The URL can be used to link to this page

Home My WebLink About2001.0716.TCSM.Packeto � Q o. a 4 ftC 1969 that is Councilman McNeill Vice Mayor Wyman Councilwoman Fraverd NOTICE OF SPECIAL SESSION OF THE FOUNTAIN HILLS TOWN COUNCIL Mayor Morgan Councilwoman Hutcheson Councilman Kavanagh Councilwoman Ralphe WHEN: MONDAY, JULY 169 2001 TIME: 5:00 P.M. WHERE: TOWN HALL TELECONFERENCE ROOM 16836 E. Palisades, Building A • CALL TO ORDER — Mayor Morgan • ROLL CALL 1.) Consideration of AUTHORIZING THE SUBMITTAL OF THE LIQUOR LICENSE APPLICATION prepared by Community Center Director Jim Willers for the new Community Center. 2.) Consideration of the EXTENSION OF PREMISE/PATIO PERMIT submitted by James Myczek for Grapeables Fine Wines located at 12645 North Saguaro Boulevard. The permit is a temporary extension of Grapeables' liquor license on July 21, 28 and August 18, 2001. 3.) Consideration of the EXTENSION OF PREMISE/PATIO PERMIT submitted by Rosemary Barringer for the Silver Stein located at 17030 Enterprise Drive. The permit is a temporary extension of the Stein's liquor license on July 27, 2001. 4.) ADJOURNMENT. DATED this 13" day of July 12, 2001. c Cassie B. Hansen, Director of Administration/Town Clerk 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. Supporting documentation and staff reports furnished the council with this agenda are available for review in the Clerk's office. July 13, 2001 ,%W Interoffice Memo To: HONORABLE MAYOR AND TOWN COUNCIL From: CASSIE HANSEN, DIRECTOR OF ADMINIST ION Date: 07/13/01 Re: AGENDA ITEMS FOR THE 7/16/01 SPECIAL MEETING Just a quick summary of the agenda items appearing on the "5 minute meeting" scheduled for Monday, July 16: AGENDA ITEM #1 — LIQUOR LICENSE FOR THE NEW COMMUNITY CENTER: On July 9, Bill provided the Council with a memo regarding a government liquor license for the new community center, a copy of which I have attached for your reference. Since Bill wrote that memo, Jim has discovered that the license could very well take up to 105 days to process. Since "no application shall be filed unless authorized by the respective governing body", it was decided that this item needed to come before you sooner than later and the July 16 meeting was scheduled. Jim plans to have the application completed by the end of today. If a copy is not ready in time for inclusion in this packet, we will make every attempt to have it in your hands before the meeting. Your approval is just the first step in the process. Jim will then submit the application along with the Council authorization to the State Liquor Department who will process and send paperwork to us for posting the premise. After the statutory twenty -day posting period, the item will come back to you for approval. During the posting period, the state and Marshal will be performing their respective background investigations. Since this entire process can be rather lengthy, staff recommends approval of authorizing Jim Willers to submit the Class 5 Government liquor license application for the new community center. AGENDA ITEM #2 — EXTENSION OF PREMISE FOR GRAPEABLES: James Myczek has submitted an extension of premise application for Grapeables Fine Wines located at 12645 Saguaro in the Plaza Fountainside center. Mr. Myczek is requesting to temporarily extend his Class 7 Beer and Wine license to a secure "common" area adjacent to the east side of the building on a series of Saturdays including July 21, 28 and August 18. He has obtained written permission from Victoria Properties to use a portion of the common area for this purpose. The area will be secured by barriers and personnel will be present at all times to insure that all alcohol stays within the approved area. Although Marshal Gendler has been out of town since this request was submitted, he has inspected the premise on previous occasions and forwarded favorable recommendations on similar applications. I will request that he visit the applicant and review the security requirements prior to July 21. Based on statutory compliance, staff recommends approval. Page 1 of 2 Agenda Items 7/16/01 Last printed 07/13/01 3:06 PM July 13, 2001 AGENDA ITEM #3 — EXTENSION OF PREMISE FOR THE SILVER STEIN: Rose Barringer has requested an extension of premise permit for the Silver Stein located at 17030 Enterprise Drive for Friday, July 27, 2001. The request is to extend the Stein's liquor license to an area immediately adjacent to the west wall of the building. The area will be fenced with security personnel at the door to insure that alcohol remains within the approved area. Although Marshal Gendler has been out of town since this request was submitted, he has inspected and approved past applications for the same area. I will request that he visit the applicant and review the security requirements prior to