 1999 Town Council may, upon the affirmative vote of four members, vote to call a special election for a referendum. A copy of Section 2-6-1 is attached. Since the Town already has an item on the November ballot (the stadium district), the Council only needs to approve, by motion, the addition of referendum #99-R002 to the November 2, 1999 ballot. If the referendum is to be decided at a special election, the Council must act on the matter no less than 90 days and no more than 150 days from the date that the petition is certified for placement on the ballot. This deadline is August 4, one day prior to the Council's next regularly scheduled meeting. The second set of deadlines to contend with are those required by Maricopa County. Jurisdictions must notify the County by July 5 of their intent to hold an election on November 2. Staff has already made that notification. If the Council desires to place referendum #99-R002 on the November 2 ballot instead of the March 14 council primary ballot, a motion directing staff to take the appropriate steps to do so will be required at the July 6th meeting. AGENDA ITEM #3 — RECONSIDERATION OF THE VOTE ON THE WAIVER OUT APPLICATION At the July 1 meeting, the Council, on a 5-2 vote, denied the motion to waiver out of the alternative fuel program. The Town Manager notified me that one of the Council members on the prevailing side requested reconsideration of the item. This agenda item is strictly to reconsider the vote on the item, not the item itself. (Please see the enclosed excerpt from "Parliamentary Procedures At A Glance", Main Question (or Motion) To Reconsider.) If the Council votes affirmatively to reconsider the vote, the actual item will be addressed and considered in the next agenda item. If the Council wishes to reconsider the vote, an appropriate motion would be: "I move to reconsider the vote on the motion to approve the application to waiver out of the alternative fuel program mandates as required by the Arizona Department of Commerce Energy Office." AGENDA ITEM #4— RECONSIDERATION ON THE WAIVER OUT APPLICATION If the Council approves the reconsideration of the vote in agenda item #3, the application itself will again be discussed and acted upon. Please see the enclosed materials from Randy and Jim regarding this issue. If you have any questions, please do not hesitate to contact me. L 2 J vis) ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL CC. ('tn ct(-th. ,444. l cko. � 400 W Congress#150 600 W Washington 5th Floor '`� Phoenix AZ 85007-2934 '( r � Tucson AZ 85701-1352 (602) 542-5141 (520) 6ttoogivED APPLICATION FOR LIQUOR LICENSE J U N 1 5 1999 TYPE OR PRINT WITH BLACK INK r AINTAIN Hi L.-5 TOWN CLERK Notice: Effective Nov.1,1997,All Owners.Agents,Partners,Stockholders,Officers,or Managers actively involved in the day to day operations of the business must attend a Department approved liquor law training course or provide proof of attendance within the last five years. See page 5 of the Liquor Licensing requirements. Po a+ 1Dg1'c •/S•9 9 SECTION 1 This application is for a: SECTION 2 Type of ownership: I,1A44" - . S.99 Ciavoncam. 1 ❑INTERIM PERMIT Complete Section 5 ❑J.T.W.R.O.S. Complete Section 6 ®NEW LICENSE Complete Sections 2,3,4,13,14,15,16,17 ❑INDIVIDUAL Complete Section 6 ❑PERSON TRANSFER(Bars&Liquor Stores ONLY) ❑PARTNERSHIP Complete Section 6 Complete Sections 2,3,4,11,13,15,16,17 ❑CORPORATION Complete Section 7 . ❑LOCATION TRANSFER(Bars and Liquor Stores ONLY) ®LIMITED LIABILITY CO. Complet-Section 7 Complete Sections 2,3,4,12,13,15,16,17 ❑CLUB Complete Section 8 ❑PROBATE/WILL ASSIGNMENT/DIVORCE DECREE ❑GOVERNMENT Complete Section 10. Complete Sections 2,3,4,9,13,15,17(fee not required) ❑TRUST Complete Section 6 ❑GOVERNMENT Complete Sections 2,3,4,10,13,15,14 17 ❑OTHER Explain SECTION 3 Type of license and fees: LICENSE#: 1. Type of License: #12 2.Total fees attached: $ 4PPLICATION FEE AND INTERIM PERMIT FEES (IF APPLICABLE)ARE NOT REFUNDABLE. A service fee of$25.00 will be charged for all dishonored checks(A.R.S.44.6852) SECTION 4 Applicant:(All applicants must complete this section) Mr. 1. Applicant/Agent's Name:Ms. Poma Albert (Insert one name ONLY to appear on license) Last First Middle 2. Corp./Partnership/L.L.C.: Casa Fiesta, L.L.C. (Exactly as it appears on Articles of Inc.or Articles of Org.) 3. Business Name: Casa Fiesta Grille (Exactly as it appears on the exterior of premises) 4. Business Address: 17149 Amhurst Fountain Hills Maricopa 85268 (Do not use PO Box Number) City COUNTY Zip 5. Business Phone: ( 480 ) 837-5710 Residence Phone:( 480 ) 837-1086 6. Is the business located within the incorporated limits of the above city or town? ®YES ONO 7. Mailing Address: 17149 Amhurst Fountain Hills AZ 85268 City State Zip 8. Enter the amount paid for a 06,07,or 09 license: $ • (Price of License ONLY) DEPARTMENT USE ONLY , / Accepted by: 3 alaia; Date: (0 /iI q Gl Lic.# %r9(�7 'Y' `l/ b(/ Fees: )D u - 1C)LI $ `z/(— Application Interim Permit Agent Change Club F.Prints TOTAL PROCESSING APPLICATIONS TAKES APPROXIMATELY 90 DAYS,AND CIRCUMSTANCES OFTEN RESULT IN A LONGER WAITING PERIOD. YOU ARE CAUTIONED REGARDING PLANS FOR A GRAND OPENING,ETC.,BEFORE FINAL APPROVAL AND ISSUANCE OF THE LICENSE. LIC 0100 04/1999 *Disabled individuals requiring special accommodation,please call the Department. SECTION 5 Interim Permit: 1. If you intend to operate business while your application is pending you will need an Interim Permit pursuant to A.R.S.4-203.01. 2. There MUST be a valid license of the same type you are applying for currently issu d to the location. 3. Enter the license number currently at the location. 4. Is the license currently in use?❑YES❑NO If no,how long has it bee i out of use? cs ATTACH THE LICENSE CURRENTLY ISSUED AT THE LOCATI I TO THIS APPLICATION. \ I, ` , • dare that I am the CURRENT LICENSEE of the stated license and (Print full name) \ location. I have read this application\and the contents and all stateme. are true,correct and complete. 1 State of County of X \. The foregoing instrument was acknowledged before me this (Signature) \ \� day of , Day of Month Month Year My commission expires on: \\ r\ (Signature of NOTARY PUBLIC) SECTION 6 Individual or Partnership ` ners: EACH PERSON LISTED MUST SUBMIT A COM LETED ORM "LIC0101", AN "APPLICANT" TYPE FINGERPRINT CARD, AND $24 FEE FOR EACI CARD. 1. Individual: \` "tii) Last First / Middle \.%Owned Residence Address City State Zip / r r % / \ Partnership Name:(Only the first partner listed will appear on license)\ General-Limited Last / First Middle %Owned ,\ Residence Address City State Zip ❑ ❑ / % \ ‘ / % \ . ❑ ❑ / % (ATTACH ADDTITONAL SHEET IF NECESSARY) 2. Is any person,other than the above,going to share in the profits/losses of the business? 0 YES 0 NO ....) SECTION 7 Corporation/Limited Liability Co.: EACH PERSON LISTED MUST SUBMIT A COMPLETED FORM "LIC0101", AN "APPLICANT" TYPE FINGERPRINT CARD, AND $24 FEE FOR EAC CARD. ❑ CORPORATION Complete questions 1,2,3,5,6, 7,8. ® L.L.C. Complete questions 1,2,4,5,6, 7 and attach copy of Articles of Org.and Operation Agreement. 1. Name of Corporation/L.L.C.: Casa Fiesta, L.L.C. (Exactly as it appears on Articles of Inc.or Articles of Org.) 2. Date Incorporated/Organized: 5/14/99 State where Incorporated/Organized: Arizona 3. AZ Corporation Commission File No.: L-0875610-2 Date authorized to do business in AZ: 5/14/99 4. AZ L.L.C.File No: L-0875610-2 Date authorized to do business in AZ: 5/14/99 5. Is CorpJL.L.C.non-profit? 