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Full AgendamtoHiw. " ''es. r °p City of Janesville Alcohol License Advisory Committee Agenda August 2, 2011, 8:00 a.m. City Municipal Building, Fourth Floor, Council Chambers 1 Call to Order /Roll Call 2 Approval of Minutes 3 Request and Comments from the Public regarding Items on the Agenda not requiring a Public Hearing 4 Application and Public Hearing for a Class B Beer Only and a Class C Wine Only License for Italian House, Inc., d /b /a Italian House, 1603 E. Racine Street 5 Application and Public Hearing for a Class B Intoxicating Liquor and Fermented Malt Beverage License for Kandu Industries, Inc., d /b /a Pontiac Convention Center, 2809 N. Pontiac Drive 6 Application for a Reserve Class B Intoxicating Liquor and Fermented Malt Beverage License Amendment to Allow Outdoor Lighting and an Extension of the Volleyball Hours for MCD], LLC, d /b /a Sneakers Bar & Grill, 1221 Woodman Road 7 Appearance of Spirits of Janesville, LLC, d /b /a Quotes Bar & Grill, 22 N. Main Street to Discuss Operations and Possible Recommendation for Imposing a Penalty, Suspension, and /or Revocation of Their License 8 Request and Comments from the Public on Matters which can be affected by Committee Action 9 Matters not on the Agenda a. Janesville Police Department Alcohol Establishment Incident Report b. City Clerk's Alcohol License Quota Report c. Temporary Licenses Issued 10 Adjournment City of Janesville Alcohol License Advisory Committee Meeting Minutes July 5, 2011 No. 577 The regular meeting of the Alcohol License Advisory Committee (ALAC) was called to order at 8:00 a.m. Tuesday, July 5, 2011, in the City Municipal Building, 4 th Floor Council Chambers, by Committee Chair Schreier. Present: Committee Members Bordwell, Kulinski, Schreier, and Smillie. Absent: Committee Member McDonald. Administration: Deputy Chief Davis. A. Approval of Minutes. The June 7, 2011 minutes were unanimously approved. B. Request and Comments from the Public regarding items on the agenda not requiring a Public Hearing. No one appeared. C. Application for Operator's License by Calley R. Hassinger. Ms. Calley Hassinger appeared on behalf of this license application. Ms. Hassinger acknowledged her alcohol problems and that she no longer consumes alcohol. She needs this license to assist in the management of her family business and to save money for school. After discussion, Committee Chair Schreier moved to grant an operator's license based on the information received, seconded by Committee Member Smillie and passed with Committee Member Kulinski opposed. D. Application for Operator's License by Stephanie A. Thompson. Ms. Stephanie Thompson failed to appear on behalf of this license application. Committee Chair Schreier moved to deny an operator's license based on not appearing before the committee, seconded by Committee Member Bordwell and passed unanimously. E. Application for Operator's License by Sarbjit K. Bopari. Ms. Sarbjit Bopari failed to appear on behalf of this license application. Committee Chair Schreier moved to deny an operator's license based on not appearing before the committee, seconded by Committee Member Smillie and passed unanimously. F. Application for Operator's License by Tanvirkamal S. Bopari. Mr. Tanvirkamal Bopari failed to appear on behalf of this license application. Committee Chair Schreier moved to deny an operator's license based on not appearing before the committee, seconded by Committee Member Smillie and passed unanimously. G. Application Class B Intoxicating Liquor and Fermented Malt Beverage License for Pho Khan Restaurant, LLC, d /b /a Pho Khan Restaurant, 1917 Center Avenue. Mr. Kiet Duong, Owner appeared on behalf of this license application. Mr. Duong stated that he will continue the same type of operations as the Rice Bowl. Deputy Chief Davis stated there are no Police Department concerns with this application. After discussion, Committee Smillee moved to forward a positive recommendation to the City Council for the original application, seconded by Committee Member Kulinski and passed unanimously. H. Appearance of Spirits of Janesville, LLC, d /b /a Quotes Bar & Grill, 22 N. Main Street to discuss operations and possible recommendation for imposing a penalty, suspension, and /or revocation of their license. Ms. Denise Carpenter, Owner appeared on behalf of this license application. Deputy Chief Davis stated that the Police Department has worked with Quotes over many years and they have had a good relationship. However, despite the cooperative nature of Quotes, they remain the tavern with the largest number of police calls and the more serious incidents. Based on analysis of when the incidents occur, the Police Department recommends that Quotes close at 12:30 a.m. on Friday and Saturday nights. Ms. Carpenter