July 27. Based on statutory compliance, staff recommends approval. Bill has also enclosed an informational memo on the state land in this packet. Page 2 of 2 Agenda Items 7/16/01 Last printed 07/13/01 3:06 PM Cis MEMORANDUM TO: HONORABLE MAYOR MORGAN TOWN COUNCILMEMBERS CASSIE HANSEN, DIRECTOR OF ADMIN./TOWN CLERK FROM: WILLIAM E. FARRELL, ACTING TOWN MANAG R �o DATE: JULY 9, 2001 RE: GOVERNMENT LIQUOR LICENSE I am attaching a copy of A.R.S. § 4-205.03., which is the state statute regarding a government liquor license. As you can see from Paragraph A, the governing board must authorize the application, and, I do not believe the authorization has been on any Council agenda to date. Therefore, I am asking the Town Clerk to place this item on our August 2"d council meeting agenda. This should give us slightly over a month to make sure everything is processed. I have some concerns about that short of a time period. I will ask by this memo that Jim prepare all of the documents for the liquor license immediately, and that he list himself as the location manager for the Community Center. I may ask that you convene a special meeting sometime within the next week or two as soon as Jim informs me that all of the application is filled out. We must then ask the department to give this application expedited consideration. A.R.S. § 4-205.03.D. provides that the Council, once it is granted a license, may by appropriate legislation or rule authorize the use of the license pursuant to a concession agreement approved by the governing body. I have asked Jim to specifically explore whether or not such a concession agreement would be feasible for the new center. I hope to have that information from Jim shortly. It appears that a separate license may be required in order to serve alcohol at the Library/Museum building. A.R.S. § 4-205.03.C. seems to provide that a separate license is required for each premises upon which spirituous liquors are served. I am asking Jim to contact the state liquor department with a plot plan of the two buildings and ask them whether two licenses will be required. I will ask Cassie and Sue to put this item on a working list of items for a possible special meeting of the Council prior to the next regularly scheduled meeting on August 2"d r cc: Jim Willers . otel. ate that the restaurant will operate in compliance with this section. be F. The holder of the license described in § 4-209, subsection B, paragraph 12 who intends any to alter the seating capacity or dimensions of a restaurant facility shall notify the department )n A in advance on forms provided by the department. and n or uses the Of sale �y "ica- in �r- is ale ds f'or ise he or ed or ch ee to )e ly )f x d h )r G. For the purpose of this section: 1. "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. -2.. "Restaurant" means- an "establishment which derives at least .forty per cent of. its gross xevenue from the sale' of food -:ter _. ... .. ,..... _ - Amended by Laws 1996, Ch. 307,' § 7; Laws 1997,-Ch. 146,-§ 9. Historical an The 1996 amendment by Ch. 307 deleted subsec. B; redesignated former subsecs. C to H as B to G, accordingly. Former subsec. B and former sub - sec. F (now E) had read: `93. The provisions of § 4-206 shall not restrict the issuance of a restaurant license pursuant to this section." "F. Not later than October 1, 1994 the director shall adopt by rule the criteria for issuing a restau- rant license described in § 4-209, subsection B, paragraph 12. Neither the director nor the board may initially issue a license if either finds that there is sufficient evidence that the operation will not satisfy the adopted criteria. The director shall issue a license described in § 4-209, subsection B, paragraph 12 only if the .applicant has submitted a d Statutory Notes plan for the operation of the restaurant. The plan shall be completed on forms provided by the de- partment and shall include listings of all restaurant equipment and service items, the restaurant seat- ing capacity and other information requested by the department to substantiate that the restaurant will operate in compliance with this section." The 1997 amendment by Ch. 146 added the definition of gross revenue. Reviser's Notes: 1997 Note. Pursuant to authority of § 41-1304.02, in subsection G the definitions were alphabetized -arith paragraph 2 renumbered as paragraph 1 and paragraph 1 renumbered as para- graph 2. Administrative Code References Licensing time -frames, see AAC. R19-1-303. Restaurant requirements for hotel/motel licen- sees, see AAC. R19-1-231. § 4-205.03. Government license; issuance; regulatory provisions; agreements — with coliseum concessionaires; definitions A. The department may issue a government license to any county, city, town or state university or the Arizona exposition and