0 YES NO If yes,give IRS tax exempt number: 6. List all directors/officers in Corporation/L.L.C.: Last First Middle Tide Residence Address City State Zip Poma Albert Member 16714 E. Gunsite Fountain Hills. AZ 85268 Sable Debra L. Member 16441 E. Tombstone Ftn. Hills, AZ 85268 (ATTACH ADDITIONAL SHEET IF NECESSARY) 7. List stockholders or controlling members owning 10%or more: Last First Middle %Owned Residence Address City State Zip oma Albert 50 16714 E. Gunsite Fountain Hills, AZ 85268 % Sable Debra L. 50 16441 E. Tombstone Ftn. Hills, Az 85268 % % (ATTACH ADDITIONAL SHEET IF NECESSARY) 8. If the corporation/L.L.C.is owned by another entity,attach an ownership,and director/officer/members disclosure for the parent entity. Attach additional sheets as necessary in order to disclose real people. SECTION 8 Club Applicants: EACH PERSON LISTED MUST SUBMIT A COMPLETED F M "LIC0101", AN "APPLIC NT" TYPE FINGERPRINT CARD, AND $24 FEE FOR EAC CARD. 1. Name of Club: Date Chartered: (Exactly as it appears on Club Charter) (Attach a copy of Club Charter) 2. Is club non-profit? ❑YES ❑NO If yes,give xempt number: 3. List officer and directors: Last First Ti Residence Address City State Zip L (ATTACH ADDITIONAL SHEET IF NECESSARY) 3 SECTION 9 Probate,Will Assignment or Divorce Decree of an existing Bar or Liquor Store: 1. Current licensee's Name: (Exactly as it appears on license) Last First Middle 2. Assignee's Name: Last First Middle 3. License Type: license Number. Date of Last Renewal: 4. ATTACH TO THIS APPLICATION A CERTIFIED COPY OF THE WILL, PROBATE DISTRIBUTION INSTRUMENT, OR DIVORtir DECREE THAT SPECIFICALLY DISTRIBUTES THE LIQUOR LICENSE TO THE ASSIGN)EE TO THIS APPLICATION. SECTION 10 Government: (for cities,towns,or counties only) 1. Person to administer this license: Last First Middle 2. Assignee's Name: \ 1 Last First Middle A SEPARATE LICENSE MUST BE OBTAINED FOR EACH PREMIS r OM WHICH SPIRITUOUS LIQUOR IS SERVED. SECTION 11 Person to Person Transfer: Questions to be completed by CURRENT LICENSEE(Bars an Liquor Stores ONLY). 1. Current Licensee's Name: \ Entity: (Exactly as it appears on license) Last First Middle (Indio,Agent,etc.) 2. Corporation/L.L.C.Name: (Exactly as it appears 'cense) 3. Current Business Name: (Exactly as it appears on li ) 4. Current Business Address: „.„,..) \` 5. license Type: license Num . \ Last Renewal Date: 6. Current Mailing Address(other than business): N. 7. Have all creditors,lien holders,interest hol ,etc.been notified of this sfer? 0 YES 0 NO 8. Does the applicant intend to operate the bdsiness while this application is pen ' g? 0 YES ❑NO If yes,complete section 5,attach fee,and current license to this application. 9. I herebyrelinquish myrights to the, Bove described license to the applicant n in this application and herebydeclare that the statements 4 � PP PP made in this section are true,coney and complete. I, jj ,declare that I am the CURRENT LI SEE of the stated license. I have read this (Print full name)7 application and the contents and all statements are true,correct and complete. State of County of X The foregoing instrument was acknowledged before me this (Signature of CURRENT LICENSFF) day of , . Day of Month Month Year My commission expires on: ......) (Signature of NOTARY PUBLIC) 4 SECTION 12 Location to Location Transfer: (Bars and Liquor Stores ONLY) APPLICANTS CANNOT OPERATE UNDER A LOCATION TRANSFER UNTIL IT IS APPROVED BY THE STATE. Lurrent Business Name and Address: (Exactly as it appears on license) 2. New Business Name and Address: (Do not use PO Box Number) 3. License Type: License Number: Last Renewal Date: 4. What date do you plan to move? What date`'do you plan to open? SECTION 13 Questions for all in-state applicants: 1. Distance to nearest school: 21 Mile ft. Name/Address of school: Fountain Hills High School (regardless of distance) 16100 E. Palisades; Ftn. Hills, AZ 852E 2. Distance to nearest church: 350 ft, Name/Address of church: The Fountains A United Methodist Church (regardless of distance) (Front door to Front Door) 17210 Amhurst Dr. ; Ftn. Hills, AZ Aiwm the: ❑LESSEE ❑SUBLESSEE L]OWNER ❑PURCHASER(of premises) 4. If the premises is leased give lessors name and address: Monthly rental/lease rate$ 5. What is the total business indebtedness of the applicant for this license/location? $ 500,000 Does any one creditor represent more than 10%of that sum? ,OYES I NO If yes,list below. Total must equal 100%. Last First Middle %Owed Residence Address City State Zip 2 ,'W IO6 / b y/ Q in hS'/01y4' ,12 fe- .&/y i3 (ATTACH ADDITIONAL SHEET IF NECESSARY) 6. What type of business will this license be used for?(BE SPECIFIC) Restaurant 7. Has a license,or a transfer license for the premises on this application been denied by the state within the past one(1)year? ❑YES ®NO If yes,attach explanation. 8. Does any spirituous liquor manufacturer,wholesaler,or employee,have any interest in your business? OYES]NO 9. Is the premises currently licensed with a liquor license? ❑YES ®NO If yes,give license number and licensee's name: # (Exactly as it appears on license) . 5 SECTION 14 Restaurant,or Hotel-Motel Applicants: 1. Is there a valid restaurant or hotel-motel license at the proposed location? 0 YES®NO If yes,give licensee's name: and license#: Last First Middle 2. If the answer to Question 1 is YES,you may qualify for an Interim Permit to operate while your application is pending;consult A.R.S.Section 4-203.01;and complete Section 5 of this application. 3. All restaurant applicants must complete a Restaurant Operation Plan(Form LIC0114)provided by the Department of Liquor. 4. Do you understand that 40% of your annual gross revenue must be from food sales? ®YES❑NO SECTION 15 Diagram of Premises: (Blueprints not accepted,diagram must be on this form) 1. Check ALL boxes that apply to your licensed premises: ® Entrances/Exits DI Liquor storage areas ❑ Drive-in windows La Patio enclosures ❑ Service windows ® Under construction:estimated completion date 8/1/99 2. Restaurants and Hotel/Motel applicants must explicitly depict kitchen equipment and dining facilities. 3. The diagram below is the only area where spirituous liquor is to be sold,served,consumed,dispensed,possessed,or stored. Give the square footage or outside dimensions of the licensed premises. DO NOT INCLUDE PARKING LOTS,LIVING QUARTERS,ETC. Pay 1 t'L J L I Qom.0 2 ,s re•e-A s octil \\''‘c ! f3 TA Li d2u02 .6 L E JE S ram— v i sh i I -p 0 r YOU MUST NOTIFY THE DEPARTMENT OF LIQUOR OF ANY CHANGES OF BOUNDARI ENTRANCES, EXITS, OR SERVICE WINDOWS MADE AFTER SUBMISSION OF THIS DIAGRAM. 6 SECTION 16 Geographical Data: A SAMPLE FOR THIS SECTION IS PROVIDED ON THE BACK OF THIS PAGE. Lbelow the exact names of all churches,schools,and spirituous liquor outlets within a one half mile radius of your proposed location. 1. Phil's Filling Station 2. Poma's Ristorante 4 NT 3. United Methodist Church 4. Alamo Saloon 5. First Baptist Church 6. Creative Child Care 7. 8. S Amhurst 9. A 10. a 11. Kings ree r 0 12. 13. 6 14. Indian Wells 5 ACH ADDITIONAL SHEET IF NECESSARY) A=Your business name and identify cross streets. SECTION 17 Signature Block: I, Albert Poma ,declare that: 1)I am the APPLICANT(Agent/Club Member/Partner),making this (Print name of APPLICANT/AGENT listed in Section 4 Question 1) application;2)I have read the application and the contents and all statements are true,correct and complete;3)that this application is not being made to defraud or injure any creditor,taxing authority,regulatory authority,or transferor,4)that no other person,firm,or corporation,except as indicated, has an interest in the spirituous liquor license for which these statements are made; and 5) that none of the owners, partners, members,officers,directors or stockholders listed have been convicted of a felony in the past five(5)years. ' / 1 State of ,�s"/"-�1 County of ,, `"f /�i�7 � a of ARA RI The foregoing instrument was acknowledged before me this ) +,�.