stated that she takes the Police Department's concerns seriously and implemented various new procedures to solve some of the problems. The new procedures include: Lowering capacity from 173 to 150 customers; Establishing a rope line for customers waiting to enter; Changing traffic pattern with entrance only at the front door and exit only at the back door; and Enforcing a stricter dress code. By consensus, the ALAC agreed to give Ms. Carpenter 30 days to see if her operational changes would make a difference in the number of calls for service and the severity of the incidents. I. Request and Comments from the Public on Matters affected by Committee Action. No one appeared. Matters not on the Agenda. Deputy Chief Davis presented the Janesville Police Department June alcohol incident report. The Committee reviewed the temporary licenses approved and the license quota report. Committee Member Kulinski moved to adjourn at 9:28 a.m. seconded by Committee Member Bordwell and passed unanimously. The next meeting will be at 8:00 a.m. on Tuesday, August 2, 2011, in the City Municipal Building, 4 th Floor Council Chambers. Minutes submitted by: Jean Ann Wulf City of Janesville Alcohol License Appli x Applicant: Italian House, Inc. Address: 1603 E. Racine St. Date Received: Tuesday, July 12, 2011 ALAC Meeting: Tuesday, August 02, 2011 0 City Clerk- Treasurer's Office Complete Information Alcohol Beverage License Application (AT106) Alcohol Beverage License Application (City) Appointment of Alcohol Agent (AT106) Auxiliary Questionnaire (AT103) Detailed Floor Plan Distance Requirement Met Notified Neighborhood Relinquishment Form New License X Change in Ownership License Amendment Comments /Concerns: No concerns. 0 Police Services Background Check Alcohol Agent Officers Partners /Members Sole Proprietor Positive Ne ative N/A X X X X � a X X X X 0 Police Services Impact Bar clustering Call for Police Services Hours of Operation Neighborhood Unknown Low Moderate X X � a X X Comments /Concerns: No concerns for the police department. Ox Community Development Application Review Acceptable Floor Plan Conditional Use Required Distance Requirement Met Properly Zoned Site Plan Review Required Neighborhood Impact Bar clustering Hours of Operation Outdoor Seating Parking Traffic Unknown Low Moderate X X � a � X Neighborhood Impact Bar clustering Hours of Operation Outdoor Seating Parking Traffic Unknown Low Moderate X X N/A X x �v Comments /Concerns: Community Development has no concerns at this time. Italian House is working with Staff on a future addition to the building which will require a site plan review. If the requested alcohol license is approved, an amendment to the licensed premise would also be required at a future date. ORIGINAL ALCOHOL BEVERAGE LICENSE APPLICATION Submit to municipal clerk. For the license period beginning A it.,, , 1 `r 20 ending � " 3, a 20 TO THE GOVERNING BODY of the: County of " ❑ Town of - r-' ` ❑ Village of 3Jc,,Y12SU City of I Aldermanic Dist. No. " (if required by ordinance) 1. The named F1 INDIVIDUAL ❑ PARTNERSHIP [:1 LIMITED LIABILITY COMPANY �� X CORPORATION /NONPROFIT ORGANIZATION hereby makes application for the alcohol beverage license(s) checked above. 2. Name (individualipartners ive last name, first, middle; corporations /limited liability companies give registered name): a(1�h Cose =n An "Auxiliary Questionnaire," Form AT -103, must be completed and attached to this application by each individual applicant, by each member of a partnership, and by each officer, director and agent of a corporation or nonprofit organization, and by each member /manager and agent of a limited liability company. List the name, title, and place of residence of each person. Title Name II ++� Home Address Posst ffice & Zip Code resident/Member �e�UV���+` `flL�[ Uliwd►rn`t�) Lit �1ceSUiU'p Vice President/Member Secretary/Member Treasurer /Member Agent �d�mu,v� A �- + "aNa -�p 1 Directors /Managers 3. Trade Name � �ia-yN k a uS e M" C Business Phone Number 8" 75 ( 4 -0, - to 4. Address of Pre mises � 1 6 (z t %5+ Post Office & Zip Code � � Taute sy 5. Is individual, partners or agent of corporation /limited liability company subject to completion of the responsible beverage server Yes ❑ No training course for this license period? .................................................. ..............................t9 Date license granted 6. Is the applicant an employe or agent of, or acting on behalf of anyone except the named applicant? ............................... [:1 Yes C' No 7. Does any other alcohol beverage retail licensee or wholesale permittee have an i nterest in or control of this business ? ................ El Yes 9 No � T-- AC 8. (a) Corporatellimited liability company applicants only: Insert state l and date I-I —e� of registration. $ (b) Is applicant corporationAimited liability company a subsidiary of any other corporation or limited liability company ? ................. El Yes Rr No (c) Does the corporation, or any officer, director, stockholder or agent or limited liability company, or any member /manager or agent hold any interest in any other alcohol beverage license or permit in Wisconsin? ........ ............................... L] Yes g No (NOTE: All applicants explain fully on reverse side of this form every YES answer in sections 5, 6, 7 and 8 above.) ❑ Class A liquor 9. Premises description: Describe building or buildings where alcohol beverages are to be sold and stored. The applicant must include all rooms including living quarters, if used, for the sales, service, and /or storage of alcohol beverages and records. (Alcohol beverages $ may be sold and stored only on the premises described.) ❑ Reserve Class B liquor 10. Legal description (omit if street address is given above): 11. (a) Was this premises licensed for the sale of liquor or beer during the past license year? ....................................... El Yes No (b) If yes, under what name was license issued? TOTAL FEE 12. Does the applicant understand they must file a Special Occupational Tax return (TTB form 5630.5) 0 before beginning business? [phone 1-800-937-8864] ....................................... .............................� Yes El No 13. Does the applicant understand a Wisconsin Seller's Permit must be applied for and issued in the same name as that shown in Section 2, above? [phone (608)266 -2776] ............................................. .. ............................. 9 Yes El No 14. Is the applicant indebted to any wholesaler beyond 15 days for beer or 30 days for liquor? ........ ............................... El Yes L. No READ CAREFULLY BEFORE SIGNING: Under penalty provided by law, the applicant states that each of the above questions has been truthfully answered to the best of the knowledge of the signers. Signers agree to operate this business according to law and that the rights and responsibilities conferred by the license(s), if granted, will not be assigned to another. (Individual applicants and each member of a partnership applicant must sign; corporate officer(s), members /managers of Limited Liability Companies must sign.) Any lack of access to any portion of a licensed premises during inspection will be deemed a refusal to permit inspection. Such refusal is a misdemeanor and grou for revocation of this license. SQE; SCRIBED AND SWORN TO BEFORE ME 4( Offlicer this day of N 20 ofCorporation/M m NManagerof Limited Liability Company /Partner /individual) Clerk/Notary P tic) (Officer of Corporation/MemberlManager of limited Liability Company /Partner) My commission expires ; i (� 50,1 (Additional Partner(s)/Member/Manager of Limited Liability Company if Any) TO RF COMPLETED RY CLERK Date received and filed I I with municipal clerk f Date reported to council /board Date provisional license issued Signature of Clerk / Deputy Clerk Date license granted Date license issued License number issued Applicant's Wisconsin Seller's Permit Number. Federal Employer Id?nfir —fi— Number (FEIN): LICENSE REQUILS i Eu P TYPE Ell Class A beer FEE $ Class B beer $ ti ❑ Wholesale beer $ Class C wine $ ❑ Class A liquor $ E] Class B liquor $ ❑ Reserve Class B liquor $ Publication fee $ TOTAL FEE $ Z, 0 AT -106 (R. 4 -09) a ut r avet iue Deer: CLEW Date: 7/12/11 01 Receipt no: 52148 X Total tendered $50.00 Total payment Original Application Licensing period -- July 2 to June 30, City Ordinance Chapters 5.06 Trade Name ,,1_c l Is the premises properly zoned for an alcohol establishment? DYES ❑ NO Is the premises more than 300 feet from schools, churches, hospitals, licensed day care and youth entertainment centers? YES ❑ NO Are you a Wisconsin Corporation, Wisconsin LLC or Sole Proprietor? RYES 0 NO (Class C applicants only) What is your target opening date? A 41 I 15 4- J' What is the name of the Closest Alcohol Licensed Premises and the distance between the establishments? �dY� 's TA �®t) - .-#- Date: A I �11�a Applicant/Individua /Partner/ orporation Officer(Member r- Tv-e-s f Ae Title SCHEDULE FOR APPOINTMENT OF AGENT BY CORPORATION /NONPROFIT ORGANIZATIO "F OR LIMITED LIABILITY COMPANY Submit to municipal clerk. All corporations /organizations or limited liability companies applying far a license to sell fermented malt beverages and /or intoxicating liquor must appoint an agent. The following questions must be answered by the agent. The appointment must be signed by the officer(s) of the corporation /organization or members /managers of a limited liability company and the recommendation made by the proper local official. ❑ Town �1 1 To the governing body of: ❑ Village of `.J o,.n e 5 � t.2 County of pG