state fair board upon application authorized by the governing body of the county, city, town or state university or the Arizona exposition and state fair board. B. If the department decides to issue the license, it shall be issued in the name of -the county, city, town or state university or Arizona coliseum. and exposition center.. No application shall be filed unless authorized by the respective governing body. The •application shall designate for each location a manager or other individual responsible for administering the license. The county, city, town or state university or Arizona exposition and state fair board shall give notice to the department within ten days of any change in the designee. The county, city, town or state university or .Arizona coliseum . and exposition center to which a license is issued is subject to the fine or penalty prescribed for any violation of the statutes relating to alcoholic beverages. C. The holder of a government license may sell and serve spirituous liquors solely for consumption on the premises for which the license is issued. A separate license is required for each premises upon which spirituous liquors are served. .A single premises licensed under 21 ALCOHOLIC BEVERAGES Y this section may consist of not more than one dock area that is designated by a city or town and that is situated on a lake owned by the city or town and not more than thirty boats that are operated on the lake. A dock and boats that comprise a premises under this subsection shall be operated in compliance with subsection G of this section. A A governing body in possession of a government license may by appropriate legislation or rule authorize the use of the license pursuant to a concession agreement approved by the governing body. E. The department may adopt rules in order to administer this section. F. Any agi Bement entered into by the Arizona exposition, and state fair board allowing an indicated ,concessioname 'to 'serve alcoholic beverages {pursuant to thisrsection shall contain a provision requu uig the concessionaire to do _both of the following J L"- yFully_ indemnify and bold harmless this state and any of its agencies,, boards, commis- sions, officers and. d employees against any liability for loss or damage :incurred either on or off state property and resulting from' the negligent serving of alcoholic beverages by the concessionaire or the concessionaire's agents or employees. 2. Post a surety bond in favor of this state in an amount determined by the Arizona :exposition and state fair board to be sufficient to indemnify this state against the potential liability or name this state as an additional insured in a liability policy that provides sufficient coverage -to. indemnify this state as determined by the Arizona exposition and state fair board. G: 'The following apply to .the operation of a dock and boats as a licensed premises pursuant to subsection C of this section: 1.Liquor - may ` be sold only for consumption on the premises in conjunction with .consu. mptiori of food. 2. Liquor shall not" be _served or consumed on the dock. Liquor shall not be served on a boat earlier. than fifteen minutes before the boat is scheduled to depart from the dock and shall 'not tie served after a boat returns to the dock 3. - A person shall not be -served more, than thirty-two ounces of beer, one liter of wine or four ounces of distilled spirits while the person is on a boat. 4. A person shall not bring spirituous liquor onto a boat other than liquor purchased by the licensee or a concessionaire for resale under the provisions of this title. 5. The pilot of each boat, all crew members and all persons who sell or serve spirituous liquor on each boat are deemed employees of the- licensee-.for_:purposes. of this title. 6. The pilot of each boat shall either have a current and valid coast guard operator's license or shall have successfully completed a safety and operator training course approved by the city or town: 7. Spirituous liquor shall not be served, consumed or possessed by a customer on the boat between the hours of 11:00 p.m. and 5:00 p.m. 8. All provisions of this title and rules adopted p pursuant to this -title that are .not inconsistent with this section apply to sales and consumption of spirituous liquor on the licensed premises. H. 'For purposes of this section: I. "Arizona coliseum and exposition center" includes all property under the control of the Arizona exposition and state fair board as provided in § 3-1001. 2. `Boat" means a seaworthy vessel that is designed to carry and that is capable of carrying not less than fifteen nor more than forty-five passengers, that has a displacement of not more than ten tons and that possesses'a current coastguard certificate. 