• N07ARV.PUBLIc-ARIZO / ' /da f ( �.I•^`=�-• MARICOPAC9UN7N '' ,a My Comm.EVIres Feb.24,2000 Day of Month; Month Year My commission expires on: 1`� (Signature of NOTARY P LIC) L 7 GEOGRAPHICAL DATA In the area adjacent to the map provided below indicates your proposed location and the exact names of all churches, schools, and alcoholic beverage outlets within a 1/2 mile radius of your proposed location. (See example below) A = Applicant Series 12 01 Pink Elephants Series 06 02 Mama' s Rest. Series 12 03 Corner Liquors Series 09 04 Joe' s Groceries Series 10 05 Lions Club Series 14 06 Burgers R Us Series 07 07 Pizza Perfect Series 07 08 Billy Bobs Bar Series 06 1/2 Mi . 09 St . Anthonys Church Latrobe 10 St . Anthonys School 1 11 Burbank Middle School Lockwood A Mi. % Mi . 12 First United Baptist Church 13 . - . 1 14 9 8 10 15 A.R.S. Section 4-207 .A reads as follows : % Mi . A. No retailers license shall be issued for any premises which are. at the time the license application is received by the Director, within three hundred(300) horizontal feet of a church, within three hundred(300) horizontal feet of a public or private school building with kindergarten programs or any of grades one (1) through twelve (12) . or within three hundred (300) horizontal feet of a fenced recreational area adjacent to such school building. 8 ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL de, 1�yr 800 W Washington 5th Floor 400 W Congress#150 Phoenix AZ 85007-2934 Tucson AZ 85701-1352 (602) 542-5141 - O? (520) 628-6595 RESTAURANT OPERATION PLAN LICENSE# 1. List by Make,Model and Capacity of your: Grill One Unit - Garland #595-139 Oven Freezer True #675-003 72 cu. ft. Refrigerator Walk-in Polar-Pak #781-004 439 cu. ft. Sink 3 Compartment Sink - Advantage Tabco #685-043 Dish Washing -' Facilities ADS #AFL90 Food Preparation Counter(Dimensions) 12 x 4 Stainless Steel Other Fryer Frymaster #300-023 2. Print the name of your restaurant: Casa Fiesta Grille 3. Attach a copy of your menu (Breakfast, Lunch and Dinner including prices). 4. List the seating capacity for: a. Restaurant area of your premises [ 210 ] b. Bar area of your premises [ + 27 ] c. Total area of your premises [ 237 ] 5. What type of dinnerware and utensils are utilized within your restaurant? L] Reusable 0 Disposable 6. Does your restaurant have a bar area that is distinct and separate from the restaurant seating? (If yes,what. percentage of the public floor space does this area cover). 0. Yes- 5 % 0 No 7. What percentage of your public premises is used primarily for restaurant dining? (Does not include kitchen,bar, cocktail tables or game area.) 90 % *Disabled individuals requiring special accommodations,please call the Department. Lic0114 05/1999 8. Does your restaurant Contain any games or television? 0 Yes ® No (If yes,what types and how many?Pool tables,Video Games,Darts, etc.) 9. Do you have live entertainment or dancing? 0 Yes ® No (If yes, what type and how often?) 10. Use space below or attach a list of employee positions and their duties to fully staff your business. Manager Bartender Chef Cooks Hostess Wait Staff Bussers Dishwashers I, Albert P o m a ,hereby declare that I am the APPLICANT filing this application. I have (Print full name) read theis application and the contents and all statements true,correct and complete. Ca J State of -'%�Z/.J/Il� County of7.,1�1C �9 X it � The foregoing instrument was acknowledged before me this (Signature of APPLICANT) day of +7�/4l/C OFF1o1 SEAL If Day of Mc*th2 Month Year ) :1Sf1t1rf «.�►.. BARBARA RUSSO 1 My commission exp'rt. +�,r: 11 a ARY PUBLIC-ARIZ_ONA 9, 6J `` v My Comm.Eipires Feb.24,2000 ( (Signature o NOTARY PUBLIC) *go) ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL �yi',t'fi�✓`r • �,; 800 W Washington 5th Floor -.- ����� W Congress#150 Phoenix AZ 85007-2934 r �7� Tucson AZ 85701-1352 ti4 ri 1 (602) 542-5141 ; (520) 628-6595 HOTEL-MOTEL AND RESTAURANT LICENSES RECORDS REQUIRED FOR AUDIT OF SERIES#11 &#12 LICENSES MAKE A COPY OF THIS DOCUMENT AND KEEP IT WITH YOUR DLLC RECORDS In the event of an audit,you will be asked to provide to the department any documents necessary to determine compliance with A.R.S. 205.02.G. Such documents requested may include however, are not limited to: 1. All invoices and receipts for the purchase of food and spirituous liquor for the licensed premises. If you do not have all food or liquor invoices, please contact your vendors immediately and request copies of missing invoices. These must be available for pick-up at the time of the Audit Interview Appointment. If all food invoices are not available at that time,you may not be given credit for all food sales. 2. A list of all food and liquor vendors • 3. The restaurant menu used during the audit period 4. A price list for alcoholic beverages during the audit period 5. Mark-up figures on food and alcoholic products during the audit period 6. A recent, accurate inventory of food and liquor (taken within two weeks of the Audit - Interview Appointment) 7. Monthly Inventory Figures -beginning and ending figures for food and liquor 8. Chart of accounts (copy) 9. Financial Statements-Income Statements-Balance Sheets 10. General Ledger A. Sales Journals/Monthly Sales Schedules 1) Daily sales Reports (to include the name of each waitress/waiter, bartender, etc. with sales for that day) 2) Daily Cash Register Tapes-Journal Tapes and Z-tapes 3) Guest Checks 4) Coupons/Specials 5) Any other evidence to support income from food and liquor sales B. Cash Receipts/Disbursement Journals 1) Daily Bank Deposit Slips 2) Bank Statements and canceled checks 11. Tax Records A. Transaction Privilege Sales, Use and Severance Tax Return (copies) B. Income Tax Return- city, state and federal(copies) C. Any supporting books, records, schedules or documents used in preparation of tax returns - LIC1013 11/1998 12. Payroll Records A. Copies of all reports required by the State and Federal Government B. Employee Log (A.R.S.4-119) C. Employee time cards (actual document used to sign in and out each work day) D. Payroll records for all employees showing hours worked each week and hourly wages The sophistication of record keeping varies from establishment to establishment. Regardless of each licensee's accounting methods, the amount of gross revenue derived from the sale of food and liquor must be substantially documented. REVOCATION OF YOUR LIQUOR LICENSE MAY OCCUR IF YOU FAIL TO COMPLY WITH A.R.S. 210.A.7. AND A.R.S. 205.02.G. A.R.S. 210.A.7. The licensee fails to keep for two years and make available to the department upon reasonable request all invoices,records, bills or other papers and documents relating to the purchase, sale and delivery of spirituous liquors and, in the case of a restaurant or hotel-motel licensee, all invoices,records, bills or other papers and documents relating to the purchase, sale and delivery of food. A.R.S. 205.02.G. For the purpose of this section: 1. "Restaurant" means an establishment which derives at least forty percent (40%) of its gross revenue from the sale of food. '4) 2. "Gross revenue" means the revenue derived from all sales of food and spirituous liquor on the licensed premises, regardless of whether the sales of spirituous liquor are made under a restaurant license issued pursuant to this section or under any other license that has been issued for the premises pursuant to this article. I, (print Licensee/Agent's Name): Poma Albert Last First Middle have read and fully understand all aspects of this statement. ACKNOWLEDGED/l BEFORE ME X �`�%k� this /O'`Iday of t,/�� - , (Si ature of Licensee/A.ent Day of Month Month Year L14� OFFICIALSRAL l .