city _ The undersigned duly authorized officer(s) /members /managers of (registered name of corporationlorganizatiori limited liability company) a corporation /organization or limited liability company making application for an alcohol beverage license for a premises known as �- (trade name) located at appoints to act for the corporation /organization /limited liability company with full authority and control of the premises and of all business relative to alcohol beverages conducted therein. Is applicant agent presently acting in that capacity or requesting approval for any corporation/ organization /limited liability company having or applying for a beer and /or liquor license for any other location in Wisconsin? ❑ Yes X No if so, indicate the corporate name(s)/limited liability company(ies) and municipality(ies). Is applicant agent subject to completion of the responsible beverage server training course? g,� Yes ❑ No How long immediately prior to making this application has the applicant agent resided continuously in W Place of residence last year �'(� tiV_`i CtY11 ` �� IGV�e�j W ..�- 535 For: By: And: (signature of OfncarlMember anager) ACCEPTANCE BY AGENT , hereby accept this appointment as agent for the corporation /organization /limited liability company and assume full responsibility for the conduct of all business relative to alcohol beverages conduct on the premises forte cor oration /organization /limited liability company. Agent's age_ (signs ure of agen (date) L4)01 W nAw►`, I 6 .J gm e- S t)`l Re k1 M S 3 5 a C5 Date of birth_ (home address of agent) APPRObAL OF AGENT BY MUNICIPAL AUTHORITY (Clerk cannot sign on behalf of Municipal Official) I hereby certify that I have ch ked munici al and state riminal records. To the best of my knowledge, with the available information, the character, recor an r utation are f to an ave no objection to the agent appointed. Approved on f by Title 4(t, T( L f ( (date) sign -, re of propar local official) hair, 1111 o9 pre police chaar) lAriscons�n Depa'imentof Revenue AUXILIARY QUESTIONNAIRE ALCO'� eB. EFVERA E L' APIDI CAION IT E E OL LY 4E VET tv LIEVL [ t Li r tt Submit to municipal clerk. individual's Full Name (please print) (fast name) �{ 4 �b Home Address (streetyroute) y tai W'mAy) °J) L Home Phone Number �,30q Age (middle rrarr ) city Ja,h es Date of Birth Social Sacurity Number state Zip Code W-T 1 5354 - Place of Bit ul The above named individual provides the following information as a person who is (check one): g Applying for an alcohol beverage license as an individual. ❑. A member of a partnership which is making application for an alcohol beverage license. - 'dw -un A C, }}�� i of a t a-y A+®vt,Se �Vl c . (Officer /Director/Member/ManagerlAgen. *) (Name of Corporation, Limited Liability Company or Nonprofit Organ zation) which is making application for an alcohol beverage license. The above named individual provides the following information to the licensing authority: 1. How long have you continuously resided in Wisconsin prior to this date? 2 jj r S 2. Have you ever been convicted of any offenses (other than traffic unrelated to alcoho (beverages} for violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or municipality? .............................................. ............................... ❑ Yes X No if yes, give law or ordinance violated, trial court, trial date and penalty imposed, and /or date, description and status of charges pending. (if more room is needed, continue on reverse side of this form.) 3. Are charges for any offenses presently pending against you (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ............................................... ............................... . if yes, describe status of charges pending. 4. Do you hold, are you making application for or are you an officer, director or agent of a corporation/nonprofit organization or member /manager /agent of a limited liability company holding or applying for any other alcohol beverage license or permit? .................................... ............................... If yes, identify. ❑ Yes 1W No (Name, Location and Type of License/Permit) 5. Do you hold and /or are you an officer, director, stockholder, agent or employe of any person or corporation or member /managerlagent of a limited liability company holding or applying for a wholesale beer license, brewery/winery permit or wholesale liquor manufacturer or rectifier permit in the State of Wisconsin? .......... ❑ Yes W No If yes, identify. (Name of Wholesale Licensee or Permittee) (Address ey City and County) 6. Named individual must list in chronological order last two employers. Employer's Name HP 1 — . G v, `�''e Em foyer's Address 1W V l 25 Employed From C7 tQ To (y p r7 Employers Name Employers Address Employed From To The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law the applicant may be prosecuted for submitting false statements and affidavits in connection with this application. Subscribed and sworn to before me this day of V \ 20 � r t f, er otary ubli ) My commission expires `f )) ?