3. "State university" means institutions as described in § 15-1601. Amended by Laws 1996, Ch. 307, § 8; Laws 1997, Ch. 18, § 12; Laws 1998, Ch. 259, § 8, eff. May 29, 1998. 0 ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL 800 W Washington 5th Floor 400 W Congress #150 Phoenix AZ 85007-2934 Tucson AZ 85701-1352 (602) 542-5141 (520) 628-6595 APPLICATION FOR LIQUOR LICENSE TYPE OR PRINT WITH BLACK INK 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. SECTION 1 This application is for a: SECTION 2 Type of ownership: ❑ INTERIM PERMIT Complete Section 5 NEW LICENSE Complete Sections 2, 3, 4, 13, 14, 15, 16, 17 ❑ PERSON TRANSFER (Bars & Liquor Stores ONLY) Complete Sections 2, 3, 4, 11, 13, 15, 16, 17 ❑ LOCATION TRANSFER (Bars and Liquor Stores ONLY) Complete Sections 2, 3, 4, 12, 13, 15, 16, 17 ❑ PROBATE/WILL ASSIGNMENT/DIVORCE DECREE Complete Sections 2, 3, 4, 9, 13, 15, 17 (fee not required) ❑ GOVERNMENT Complete Sections 2, 3, 4, 10, 13, 15, 16, 17 SECTION 3 Type of license and fees: LICENSE #: ❑ J.T. W.R.O.S. Complete Section 6 ❑ INDIVIDUAL Complete Section 6 ❑ PARTNERSHIP Complete Section 6 ❑ CORPORATION Complete Section 7 ❑ LIMITED LIABILITY CO. Complete Section 7 ❑ CLUB Complete Section 8 GOVERNMENT Complete Section 10 ❑ TRUST Complete Section 6 ❑ OTHER Explain 60 1. Type of License: _� r 2. Total fees attached: $ 124 0 APPLICATION 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) 1. Applicant/Agent's ant/Agent's Nm \YqiL1-EL�J JA7 F �- (Insert one name ONLY to appear on license) Last First Middle 2. Corp. /Partnership/L. L. C.: -TCMN UE Q- [2p, � (Exactly as it appears on Articles of Inc. or Articles of Org.) 3. Business Name: QL L), 4h-J.-/;? CCYAM U B rN ( ELL , (Exactly as it appears on the exterior of premise) 4 4. Business Address: (Do not use PO Box Zip 5. Business Phone: (,ZED) A 16,-EVCS() Residence Phone: (4t4j'o) ? �= 6. Is the business located within the incorporated limits of the above city or town? AYES El NO 7. Mailing Address: [?Mt A &Tllra'14, -DP- MO M% i 14L I ,6Z g / City IState Zip 8. Enter the amount paid for a 06, 07, or 09 license: $ / i (Price of License ONLY) DEPARTMENT USE ONLY Accepted by: Date: Lic. # Fees: $ Application Interim Permit Agent Change Club F. Prints TOTAL %Ire - PROCESSING APPLICATIONS TADS 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 TIC LICENSE. LIC 01001112000 *Disabled individuals requiring special accommodation, please call (602) 542-9027. - 01 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 issued 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 been out of use? ATTACH THE LICENSE CURRENTLY ISSUED AT THE LOCATION TO THIS APPLICATION. I, declare that I am the CURRENT LICENSEE of the stated license and (Print full [tame) location . I have read this application and the contents and all statements are true, correct and complete. X (Signature) My commission expires on: SECTION 6 Individual or Partnership Owners: State of County of The foregoing instrument was acknowledged before me this day of Day of Month Month Year (Signature of NOTARY PUBLIC) EACH PERSON LISTED MUST SUBMIT A COMPLETED FORM "LIC0101", AN "APPLICANT" TYPE FINGERPRINT CARD, AND $24 FEE FOR EACH 0 MD. 1. Individual: Last First Middle % Owned Residence Address City State Partnership Name: (Only the first partner listed will appear on license) General-Nmited t — c: ❑ ❑ --- - - -- - — —CMC tAUUM55 C11V State Zip ❑ ❑ ❑ ❑ Eo-o % �..-,i..J.....1e anr-nt lr nr-L-CSSAKT) 2. Is any person, other than the above, going to share in the profits/losses of the business? ❑ YES ❑ NO 2 SECTION 7 Corporation/Limited Liability Co.: EACH PERSON LISTED MUST SUBMIT A COMPLETED FORM "LIC0101", AN "APPLICANT' TYPE FINGERPRINT CARD, AND $24 FEE FOR EACH 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.: (Exactly as it appears on Articles of Inc. or Articles of Org.) 2. Date Incorporated/Organized: 3. AZ Corporation Commission File No.: State where Incorporated/Organized: Date authorized to do business in AZ: 4. AZ L.L.C. File No: Date authorized to do business in AZ: 5. Is Corp./L.L.C. non-profit? ❑ YES ❑NO If yes, give IRS tax exempt number: 6. List all directors/officers in Corporation/ L.L.C.: Last First Middle Residence Address (ATTACH ADDITIONAL SHEET IF NECESSARY) 7. List stockholders or controlling members owning 10% or more: Last First Middle % Owned Residence Address City State Zip (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 FORM "LIC0101", AN "APPLICANT" TYPE FINGERPRINT CARD, AND $24 FEE FOR EACH CARD 1. Name of Club: (Exactly as it appears on Club Charter) 2. Is club non-profit? ❑ YES ❑ NO If yes, give IRS tax exempt number: 3. List officer and directors: Last First Date Chartered: (Attach a copy of Club Charter) Middle Title Residence Address (ATTACH ADDITIONAL SHEET IF NECESSARY) State 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 