`�►'r BARBARA RUSSO 1 -] .•� 1 NOTARY PUBLIC-ARIZONA (() ,�. Comm.Ex PA COUNT`( ) My mm.Expires Feb.24,2000 ((/ie , My commission Ex Day of Month Month Year (Signature of OTARY PUBLIC) MAKE A COPY OF THIS DOCUMENT AND KEEP IT WITH YOUR DLLC RECORDS v.) ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL 800 W Washington 5th Boor '-: '� 400 W Congress#150 Tucson AZ 85701-1352 Phoenix AZ 85007-2934 r` ' tilkir (602) 542-5141iv4 (520) 628-6595 QUESTIONNAIRE READ CAREFULLY,THIS INSTRUMENT IS A SWORN DOCUMENT An extensive investigation of your background will be conducted. False or incomplete answers could result in criminal prosecution and the denial or subsequent revocation of a license or permit. TO BE COMPLETED BY EACH OWNER, AGENT, PARTNER, STOCKHOLDER (10% OR MORE), MEMBER, OFFICER OR MANAGER. ALSO EACH PERSON COMPLETING THIS FORM MUST SUBMIT AN"APPLICANT'TYPE FINGERPRINT CARD WHICH MAY BE OBTAINED AT THE DEPT. FINGERPRINTING MUST BE DONE BY A BONA FIDE LAW ENFORCEMENT AGENCY. THE DEPARTMENT DOES NOT PROVIDE THIS SERVICE. There is a$24.00 processinafee for each fingerprint card submitted. A service fee of$25.00 will be charged for all dishonored checks(A.RS.44.6852) TYPE OR PRINT WITH BLACK INK 1. Check appropriate © Owner,Agent,Partner,Stockholder,Member or Officer 0 Manager(Only) box (Complete Questions 1-16&20) (Complete All Questions except#.10,10a&21) Licensee or Agent must complete#21 for Manager Licensee or Agent must complete#21 la. Name: Poma Albert Date of Birth: 5/1/53 Last First Middle ._. • 2. Name of Licensed Premises: Casa Fiesta Grille Premises Phone:(480 ) 837 _,5710 3. Licensed Premises Address: 17149 Amhurst Fountain Hills Maricopa 85268 Liquor License# Street Address (Do not use PO Box#) City County Zip (If this location is currently licensed) 4. Drivers License#: 376543839 State AZ Residence Phone: ( 480 ) 837 _ 1086 sleight: 5' 10" Weight: 205 Eyes: Brown Hair: Black Place of Birth: Italy City State 5. Name of Spouse: Poma Antonia M. Garmmtico Date of Birth: 12/13/54 Last First Middle Maiden 6. You are a bona fide resident of what state? Arizona If Arizona,date of residency: 5/1/8 6 7. If you have been a resident less than three(3)months,submit a copy of driver's license or voter registration card. 8. Indicate your employment or type of business during the past five(5)years,if unemployed part of the time,so state. List most recent 1st. FROM TO DESCRIBE POSITION EMPLOYER'S NAME OR NAME OF BUSINESS Month/Year Month/Year OR BUSINESS (Give street address,city,state&zip) CURRENT Poma's Ristorante 3/87 Owner/Restaurant 11056 N. Saguaro Fountain Hills, AZ 85268 (ATTACH ADDITIONAL SHEET IF NECESSARY) 2 9. Indicate your residence address for the last five(5)years: FROM TO RESIDENCE Month/Year Month/Year Street Address City State Tap 3/99 CURRENT 16714 E. Gunsite Dr. Ftn. Hills, AZ 85268 11/92 3/99 11219 Woodpecker Bay Ftn. Hills, AZ 85268 uC 0101 05/1999 Disabled individuals requiring special accommodations please call(602)542-9051 10. As an Owner,Agent,Partner,Stockholder,Member or Officer,will you be physically present and operating LA YES LJNO the licensed premises? If you answered YES,how many hrs/day?1 L ,answer#10a below. If NO,skip to#11. 10a.Have you attended a Department approved Liquor Law Training Course within the last 5 years? (Must provide proof) ®YES El NO If the answer to#10a is"NO",course must be completed before issuance of a new license or approval on an existing license. 11. Have you EVER been detained cited arrested,indicted or summoned into court for violation of ANY law or 0 YES I;i&O ordinance(regardless of the disposition even if dismissed or expunged)? For traffic violations,include only those that were alcohol and/or drug related 12. Have you EVER been convicted fined.posted bond,been ordered to deposit bail.imprisoned had sentence 0 YES ®NO suspended,placed on probation or parole for violation of ANY law or ordinance(regardless of the disposition even if dismissed or expunged)? For traffic violations,include only those that were alcohol and/or drug related 13. Are there ANY administrative law citations,compliance actions or consents,criminal arrests,indictments or 0 YES �l NO summonses PENDING against you or ANY entity in which you are now involved? 14. Have you or any entity in which you have held ownership,been an officer,member,director or manager EVER 0 YES I$1 NO had a business,professional or liquor APPLICATION OR LICENSE reiected_denied revoked suspended or fined in this or any other state? 15. Has anyone EVER filed suit or obtained.a judgment against you in a civil action,the subject of which 0 YES In NO involved fraud or misrepresentation of a business,professional or liquor license? 16. Are you NOW or have you EVER held ownership,been an officer,member,director or manager on any other ®YES 0 NO liquor license in this or any other state? If any answer to Questions 11 through 16 is "YES" YOU MUST attach a signed statement giving complete details. If you checked the Manager box on the front of this form,fill in#17-19 and 20,all others skip the following box(17-19)and go to#20 Manager Section 17. Have you attended a Department approved Liquor Law Training Course within the last 5 years? (Must provide proof) 0 YES ❑ NO If the answer to#17 is"NO"course must be completed BEFORE ISSUANCE of a new license OR APPROVAL on an existing license. 18. Do you make payments to the licensee? ❑YES El NO If"yes",how much?$ per month. Total debt to licensee$ 19. Is there a formal written contract or agreement between you and the licensee relating to the operation or management of this business? 44d) ❑YES ❑NO If"yes",attach a copy of such agreement 20. I, Albert P o m a ,hereby declare that I am the APPLICANT filing this questionnaire. (Print full name of Applicant) I have read this questionnaire and the contents and all statements are true,correct and complete. State of r --C '7'-"/"" County of X c_ �j✓ Q The foregoing instrument was acknowledged before me this OFFICIAL UAL y 1 4,44441 BARBARA RUSSO 1 (T3Hy Mool,, Year ;,�;;1'; NOTARY PUBLIC ARIZONA )) Mycommission expires on: f. ' MARICOPA COUNN i) /,.. P -,s+ My Carom.Expires Feb 24,2000 l(i lC�c`4 ' Da (Signature of NOTAT(Y PUBLIC) FILL IN THIS SECTION ONLY IF YOU ARE A LICENSEE OR AGENT APPROVING A MANAGER APPLICATION Licensee or Agent Anaroval of Manager 21. I,(Print Licensee/Agent's Name): Last Middle Fust Hereby authorize the applicant to act as manager for the named liquor license. State of County of The foregoing instrument was acknowledged before me this X day of , (Signature of LICENSEE/AGENT) Day of Month Moms Year My commission expires on: - Day nf Mnnth Mrnth Year MCignanee nf NCYFARY PT TRT TC'1 . . , . . . • • ' . . . ' .. . ...: I. , 1.•'• . ,—...-.....--..- ... ,Attl.'-•_;,--i3r,,,,..•' ?:er-Y..-":'4`4-.,Pc-'‘.44.:-.:.,•.*.--_. .-- 1 •'.•. g. .r t. . 0..... .... .• • AI •.,•-i..S**0:'' "./ 6. ( A1 ‘*?6 , - - - 14 . • rT . ; i , -No .r64i 8 683 808 • •• 1 . • ••• ' . ... • ,‘:.) . . .et - -7%7"4"P:',1<-14117ie ',.•-:I,.‘",_,41 . T ,...... ,: . • ///. (;). • . ... • . . :Y.,,..,-,•:• " , . . ••, -otinciriAa... , Vc",1:4 47.4 '- :.•..•-,--,---,-) • ,.- ••••••••i‘ArmereYe.tepri44,ewl,.4449,.i4/1;,:fk0/edvordrahin":-.2)ffkif;.4.W.4°___Mecy_li...1 19,53,.......,/,..te:r.._14.ala.-:- ,' " /bV.;#/tifir.d._Br.o.:(t..9.17-11—...,,14.4144, B1110k.-..-../iiYIX/_...$_ iteV........2._....:....../sm. ' - :''''' nA_Illt r-,---. . ----... . '‘ '" .* " ;(91•ifeii6.2:77.14:4#11W ' i ' : ' :710,11,/st,fAmgermr/ii.ow/iy....„.1te7- -...- ---7---._ y ,,,, ,,: .. •...:„..a.,,,,,e,.., ,,,, .4 -----6.0--,.;;Vpr:: e 'I; hwe.„-mme//4,14/kide.../krrOh ohile?rv/k7rhe.e's,a744,.,"411../ • .- , ,c, :1:*,:,,: , •. .**• ' . :'4.•;:.' :.;.4:::i...:. . • .,. • i:','''t* '2.1.: • , . ...7 t t:\i:it• A: --•.--., • 4 ....,---aelirt: ...:-.127-.34f- 7:771':4:e.- ,, ... -.-...- .........- ----- ..,•,;Y„ Z ••. (6;',/liyilrh"/M#Y,M.041./.0/0/////`(11,00,44,01•1 4.'•• • ••.?...•:,-4,',:'\*:.i.i.,,, EASTEILN DISTRICT Or MICIITGAN .1 i.s., . . ... . ,f, ,....r.:. ;„,, .,'', •-,, ,.......v J...:, •---- titrriiiiii.i DIVISION • , • '\.•,,...:IIY... • . , ,.. N.. --- - - 1. • . (..14reaverrod4r40.67,,/emtle7A-q-r,-::=ttrz :Pistriet-.........."-- Cel4t4 t ':• t.: :71•4....-•• ' " IA\ :: ',:•A'..*4 R .i:- -a...4 ..., - . P " The'United States • - --_--_-_-_-..._ - --._-----..___.= s:.. 171:1'• '.• ‘4 . ... • . :. Ao ;.----mexlear—ot.ric.' .7r-fa,A•.4/.•.-...........-----.---r_:••••:••.:......................... ........ ......... " ---rzy , i'' • • ' .. . :'. ' ". .„ 1., :!'..4-. ilk,: • iic . . ',', ib___D.acemher.:284-196.!, • • ''... .. '•Albert_Peen*.' .. . ..' ..• ,: ' .-'4 •- :'. r•::..;,.,' ,?)i'll':. . 1:.• MW4reidkiijentf--.11411211.:.• . ' reit, fra 7-141.1r . ,./de .. i >..,.: . . .• . . .-- -, , . . ..6.r..7 e 1 .. ' •• 4'....i'lleno9iortlieekArmtexs•ve at' aikl.Werleilifineradeorizaawi ,..-,- • ;Ia. . atlarer4okozYriago,/,./40`..r kejnYle ,e4e.a/Arnr0.4,-,449#0474 \ ''/- .P.2'hi 1 J.-• .'..I ..,,,‹ ..';:,qiItsi;17,777 • • —..-77 • '' ' \ 'C'....i4w/04..4764i0ontol4 naluemarethentZ att,avetever.iwile/4744 ,...,„‘..;i„ , ;.' •:, 1 . it•:',, /meime74144aMeemi4 .4**-*Iteg4t401W/10.42,,,t.14:24€74,714)anditi* '''... j . •.. .". ' .•rc.' /eilif< 1'''... .. * 1.); dolee4aitiodgim APlateletlY7d4,?(Arov,. >_..4 ' ...I '4,-. 1,...,o ..,.....L., *7,t:$‘ ., r, 1,...!;.* • 11;..1,4r • '. /, — " • ZO,A, ,r '' 'k••• ..'Str..':.::' ••., ti, ..• •.' ;1:. • :I Ari/tewitr ..;;p4.79 W../400,00%/4,affee4 ieft7441/11.0:1r4/1;?..-...261 ,;.ier•r:::..‘.•.• •• ...1 .: ! :• , ; .c. , A...:•.'1 , a: 4. ,•••• 4 :"•-**- .4 1....1... " ••• •• ''‘,. .4. .;' ...).• 4.,.• :. •,.. .:,.,ekieaf: DArapaisr,.... ; ,• " ' *( 1,4-94,1•Aps4, .. . ,(14.vois.r/ewpreiii.outors4 •- ..,..".••1 k..•1.)•:.• • ' • i.I l'ei'tee'''.VII 4'1: l• •'-i:•••• ••. ..1'•4 ,......:„..L...Taixt.T.Liiiris.L......17... .• • • • .414. '.;•'•'... • .....: S.. ••:...••• •!..!..let 1..7 tl:'... r. .... ,.....4! ' . .r4,;.,!r• , ' ,• . . 1, ...,.,..I ...„, '•,,•,'••..,:,- •7„;%:?....,, 4.,...„ . es:.1. •.:4.4.••4 •r"..,;..'.; •• •;%'• . - l• :.:•; • ' ' . ' b.: :r•,c,?.. :4:rtlivapts._,,A ...:,•,0,,,,•r.y,;;;J•.;•t. .:•.q.,,v... . . 1%•,;.,; ••, •:, •• •‘ '."•'' . •:' .. :. ... •.•..' .''— -•.',r. 1 ',:i... A1-1: ;*.,,,,,NV-:.%-.N. •..:IA,r ••• .1.•• • .. . ':4 " ••• i • . • •• • 4, • ., ... , , ...;41. •;,•,!..:;.......• .• :•,':44 ••••'•‘•.:• •• ';.; „I"'‘...:.:,' * i'•'•,'• •.,'.. ' . Cj ... .„ . , •, - ..4.0. ......14,0•••4 .09 *. •--•*-t.;•;,C.:.....:...."••,:i.i:. 'N.,' -e• '• ' .' ;•,. • '..71.:''.. •• • \\c............. ... - __....d.-4116.. .. '.. 6Z,J....;...i'....; .4., .„...z., . ..•#4;.'....:i,,,Allivi /,' fe , ' •:. .•:• . •• •e 1 • . •. .7.4.... ..N v.s..:!'.. Au): 4,40.ve4wRoopper,;(ff. . . ef.(101., . 62444,04f..........U.S.Distriat.---- atm! ... \_ .... ....I.:,,• . ," • '",14-,'4, : .:,ireasiii40 oxrdireake47,00,4e.,"1/4,t, infprOh.4 . ..:. .N„,.. c_;;,..,,I.. •.m. .m • • '' '8.% '' • • ' " " ' Aple.fyasi '•-•. 7- 1,orximeheiciii4v7er orr,WeVed.erferiet• ... ,• r . • . . . ..17 -...f• ,et,A....f...j. .. •.• •' • • is v., grX'''1, `--•,.. .e:,„ .. ;N: ;.. L.(4•4•_.4k, I:,..1Zt, '.i'...';:_. 'W..:;ik."--::'!..-.`:_:7,-t:ir)rYi', s 7 .. '-.".- , ' • "" I,, .TT ,-„.,.... ... . .,,-,-,,-•.:-•,110 %; .9ri w ...f.' \: -- ..--1.-,-- ,„,,:.'•'•-•-,, .. ',..';,...--:,..E7,:5--.,..40- • . . , e•••,*:(4.....:•• .....‘,.-. •...t. F f •; • ' • . , . ...,.: .. • • .• . • 1 .1:::,. , , • . . ?. .•. 1 I •••-F.:. • ROO '• ,.. •• • - - • • ••- ..' I, Albert Poma, have had liquor licenses issued for the following establishments: Poma's Ristorante 11056 Saguaro Blvd. Fountain Hills, AZ 85268 Poma's Ristorante 927 N. Gilbert Road Mesa, AZ 85213 a/4 A.7736.1-71, - r- Albert Poma L ARIZONA I)YYAK'1'MI:N l Ur LU UUK LICENSES & CONTROL 800 W Washington 5th Floor 400 W Congress#150 TI rT�; Tucson AZ 85701-1352 Phoenix AZ 85007-2934 ��; (602) 542-5141 !in ' (520) 628-6595 QUESTIONNAIRE READ CAREFULLY,THIS INSTRUMENT IS A SWORN DOCUMENT An extensive investigation of your background will be conducted. False or incomplete answers could result in criminal prosecution and the denial or subsequent revocation of a license or permit. TO BE COMPLETED BY EACH OWNER, AGENT, PARTNER, STOCKHOLDER (10% OR MORE), MEMBER, OFFICER OR MANAGER ALSO EACH PERSON COMPLETING THIS FORM MUST SUBMIT AN"APPLICANT'TYPE FINGERPRINT CARD WHICH MAY BE OBTAINED AT THE DEPT. FINGERPRINTING MUST BE DONE BY A BONA FIDE LAW ENFORCEMENT AGENCY. THE DEPARTMENT DOES NOT PROVIDE THIS SERVICE. There is a$24.00 processina_fee for each fingerprint card submitted. A service fee of$25.00 will be charged for all dishonored checks(A.R.S.44.6852) TYPE OR PRINT WITH BLACK INK 1. Check appropriate ® Owner,Agent,Partner,Stockholder,Member or Officer ❑ Manager(Only) box (Complete Questions 1-16&20) (Complete All Questions except#10,l0a&21) Licensee or Agent must complete#21 for Manager Licensee or Agent must complete#21 la. Name: Sable Debra L. Date of Birth: 2/28/51 -- Last First Middle 2. Name of Licensed Premises: Casa Fiesta Grille Premises Phone:(480 ) 837 _ 5.710 3. Licensed Premises Address: 17149 Amhurst Founain Hills Maricopa 85268 Liquor License# • Street Address (Do not use PO Box#) City County Zip (If this location is currently licensed), 4. Drivers License#: 370567379 State AZ Residence Phone:( 480 ) 837 _ 0726 Height: 5'8" Weight: 150 Eyes: Blue Hair: Brown Place of Birth: Toledo, Ohio City State 5. Name of Spouse: Date of Birth: Last Fust Middle Maiden 6. You are a bona fide resident of what state? Arizona If Arizona,date of residency: 11/9/88 7. If you have been a resident less than three(3)months,submit a copy of driver's license or voter registration card. 8. Indicate your employment or type of business during the past five(5)years,if unemployed part of the time,so state. List most recent 1st. FROM TO DESCRIBE POSITION EMPLOYER'S NAME OR NAME OF BUSINESS Month/Year Month/YearOR BUSINESS (Give street address,city,state&zip) CURRENT Blue Chip Development Co. , Inc. 10/89 Bookkeeper 16844 Ave. of Ftn.#1 Fountain Hills, AZ 85268 (ATTACH ADDITIONAL SHEET IF NECESSARY) 9. Indicate your residence address for the last five(5)years: FROM TO RESIDENCE Month/Year Month/Year Street Address City State Zip CURRENT 11/95 16441 E. Tombstone Ave. Ftn. Hills, Az 85268 2/89 11/95 12244 N. Gambel Dr. Ftn. Hills, AZ 85268 (rie LICO101 05/1999 Disabled individuals requiring special accommodations please call(602)542-9051 10. As an Owner,Agent,Partner,Stockholder,Member or Officer,will you be physically present and operating ❑YES [1NO the licensed premises? If you answered YES,how many hrs/day? ,answer#10a below. If NO,skip to#11. 10a.Have you attended a Department approved Liquor Law Training Course within the last 5 years? (Must provide proof) ❑YEs ❑NO If the answer to#10a is"NO",course must be completed before issuance of a new license or approval on an existing license. 11. Have you EVER been detained cited.arrested indicted or summoned into court for violation of ANY law or 0 YES ®NO ordinance(regardless of the disposition even if dismissed or expunged)? For traffic violations,include only those that were alcohol and/or drue related. 