DIVORCE DECREE THAT SPECIFICALLY DISTRIBUTES THE LIQUOR LICENSE TO THE ASSIGNEE TO THIS APPLICATION. SECTION 10 Government: (for cities, towns, or counties only) 1. Person to administer this license: E f_1,1%�2 � )4UT4) � � Last Fast Middle 2. Assignee's Name: Last First Middle A SEPARATE LICENSE MUST BE OBTAINED FOR EACH PREMISES FROM WHICH SPIRITUOUS LI UOR_IS SERVED. SECTION 11 Person to Person Transfer: Questions to be completed by CURRENT LICENSEE (Bars and Liquor Stores ONLY). I. Current Licensee's Name: Entity: (Exactly as it appears on license) Last First Middle 2. Corporation/L.L.C. Name: (Exactly as it appears on license) 3. Current Business Name: (Exactly as it appears on license) 4. Current Business Address: 5. License Type: License Number: 6. Current Mailing Address (other than business): (Indiv., Agent, etc.) Last Renewal Date: 7. Have all creditors, lien holders, interest holders, etc. been notified of this transfer? ❑ YES ❑ NO 8. Does the applicant intend to operate the business while this application is pending? ❑ YES ❑ NO If yes, complete section 5, attach fee, and current license to this application. 9. I hereby relinquish my rights to the above described license to the applicant named in this application and hereby declare that the statements made in this section are true, correct and complete. 1, (Print full name) , declare that I am the CURRENT LICENSEE of the stated license. I have read this application and the contents and all statements are true, correct and complete. (Signature of CURRENT LICENSEE) My commission expires on: State of County of The foregoing instrument was acknowledged before me tl':- day of Day of Month Month Year 4 (Signature of NOTARY PUBLIC) 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. Current 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: 4. What date do you plan to move? License Number: SECTION 13 Questions for all in -state applicants: Last Renewal Date: What date do you plan to open? 1. Distance to nearest school: �52, 2?�j ft. Name/Address of school: PDOWNU i' lV-21d-6 ! C f 4WD _ (Regardless of distance) eCWD 2. Distance to nearest church: 2,21 i ft. Name/Address of church: C' ?�) oyi- [ �jffgl (Regardless of distance) &LID 3 1 am the: ❑ LESSEE ❑ SUBLESSEE )X OWNER ❑ PURCHASER (of premises) 44.. If the premises is leased give lessors name and address: FAL t F 4a. Monthly rental/lease rate $/js What is the remaining length of the lease? yrs. mos. 4b. What is the penalty if the lease is not fulfilled? $ or other (give details - attach additional sheet if necessary) 5. What is the total business indebtedness of the applicant for this license/location excluding lease? $ Does any one creditor represent more than 10% of that sum? ❑ YES ❑ NO If yes, list below. Total must equal 100%. Last First Middle % Owed Residence Address Ciry Sr. (ATTACH ADDITIONAL SHEET IF NECESSARY) 6. What type of business will this license be used for? (BE SPECIFIC) _ t v �. Q,>�,('1� �� ff�, j 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 X NO If yes, attach explanation. ( Does any spirituous liquor manufacturer, wholesaler, or employee , have any interest in your business? ❑YES X NO 9. Is the premises currently licensed with a liquor license? ❑ YES XNO If yes, give license number and licensee's name: License li (Exactly as it appears on license) Name 5 SECTION 14 Restaurant, or Hotel -Motel Applicants: 1. Is there a valid restaurant or hotel -motel license at the proposed location? ❑ 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) Check ALL boxes that apply to your licensed premises: XEntrances/Exits 0 Liquor storage areas ❑ Drive-in windows ❑ Patio enclosures ❑ Service windows 19 Under construction: estimated completion date 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. ';51 d , 4 DO NOT INCLUDE PARKING LOTS, LIVING QUARTERS, ETC. CA�t __T"" YOU MUST NOTIFY THE DEPARTMENT OF LIQUOR OF ANY CHANGES OF BOUNDARIES, ENTRANCES, EXITS, OR SERVICE WINDOWS MADE AFTER SUBMISSION OF THIS DIAGRAM. 1.1 A FOUNTAIN HILLS COMMUNITY CENTER MAIN LNIKT SECTION 16 Geographical Data: A SAMPLE FOR THIS SECTION IS PROVIDED ON THE BACK OF THIS PAGE. List below the exact names of all churches, schools, and spirituous liquor outlets within a one half mile radius of your proposed location. 4. 5. 6. 7. 8. 11 12 13 14 15 (ATTACH ADDITIONAL SHEET IF NECESSARY) - SECTION 17 Signature Block: Mi. 1/2 Mi. 112 M i. A = FOUNTAIN HILLS COMMUNITY CENTER 1 /2 M i. i declare that: 1) I am the APPLICANTn(AgentClub Member/Partner), making this (Print name of APPLICANVAGENT 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. 4State of County of X 6.(ikl&The foregoirfi instrument was acknowledged before me this (Signature) day of OFFICIAL SEAL Day of Month Mokh Year BEVELYN J. BENDER, My commission expires o Notary Public - State of Arizona c{ My comm. expires Aug. 28, 2003 (S cure QENOTARY PUBLIC) I! ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL 800 W Washington 5th Floor 400 W Congress #150 Phoenix AZ 85007-2934 0 Tucson AZ 85701-1352 (602) 542-5141 QUESTIONNAIRE (520) 628-6595 SOCIAL SECURITY AND BIRTHDATE INFORMATION IS CONFIDENTIAL BY LAW AND CANNOT BE DISSEMINATED TO THE PUBLIC a sworn document. Type or print with black ink 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 OR A FINGERPRINTING SERVICE APPROVED BY THE DEPARTMENT OF LIQUOR THE DEPARTMENT DOES NOT PROVIDE THIS SERVICE. 1. Check appropriate box --, There is a $24.00 processing fee for each fingerprint card submitted. A service fee of $25.00 will be charged for all dishonored checks (A.RS. 44.6852) ❑Owner ❑Partner ❑Stockholder ❑Member ❑Officer ❑ Agent ❑ Manager(Only) 51 Other I,��t a,�r- �, (Complete Questions 1-20 & 24) (Complete All Questions except # 14,14a & 25) Licensee or Agent must complete # 25 for a Manager Licensee or Agent must complete # 25 2. Name: I E7 K. T1 Ott tu-U E Date of Birth: L44 Last First Middle (This Will o Become a Part of Public Records) 3. Social Security Number. �J -7`40 -2k� Drivers License #: D 14576>4 State: r U(1 (This Will No Become a Part of Public Records) // 4. Place of Birth: C !/, \Ur r`,i,gc� Height: �p - Weight: Eyes: Illy Hair tt�1(1 city State Cotmtry 5. Marital Status ❑ Single ❑ MarriedgDivorced ❑ Widowed `Name of Current or Most Recent Spouse: (List all for last 5 years - Use additional sheet if necessary] Last Residence (Home) Phone4��OJ '0:3'3�'--sm'sn First Middle Maiden Date of Birth: 7. You are a bona fide resident of what state? A':" 17- nm If Arizona, date of residency: 4 I 8 Telephone number to contact you during business hours for any questions regarding this document. (4-' 9. If you have been a resident less than three (3) months, submit a copy of driver's license or voter registration card. --�� 'ltLL Fe e'4 10. Name of Licensed Premises:"ID&I-) �1 r mn T1l �� Premises Phone: (Q ) , - r726C� 11. Licensed Premises Address: 1�7 � I ti, LA /Ui�'t�`1[1d.14 De EX"thN 141 LL-5 Liquor License # Street Address (Do not use PO Box #) City County, Zi (If this location is currently licensed) rtxaQt�aPm vszca 12. List your employment or type of business during the past five (5) years, if unemployed part of the time, list those dates. List most recent 1st FROM Month/Year TO I Monrh/Year DESCRIBE POSITION OR BUSINESS EMPLOYER'S NAME OR NAME OF BUSINESS (Give street address, city, state & zip) a cuRRENT r >n �� 16836 , cxt /� t-l�retloz. C� �i ice a ounce C� �2 t ofzcW- VhU c �3 -�[' d j Ht 1 IVh, tc C �a� It P, 1 CGItr6rn (Ci n E1Q LS cv ATTACH ADDITIONAL SHEET IF NECESSARY FOR EITHER SECTION I (ice' 4t0atCAD 13. Indicate your residence address for the last five (5) years: i" I .. • MIM a r.w a Lit; UIUI rllZUUU Disabled individuals requiring special accommodations please call (602) 542-9UZ7 / .r you checked the Manager box on the front of this form skip to # 15 14. As an Owner, Agent, Partner, Stockholder, Member or Officer, will yo be physically present and operating the licensed premises ? If you answered YES, how many hrs/day?=, answer #14a below. If NO, skip to #15. 14a. Have you attended a Department approved Liquor Law Training Course within the last 5 years? (Must provide proof) If the answer to # 14a is "NO", course must be completed before issuance of a new license or anoroval on nn w 15. Have you EVER been detained, cited, arrested, indicted or summoned into court for violation of ANY law or ordinance (regardless of the disposition even if dismissed or expunged)? For trafficviolations. include only those that were alcohol and/or dnfig related 16. Have you EVER been convicted. fined Posted bond been ordered to deposit bail imprisoned had sentence 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 dnfig related 17. Are there ANY administrative law citations, compliance actions or consents, criminal arrests, indictments or summonses PENDING against you or ANY entity in which you are now involved? 18. Have you or any entity in which you have held ownership, been an officer, member, director or manager EVER had a business, professional or liquor APPLICATION OR LICENSE reiected denied revoked suspended or fined in this or any other state? 19. Has anyone EVER Fled suit or obtained a judgment against you in a civil action, the subject of which involved fraud or misrepresentation of a business Professional or liquor license? 