12. Have you EVER been convicted fined posted bond been ordered to deposit bail_imprisoned had sentence 0 YES 7 NO suspended,placed on probation or parole for violation of ANY law or ordinance(regardless of the disposition even if dismissed or expunged)? For traffic violations,include only those that were alcohol and/or drue related. 13. Are there ANY administrative law citations,compliance actions or consents,criminal arrests,indictments or 0 YES NO summonses PENDING against you or ANY entity in which you are now involved? 14. Have you or any entity in which you have held ownership,been an officer,member,director or manager EVER 0 YES ®NO had a business,professional or liquor APPLICATION OR LICENSE rejected,denied revoked suspended or fined in this or any other state? 15. Has anyone EVER filed suit or obtained a iudement against you in a civil action,the subject of which 0 YES It NO involved fraud or misrepresentation of a business,professional or liquor license? 16. Are you NOW or have you EVER held ownership,been an officer,member,director or manager on any other 0 YES ®NO liquor license in this or any other state? If any answer to Questions 11 through 16 is "YES" YOU MUST attach a signed statement giving complete details. If you checked the Manager box on the front of this form,fill in#17-19 and 20,all others skip the following box(17-19)and go to#20 Manager Section 17. Have you attended a Department approved Liquor Law Training Course within the last 5 years? (Must provide proof) ❑ YES ❑ NO If the answer to#17 is"NO"course must be completed BEFORE ISSUANCE of a new license OR APPROVAL on an existing license. 18. Do you make payments to the licensee? ❑YES ❑NO If"yes",how much?$ per month. Total debt to licensee$ 19. Is there a formal written contract or agreement between you and the licensee relating to the operation or management of this business? ❑YES ❑NO If"yes",attach a copy of such agreement 20. I, Debra L. Sable ,hereby declare that I am the APPLICANT filing this questionnaire. (Print full name of Applicant) I have read this questionnaire and the contents and all statements are true,correct and complete. / State of. 7,/21-2;"7 County of X CJ � _ �,-"• FICIAL ; The foregoing instrument was acknowledged before me this (� ti=;r°fApprycARA RUSSO �� "~�� NOTARY PUBLIC-VA day of ✓v�`� ,_� � } �.1�-_')•= MARICOPA COUNTY Day of-Month Month Year (? My Comm.Expires Feb.24,2000 My commission expires ., - - ( !- Day of Month Month Year (Signatde of NOTARY PUBLIC) FILL IN THIS SECTION ONLY IF YOU ARE A LICENSEE OR AGENT APPROVING A MANAGER APPLICATION Licensee or Agent Anproval of Manager 21. I,(Print Licensee/Agent's Name): Last Middle First .. Hereby authorize the applicant to act as manager for the named liquor license. State of County of The foregoing instrument was acknowledged before me this X day of , (Signature of LICENSEE/AGENT) Day of Mash Mash Year My commission expires on: T)av ofMrx,th Mrmth Year (cianat„re Nf1TARY PTTRT Tf'1 Town of Fountain Hills Memorandum TO: Cassie Hansen ,. FROM: Steve Gendler DATE: June 17, 1999 SUBJECT: Liquor License Application - Casa Fiesta Grille The purpose of this memorandum is to provide an endorsement of the attached Liquor License Application for the "Casa Fiesta Grille" to be located at 17149 Amherst. It is my understanding that the application is scheduled for consideration at a council session on July 6th. BACKGROUND INVESTIGATION: This application is for a new Class 12 liquor license under the specifications of ARS 4-205.02. A Class 12 license is for restaurant use only . The statutes require that 40% of the business establishment be devoted to serving food 41610 and that liquor sales be incidental to the food service. A site inspection during construction, as well as a review of plans, shows clearly that over 60% of the establishment is devoted to service of food. A Class 12 license is also exempt from restrictions relating to churches, schools and nearby liquor establishments. The site inspection did show two churches and a school within a one-half mile radius, but this would have no effect on the license application. The applicants, Mr. Al Poma and Debra Sable, are both Arizona residents under the provisions of ARS Title 28. I have verified that they have no outstanding wants or warrants. I have been informed that the applicants are in the process of securing a town business license for the proposed restaurant. Given a consistent record of compliance at an existing establishment owned by the applicant, I do not anticipate any problems. RECOMMENDATION Based on compliance with Title 4 relating to the Class 12 liquor license, the fact that the applicants are Arizona residents with no wants or warrants, and the fact that they are in the process of securing a business license for new the facility, I recommend approval by the council at the July 6th Council session. j F-' i ° Town of FOUNTAIN HILLS a Fsr.1969 •9'Ithat is 0ti9 0 TOWN OF FOUNTAIN HILLS REFERENDUM PETITION FINAL RECEIPT TO: KAREN HUSKE,LOGICAL LAND USE COMMITTEE FROM: CASSIE B. HANSEN,TOWN CLERK RE: REFERENDUM PETITION, SERIAL NUMBER 99-R002 DATE: 7/2/99 I, Cassie B. Hansen, Town Clerk of the Town of Fountain Hills, Arizona, pursuant to A.R.S. 19-121.04., do hereby certify that 4 signature pages bearing 55 signatures for referendum petition serial number 99-R002 have been refused for filing in this office because the person circulating them was not a qualified elector at the time of circulating the petition or was a county recorder or justice of the peace at the time of circulating the petition or due to defects in the circulator's affidavit. A total of 3 signatures included on the remaining petition sheets were found to be ineligible. Of the total random sample of 54 signatures, a total of 7 signatures were invalidated by the county recorders resulting in a failure rate of 12.9 per cent. The actual number of remaining signatures for such referendum petition number 99-R002 are equal to or in excess of the minimum required by the constitution to place a measure on the ballot pursuant to Section 2-6-1 of the Town Code of the Town of Fountain Hills. The number of valid signatures filed with this petition, based on the random sample, appears to be at least one hundred five per cent of the minimum required or through examination of each signature has been certified to be greater than the minimum required by the constitution. Date: 7- (2; - 9 Cassie B. Hansen,Town Clerk L 16836 East Palisades Boulevard - P.O. Box 17958 - Fountain Hills, Arizona 85269 - 1602) 837-2003 - FAX: (602) 837-3145 J MAYOR AND COUNCIL Section 2-5-6 Signatures Required Every ordinance passed by the council shall, before it becomes effective, be signed by the mayor and attested by the clerk. Section 2-5-7 Publishing Required Only such ordinances, orders,resolutions, motions, regulations or proceedings of the council shall be published as may be required by state statutes or expressly ordered by the council. Ordinances shall be published once each week for two consecutive weeks in a weekly newspaper or four consecutive times in a daily newspaper of general circulation. Section 2-5-8 Posting Required Every ordinance imposing any penalty, fine, forfeiture or other punishment shall, after passage, be posted by the clerk in three or more public places within the town and an affidavit of the person who posted the ordinance shall be filed in the office of the clerk as proof of posting. ARTICLE 2-6 INITIATIVE AND REFERENDUM 4119 2-6-1 Power Reserved; Time of Election 2-6-2 Number of Signatures 2-6-3 Time of Filing 2-6-4 Sample Ballots and Publicity Pamphlets Section 2-6-1 Power Reserved; Time of Election A. There is reserved to the qualified electors of the town the power of initiative and the referendum as prescribed by the state constitution,Arizona Revised Statutes and this code. B. Any proper initiative matter shall be voted on by all qualified electors at the next ensuing town primary or general election pursuant to subsection A of Section 2-6-3. C. That upon presentation of a certificate to the council by the town clerk that all steps required by the constitution and the state statutes concerning referendum have been complied with, the council may call a special election on the matter referred no less than ninety days and no more than one hundred fifty days from the presentation of the certificate by the clerk; provided that within that period of time there is no regularly scheduled town primary or general election for which the referendum matters would otherwise qualify. D. The call of a special election for referendum matters shall be valid only upon the affirmative vote of four members of the council voting on said request and call. Should the required Lpy number of votes to call the special election not be obtained then the referendum matter shall appear on the ballot at the next regular town primary or general election. 14.1 Rev. 1/95 J rl - orl r-1 ii ° my / = = O ' A y* vF • " E al4-)O .0 p ' O O ad O .[ aS Tj o 4.) u cb Cd A ^' ° 0 c oD. . a) k,g 4 ,do a (14:. r2.1 `t1 *Z 0) F., 04 pi 0.•_•••• g 0 -, 'In 4.) •O' E.''pa aa WW4E E• o = °. o 'er 0 aY E c Q'r ,, v 3 w O I. b . 4. °° A a 03 .rn g cil ; , 0 g a) d0 0 k a) es ET -8 .44 wk = 0 0 al .,. AW G. �, W G z .°c 41.2. o 0 CD ▪ 0 r~ ai '� ° •� `� .4-) 0 W p . Z �, y ° vi o �w 11 m .0 o > > 1-4 aim E" d' � U �� � � � 42)c ;C a) 0 > > Q, O W F V2 W °' N o .o s� o' o,, o > G a)i a) as aS 0 O W • O ; a' > �.0 ° mas- a o P eW a)� ° , ai oo a, +� s� $. o � c E O > r to .., o•v asas O ^O T CA � �.44 QFC ^ gaao � Z O C 0 0. t. o 0 , , .ai °' cice2 `d U o c o0 a p, a) o o 'C'o •C a ; • ,po o tD s.,O m C .4 y m P. • o O O s.m a) as v a) p, +, • , CL) lo E . •° ... � a) op g 3A • m a �v1 m � + CD � r)..+� �" a = - a, d '° m m ) , °Q tr . � , Z crg Z „a 2.) pu c. • aO E \ o f pq er ►ri eS a ao a; G .-i e�i e+S III - r4 L 'n ro .;) a; a) as m a> CA+) ,� . \\ 04, o C o 0 0 'ems r.,•o +)� > O >.0.0 v� a) d .. aU w a)E•4 ;d.N K 72 .fl co.0 o E o y-. v-. C u.- ©,O v O4. W CD 0 CA CD A d a7 W 'm 4 .a a.e, I..i-. F d O,.0 o.d: G'C... va C G p .°.� m WW W cd ate, s:c ^o cA�' y WE A a WO do� 3�- w �d o °� oa 0 'aN y a> 0 0 b 0 Om �' E zW �O � o � � �Vo � ,E E o ,avQA A F 'COOO ti >' v' 'bO• m CI) 0a WZ W E.s EO +2 � m �' ° ;; °40 oo - 0 . e, Og oWA z A o w IX CD e, 61+' a> 0 g E w mN z O Z � `•'o mews: .2 o al asm >, �o G� ti 0 a W U ° e3 °•sa +, .4 't) ° ,0 m p ,.A 0 d A r-iW Po W 00 •o a) O ..a O O Cnx CO O•4 s: o cd cd ��°aW .4 •- •.- " d a' ` -. W a ow • ' . : Eo°.4 .4 cvo a) 4E.1 O >. g > a)." AV.._d Q d I r �", r ~v OP ..o o a . ° °' ' oa E"( U ° E. wEo I.• *-° I 4° 0 v.,c°I . L 0 E4 g >• Lo 00 m a °O 00 Er a � °'ti ° p•.00Ly � 0 .� > mem : K � EomE" a E as 4.1 ,, o >,-, Crial-.� .0 Z w e. atd' kit c ti o0 - a r. 1 i E Chron 182 TOWN OF FOUNTAIN HILLS MEMORANDUM TO: Honor.. .le Mayor and C un I FROM: THROUGH: P DATE: July 1999 RE: Reconsideration of the Alternative Fuel Vehicle "waiver out" application On July 1, 1999, the Council voted 4-3 against approval of the application to the Arizona Department of Commerce's Energy Office to "waiver out" of their Alternative Fuel Vehicle Program. Staff considers this vote as direction from the Council to consider resuming conversion of the Town fleet to alternative fuel vehicles. There are three major alternative fuels (for gasoline) in use at the current time, as listed below with their major issues identified: • Propane (LPG): Propane systems can be either factory-installed or retro-fitted. Red Rock Auto, our gasoline filling station, has propane available, or installation of an aboveground propane tank for re-fueling can be relatively inexpensive. Although our experience to date has not been good with propane, factory production will presumably have the bugs worked out relatively soon. • Compressed natural gas (CNG): These are the primary alternative fuel vehicles currentlybeing used in the Phoenix area. Fueling stations are very expensive to construct and install. The nearest existing fueling station to the Town is Scottsdale's Corporation Yard on Via Linda. Currently natural gas is only available in Town in SunRidge Canyon and westerly; a pipeline would need to be extended to a new fueling site. • Electric: Retrofit is not a viable option; electric vehicles would have to be purchased new. Electric vehicle costs are very expensive, as are re-charging devices. Vehicle range is very short; with our hills and air conditioning needs, the range may not be adequate. Staff did a significant amount of research for an alternative fuel vehicle proposal to the Council in 1997. We will update that research and prepare recommendations to the AFV Waiver Page 1 of 2 Chron 182 Council for conversion of our fleet to alternative fuel vehicles at the August 5th Council meeting. In the meantime, without Council approval of the waiver application, we are immediately out of compliance with the state law. The Department of Energy just sent us their new application formats to use last month; otherwise, Staff would have brought this issue forward well before the pending deadline. We have attached the June 25' Staff memo to Council and the application for your information. Staff recommends the following approval motion: "I move to approve the "Alternative Fuel Vehicle Waiver Application"; and further, to direct Staff to prepare recommendations for converting the Town fleet to alternative fuel vehicles, for consideration at the August 5, 1999 Town Council meeting." bb att. AFV Waiver Page 2 of 2 Chron 173 4 TOWN OF FOUNTAIN HILLS MEMORANDUM FOR REFERENCE TO: Honorable Mayor and Council FROM: Jim Leubner GG - je-f-d THROUGH: Paul Nordin DATE: June 25, 1999 RE: Request to "waiver out" of the Arizona Department of Commerce Energy Office mandatory alternative fuel program The mandatory Alternative Fuel Program was passed by the Arizona Legislature in 1993, A.R.S. §15-349 and requires cities and towns in Maricopa County to convert their fleets to alternative fuel vehicles. The current mandate for cities and towns is 50% total fleet conversions to alternative fuels by December 31, 1998 and 75% conversion by December 31, 2000. The Town had previously "waivered out" of earlier year mandates. Cities and towns that did not meet the required mandates by December 31, 1998 are required to submit "waiver out" applications to the Energy Office in addition to receiving city or town council approval. The Town has two (2) alternative fuel vehicles that use propane fuel (Vehicle E-01), and either propane or gas fuel (Vehicle B-05). Both vehicles have had a disportionate share of maintenance problems and our newest vehicle (B-05) has had considerable "down time" (3 months) since its purchase in just late 1998. This "down time" forces the Town to utilize other vehicles from the fleet, resulting in additional costs and inconveniences to staff personnel. The estimated maintenance/repair costs for this vehicle (B-05) would have been near$14,000 had it not been under warranty. The summary cost data sheets for both vehicles show that both vehicles quality to "waiver out" of the program. A chronological list of maintenance problems is included in the report. Staff recommends approval of the fuel vehicle waiver application. bb att. L Alternative Fuel Waiver J Alternative Fuel Vehicle Waiver Application Vehicle Worksheet Date: 1-Jul-99 Name of Organization: Town of Fountain Hills Address: P.O.Box 17958 Fountain Hills,AZ 85269 Contact Name: James