20. Are you NOW or have you EVER held ownership, been a controlling person , been an officer, member, director, or manager on any other liquor license in this or any other state? NO ❑ YES �NO iting license. )YES ❑ NOS YES ❑ NO ❑ YES *0 ❑ YES >�N0 ❑ YES �(NO )(YES ❑ NO If any answer to Questions 15 through 20 is "YES" YOU MUST attach a signed statement giving complete details. Please be sure to include dates agencies involved and dispositions - it you cneckeu the Manager box on the front of this form, fill in #21-23 and 24, all others skip the following box (21-23) and go to # 24 Manager Section 21. Have you attended a Department approved Liquor Law Training Course within the last 5 years? (Must provide proof) ❑ YES ❑ NIZIlo If the answer to #21 is "NO" course must be completed BEFORE ISSUANCE of a new license OR APPROVAL on an existing license. 22. Do you make payments to the licensee? ❑ YES ❑ NO If "yes", how much? $ per month. Total debt to licensee $ 23. 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 24. 1, TLAAbumb , 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. My commission OFFICIAL SEAL ELYN J. BENDEF Public . State of Arizona State of County of The foregoing strument was acknowledged before me this edgy of Day of Month Ym y uy yr t iarnt! - cnonm- Trnraa �/ ( future of NOTARY PUBLIC) FILL IN THIS SECTION ONLY IF YOU ARE A LICENSEE OR AGENT APPROVING A MANAGER APPLICATION Licensee or Agent Approval of Manager 25. I, Print Licensee/Agent's Name): Last Middle Fast Hereby authorize the applicant to act as manager for the named liquor license. (Signature of LICENSEEIAGENI) State of County of The foregoing instrument was acknowledged before me this day of Day of Month Map Yew My commission expires Day of Month Month Year (Signature of NOTARY PUBLIC) Arizona Department of Liquor Licenses & Control Liquor License Application on Behalf of The Town of Fountain Hills Supplemental Information QUESTIONNAIRE 12. List employment or type of business for the last five years: From To Position Employer Name & Address 06/93 02/97 Facility Director Saint Martin's College 5300 Pacific Ave. S.E. Lacey, WA 98503 13. Indicate your residence: From To Residence City State Zip 05/78 02/97 1156 Bridgeview Dr. N Tacoma WA 98406 Arizona Department of Liquor Licenses & Control Liquor License Application on Behalf of The Town of Fountain Hills Supplemental Information 15. Have you ever been cited for violations? Traffic only. May 1992 Tacoma WA. Washington State Patrol. Stopped for suspicion of DWI. Case dismissed. 15. & 16 Have you ever been cited and convicted? Traffic only. June 1998 Castro Valley CA. California Highway Patrol. DUI Paid the fine, completed a 13 week Driver's Education Course. Other penalties were dismissed. Not my proudest moment but learned a good lesson. 20. Have you ever held a liquor license? 1988 — 1992. Tacoma Washington. License for the retail sale of wine to be delivered with floral and plant arrangements. Rucker's Floral/Northwest Interiorscapes. (W 7/t James B. Willers ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL 800 W Washington 5th Floor 400 W Congress #150 Phoenix AZ 85007 Tucson AZ 85701 (602) 542-5141 {520) 628-6595 ❑ Permanent change of are ❑ Temporary change for d, 1. Owner or Agent's Name 2. Mailing Address: $. TION FOR EXTENSION OF PREMISESIP- ATIO PER11fI'T Last Z/ 14 First e 1 `J City State Zip 3. Business Name:/,� �� i �/� LICENSE #: 4. Business Address: o c� City COUNrry // State Zip 5. Business Phone: ( ��/ ) D �/ Residence Phone: ( ? f ) �� 7 z 6. Are you familiar with Arizona Liquor Laws and Regulations? [ 'YES ❑ NO '. )nat sec #ty precautions will be taken to prevent liquor violations in the extended area? 8. Does this extension bring your premises within 300 feet of a church or school. L7d YES ❑ NO 9. IMPOR'IAn: ATTACH THE REVISED FLOOR PLAN CLEARLY DEPICTING YOUR LICENSED PREMISES AND WHAT YOU PROPOSE TO ADD. *""After completing sections 2-9 bring this application to your local Board of Supervisors, City Council or Designate for their recommendation. change in pre is RECOMI fMNDED by the local Board of Supervisors, City Council or Designate: or -row r% C 0L', !.t trre) I,Ta Ic' 4 /�ng first duly sworn upon oath, hereby depose, swear and declare, under (Print full narne) penalty of perjury, that I am the APPLICANT making foregoing application and that the application has been read and that the contents thereof and all statements contained therein are true.correct and complete. SUBSCRIBED IN MY PRESENCE AND SWORN TO before me (Signat o Owner or Agent) this day of , Day of Month Match Year My commission expires on: Investigation Recornmendation (Signature of NOTARY PUBLIC) Date: Licensing Approval: Date: r,coios t 1A1 *Disabled individuals requiring special accommodation, please call the Department. CUR- I pll SM ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL 800 W Washington 5th Floor 400 W Congress #150 Phoenix AZ 85007 Tucson AZ 85701 6(602) 542-5141 (520) 628-6595 APPLICATION FOR EXTENSION OF PREMISESIPATIO PERMIT ❑ Permanent change of area of service p P. Temporary change for date(s) of: ��,A/ t o5 /14 Owner or Agent's Name: M U G Z L—k bb) 18 S tt) Last Fast Middle 2. Mailing Address: l Y� `�1� ��Ui92b /—"orewTAiA) //, �-/y dZ $S-v(08 City State Zip 3. Business Name: (:�3 ' A fA 8 S r N t AJ E S LICENSE #: 0 7 0"7 rp 7 r' 4. Business Address: (2-bu,1' 11% 5i464dlRv 25-2-&$ City COUNTY State Zip 5. Business Phone: cc) 8 r S S Residence Phone: g b ) $ 6 f 19 S / 6. Are you familiar with Arizona Liquor Laws and Regulations? q YES ❑ NO 7. What security precautions will be taken to prevent liquor violations in the extended area? g Qt Gv i � lU n a 0(5-fZso r3 li,, i (. L 8 F j2[�,j c rz-�, i /V �9RE � rG1.4 i �J r,> r r� R� � L41AT l o u S 8. Does this extension bring your premises within 300 feet of a church or school? ❑ YES NO 9. IMPORTANT: ATTACH THE REVISED FLOOR PLAN CLEARLY DEPICTING YOUR LICENSED PREMISES AND WHAT YOU PROPOSE TO ADD. ****After completing sections 1-9 bring this application to your local Board of Supervisors, City Council or Designate for their recommendatiom c ge in premi RECOMMENDED by She local Board of Supervisors, City Council or Designate: n'1 o r � cswn %oUr �•C (Authorized S ttre) (Title) (Agency) I�</ , , being first duly sworn upon oath, hereby depose, swear and declare, under (Print natne) penalty of perjury, that I am the APPLICANT making foregoing application and that the application has been read and that the contents thereof and all statements contained therein are true,cotrect and complete. X t/ SUBSCRIBED IN MY PRESENCE AND SWORN TO before me (Signature 04er or Agent) this day of , 19 My commission expires on: Investigation Recommendation: Licensing Approval: (Signature of NOTARY PUBLIC Date: / Date: *Disabled individuals requiring special accommodation, please call the Department. LIC105 4/97 N) • r C k ae t e,u T' 75 r7' fe a `i jut-12-2001 20:25 From -VICTORIA PROPERTY 4803036704 T-178 P 001001 F-415 is Agreement Plea Fvuwsuwi&, Le. 46 Ur rtrgftwoted owner anil l.etl W4 of Qte coaa:mcry al propotty iacamd of 12645 N. Safuttro Bottlevu4 iu Ibu Tuwa of Faimmix 14111s, A -Isom USA. coutawaly, known and refereed to u Plaza Founhimcde f the "Ympuly-). Thn dddgti asd eoostrueboa of the Ymper(y Lmiud" the proviston of VWuuon area@ which kayo brcu d ottignued sts such by the landlord pnrsusat to Lw* w#v mcuW with a mats ctperutirtg fiW, p=nieet toadai on the Property (the "C,ommoa Areas -)- Thor mgwT sihtlity to mrmnRC both the Properly and the Qlauuuou Asters has been ess 3d by Victonat Yruportitro Mmugemcr, TIC ftlmitfft to a Maaegemeat Agmmicut ou wmd imn with the lan,motTL In that capacity, Viutvda Ptttpt des Mestagmettll U r, on bchau*uf the Lmdlord is authnriaM ro groAt s lioenao that voaveyv twill U- sibIlm and respoostbility so use l:ot mwu Arran ul'the Prop&V fttr the purpOsrs act art herein by tbo immed Tenn on dares, times utd coadi6cas spoclr4W tsatlti thin license C%iaettAnn this ltcraae it isytted to �S gpp6�BLE 5 Fr ilt Id1 rN E s (tmme of Tcnttrtt) tend d w tvotwt person tesponaihle for ltv&ldina the team and conditioits of this ticeotre -An behalf of the'rsaaat It :Dn f, s N\ y ctir; K (Td: f l L dLSIl uniftsoarawin trd Via s Ptarvrrics Mtutagetxm LLC, this license shall tte valid for the dat,'b 47 r 20 D 1 . Tkis license attthotikAb llty Tomt, omplayem and invitees oftite Teaaut (collectively ttfot^W to at the "Licensee") to vat Uw purum ul' Commas Arent g ncrallX described as ,EMr pew,Tia •r- c.a,atMoi 40A AFik'r Yo Mo 15e..4 for d o trppac 0conductiug the f uwijg "14 VMi,Vity or wW- f rai4 Z it is exptrssly undavwod utd a`to@d that the grating Of fiber licMW SW limit the use of Uw Cutamon Area! ro CWttta ur activities that ttomply wbhuafir tt:es wW rergulatlons of the Torun Cooky Cutamtttcial Zoning District, Town of Ftw gain Hills. Morwvvr, the Liomuc is not 40orized to apply ro the Tuwn or Pura dt, Hi sty for the iswaacc of it rouuxaury at Special 1 lie Permit. FttrdkM=M the I xci x+a t TWU to: (1) manage tho use of the common Attst to wu cut to disrupt or in arty way 3pterfcso with the twruwl openUms afbuslnenr anndimted by Tc-rtam tx of the Ymprtty; w4 (2) revvrre the wrAmi= of the Comaxt Antra to the vane start as bdum. Mc ystmiing of this li=9e maybe rewkcd at ayy tune by the LitMvttr. Ay criserina into this Lirerue Agrecatertt, the Tenant ngreea to iedecnaify and Bold lte "cia, the lanrilord, VicterjA T'ropetaott Maaaicutvut, LLC, uuthoriad agtstbt m ooatr@aors theaeaf se well no other tenatn+ of tbu 14vpmy rroan Oily &Ut, tWl twtittrta, dwn*o to pr(pCrty or persoat ttnd arty mhct liability wising (lrun nr rclenod to the use of Cvci n Ahab iw pruvx1ad for tinder this licousc The w aoasditicm,9 o u 'rG[tOe Apceo4r4g wv tmdetstoad, aocepmd and agreed to this day or 20N. Licea4ee rfv,-�.f (_A�131BU5 15. 1 (clans P Da`emeut, L LCi TO 3''da S3"8130ote 60L59T90311 40;LT T;)O:/TT/LO