P.Leubner Phone: (602)816-5141 Total Number of Fleet Vehicles: 26 Number of Alternative Fuel Vehicles Required By 12/31/95(18%): 5 Number of Alternative Fuel Vehicles Required By 12/31/96(25%): 7 Number of Alternative Fuel Vehicles Required By 12/31/98(50%): 13 Number of Alternative Fuel Vehicles Required By 12/31/00(75%): 20 Fuel Costs $/GGE* Alt.Fuel Cost of Gasoline: $1.20 Cost of Diesel: $1.40 Cost of Alternative Fuel 1: $1.35 LPG ...... Cost of Alternative Fuel 2: $0.00 Cost of Alternative Fuel 3: $0.00 GGE=Gasoline Gallon Equivalent(115,000 BTU) Lower Heating Values BTU/Gal BTU/Lb. BTU/cu.ft. Gasoline 115,000 18,000 Diesel 128,400 18,000 Propane 84,500 19,800 Natural Gas** 21,300 1,028 Approximately Hydrogen 51,532 Natural gas is usually measured in therms.A therm=100,000 BTU. L Page 1 J J Vehicle E-01 (Propane) Alternative Fuel Vehicle Waiver Application Vehicle Worksheet Town of Fountain Hills fkler TABLE 1 Total Fleet Vehicles Operation Cost Before Mandates Average Annual Annual Annual Vehicle Purchase Salvage Annual Gallons of Cost of Maintenance Cost of Value of Vehicle Mlles Fuel Used; Fuel Fuel Cost Vehicle Vehicle 1991 CHEVROLE1r TRUCK 9,000 800 GASOLINE $960 $450 $17,000 $2,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total 9,000 800 $960 $450 $17,000 $2,000 Page 2 J .� • Vehicle E-01 (Propane) Alternative Fuel Vehicle Waiver Application Vehicle Worksheet Town of Fountain Hills TABLE 2 Total Fleet Vehicles Operation Cost After Mandates Average Annual Alt. Annual Annual Vehicle Purchase/ Salvage Annual Gallons of Fuel Cost of Maintenance Conversion Value of Vehicle Miles Fuel Used (1,2,3) Fuel Cost Cost Vehicle 1991 CHEVROLETTRUCK 9,000 1,100 1 $1,485 550 20000 2000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total 9,000 1,100 $1,485 $550 $20,000 $2,000 Page 3 • Vehicle E-01 (Propane) Alternative Fuel Vehicle Waiver Application Vehicle Worksheet Town of Fountain Hills Life Cycle Cost&Net Cost Calculations Fleet Vehicle Operation Costs Initial or Escalation Discount 10 Year Before Alt.Fuel Mandates Annual Cost Rate(%) Rate(%) Present Cost Conventional Station Cost $0 $0 Annual Station Operation Cost $0 2.5% 10.0% $0 Annual Vehicle Fuel Cost $960 2.5% 10.0% $6,483 Annual Vehicle Maint.Cost $450 3.0% 10.0% $3,098 Vehicle Capital Cost $17,000 $17,000 Vehicle Salvage Value $2,000 10.0% $771 $25,809 Fleet Vehicle Operation Costs Initial or Escalation Discount 10 Year After Alt.Fuel Mandates Annual Cost Rate(%) Rate(%) Present Cost Alternative Fuel Station Cost $0 $0 Annual Station Operation Cost $0 3.0% 10.0% $0 Annual Vehicle Fuel Cost $1,485 2.0% 10.0% $9,839 Annual Vehicle Maint.Cost $550 3.0% 10.0% $3,786 Vehicle Capital/Conversion Cost $20,000 $20,000 Vehicle Salvage Value $2,000 10.0% $771 $32,854 Conventional Vehicles Present Cost: $25,809 Alternative Fuel Vehicles Present Cost: $32,854 Net Cost: $7,044 Percent Change: 27.3% You may opt out of mandates. Page 4 J J Vehicle B-05 (Propane and Gas) Alternative Fuel Vehicle Waiver Application Vehicle Worksheet Town of Fountain Hills TABLE 1 Total Fleet Vehicles Operation Cost Before Mandates Average Annual Annual Annual Vehicle Purchase Salvage Annual Gallons of Cost of Maintenance Cost of Value of Vehicle Miles Fuel Used Fuel Fuel Cost Vehicle Vehicle 1998 FORD TRUCK 8,800 800 GASOLINE $960 $450 $16,816 $12,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total 8,800 800 $960 $450 $16,816 $12,000 Page 2 j Vehicle B-05(Propane and Gas) Alternative Fuel Vehicle Waiver Application Vehicle Worksheet Town of Fountain Hills TABLE 2 Total Fleet Vehicles Operation Cost After Mandates Average Annual Alt. Annual Annual Vehicle Purchase/_ Salvage Annual Gallons of Fuel Cost of Maintenance Conversion Value of Vehicle Miles Fuel Used (1,2,3) Fuel Cost Cost Vehicle 1998 FORD TRUCK 8,800 1,000 1 $1,350 1500 19816 15000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total 8,800 1,000 $1,350 $1,500 $19,816 $15,000 Page 3 I Vehicle B-05(Propane and Gas) Alternative Fuel Vehicle Waiver Application • Vehicle Worksheet Ilkar Town of Fountain Hills Life Cycle Cost&Net Cost Calculations Fleet Vehicle Operation Costs Initial or Escalation Discount 10 Year Before Alt.Fuel Mandates Annual Cost Rate(%) Rate(%) Present Cost Conventional Station Cost $0 $0 Annual Station Operation Cost $0 2.5% 10.0% $0 Annual Vehicle Fuel Cost $960 2.5% 10.0% $6,483 Annual Vehicle Maint.Cost $450 3.0% 10.0% $3,098 Vehicle Capital Cost $16,816 $16,816 Vehicle Salvage Value $12,000 10.0% $4,627 $21,770 Fleet Vehicle Operation Costs Initial or Escalation Discount 10 Year After Alt.Fuel Mandates Annual Cost Rate(%) Rate(%) Present Cost Alternative Fuel Station Cost $0 $0 Annual Station Operation Cost $0 3.0% 10.0% $0 Annual Vehicle Fuel Cost $1,350 2.0% 10.0% $8,944 Annual Vehicle Maint.Cost $1,500 3.0% 10.0% $10,326 Vehicle Capital/Conversion Cost $19,816 $19,816 Vehicle Salvage Value $15,000 10.0% $5,783 $33,303 Conventional Vehicles Present Cost: $21,770 Alternative Fuel Vehicles Present Cost: $33,303 Net Cost: $11,533 Percent Change: 53.0% You may opt out of mandates. L Page 4 J .J J Chron 173 OPERATION MAINTENANCE REPORT FOR PROPANE VEHICLES Vehicle 0-01 On June 19, 1993, a 1991 Chevrolet half-ton truck was designated to be the first Town vehicle to be converted to bi-fuel operation (gas and propane). The retrofit installation of the propane system was done by Fountain Hills LP Gas. The conversion was of poor quality and craftsmanship. This truck has been back to Fountain Hills LP Gas a number of times in the last 6 years for propane related problems. Fountain Hills LP Gas has now moved out of the Town area, and future repairs are anticipated to be more difficult to obtain. The major component that fails is the propane fuel regulator. Since the propane conversion was done in poor quality we have lost the use of the unleaded fuel capacity; this only allows the truck to be operated on propane only. Since the conversion took place, this truck has not run very well in the last 6 years. Vehicle B-05 On June 19, 1998, a 1998 Ford F-150 bi-fuel (gas and propane) was purchased from Lou Grubb Ford. On October 19, 1998 we had a propane problem with the truck. We brought the truck to the dealership for the repairs; it took 4 weeks and 2 days for the repairs to be accomplished. On February 2, 1999 we had a propane problem with the truck again. We brought the truck to the dealership for the same problem it had in October of 1998. It took 6 weeks to get the parts and tools for Lou Grubb Ford to make the necessary repairs. On April 16, 1999 we had, for the third time, the same propane problem we encountered before. The truck was brought back to Lou Grubb Ford for the repairs. The repairs were accomplished in 2 days and the vehicle was put back into the operating fleet. At the current time the vehicle has developed a propane leak in and around the main propane control module. We are currently scheduling with Lou Grubb to take care of this problem. Operations In addition to the repairs needed for both trucks, our maintenance repair facility does not have the specialized tools or the training, to allow for the repairs for these types of vehicles in the fleet. The propane fuel gauge is virtually useless below half-full. Our operators (Vehicle E-01) carry a spare 1-gallon tank with an adapter for emergency refill (averaging bi-monthly usage). Our current contracted fueling station has their operator fill propane, because of insurance requirements. Filling up can take 15-30 minutes, and is not available during late evening or night hours. Information provided by: George Roth, Mechanic Dan Schmerfeld, Inspector Vehicle Operator Alternative Fuel Waiver