- (first name) ` Post Office ❑ Yes X No f (Signature of N, med fndividua!) Pc nt =_d on Recycled Paper AUXILIARY QUESTIONNAIRE ALCOHOL BEVERAGE LICENSE APPLICATION Submit to mu,,,cipal clerk. Individual's Full Name (please pript) (last name) (first name) (middle name) ' Social Security Number Home Address (street/route) Post Office city State Zip Code H7 �Z Phone Number Age Date of Birth Place of Birth 17 56 -z32oy The above named individual provides the following information as a person who is (check one): ❑ Applying for an alcohol beverage license as an individual. ❑ A membw f a partnership which is making application for an alcohol beverage license _, J t'n�. rA . F �� of i G,C / f�6c T�lu. A C , (Officer /Director /MembeWan ageNAgent) (Name of Corporation, Limited Liability Company or Nonprofit Organization) which is making application for an alcohol beverage license. The above named individual provides the following information to the licensing authority: 1. How long have you continuously resided in Wisconsin prior to this date? r r (, eqvgj 2. Have you ever been convicted of any offenses (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or municipality? .............................................. ............................... ❑ Yes Z No If yes, give law or ordinance violated, trial court, trial date and penalty imposed, and /or date, description and status of charges pending. (If more room is needed, continue on reverse side of this form.) 3. Are charges for any offenses presently pending against you (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ................................................ ............................... ❑ Yes )(No If yes, describe status of charges pending. 4. Do you hold, are you making application for or are you an officer, director or agent of a corporation /nonprofit organization or member /manager /agent of a limited liability company holding or applying for any other alcohol ` beverage license or permit? .... ............................... ............................... E] Yes No If yes, identify. (Name, Location and Type of License/Permit) 5. Do you hold and /or are you an officer, director, stockholder, agent or employe of any person or corporation or member /manager /agent of a limited liability company holding or applying for a wholesale beer license, brewery/winery permit or wholesale liquor manufacturer or rectifier permit in the State of Wisconsin? :......... ❑ Yes YNO If yes, identify. (Name of Wholesale Licensee or Permittee) (Address By City and County) 6. Named individual must list in chronological order last two employers. The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for submitting false statements and affidavits in connection with this application. Subscribed and sworn to before me thi&day of � ��,�.,( , 20 (CI Notary Public) My commission expires x_- A, (Signature of Named Individual) 0 Printed on Recycled Paper AT -103 (R. 3 -09) :'v:scorsin Department of Revenue Employer's Name Em loyer'sAddress Employed From To Employer's Name Employers Address Employed From To The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for submitting false statements and affidavits in connection with this application. Subscribed and sworn to before me thi&day of � ��,�.,( , 20 (CI Notary Public) My commission expires x_- A, (Signature of Named Individual) 0 Printed on Recycled Paper AT -103 (R. 3 -09) :'v:scorsin Department of Revenue City of Janesville Alcohol License Application Review Check List Applicant: Kandu Industries, Inc. Address: 2809 N. Pontiac Dr. Date Received: Friday, July 15, 2011 ALAC Meeting: Tuesday, August 02, 2011 0 City Clerk- Treasurer's Office Complete Information Alcohol Beverage License Application (AT106) Alcohol Beverage License Application (City) Appointment of Alcohol Agent (AT106) Auxiliary Questionnaire (AT103) Detailed Floor Plan Distance Requirement Met Notified Neighborhood Relinquishment Form New License X Change in Ownership License Amendment Comments /Concerns: No concerns. Police Services Background Check Alcohol Agent Officers Partners /Members Sole Proprietor 0 Police Services Impact Bar clustering Call for Police Services Hours of Operation Neighborhood Unknown Low Moderate Hi h X X X X Comments /Concerns: No concerns for the police department. 0 Community Development Application Review Acceptable Floor Plan Conditional Use Required Distance Requirement Met Properly Zoned Site Plan Review Required Neighborhood Impact Bar clustering Hours of Operation Outdoor Seating Parking Traffic Unknownj Moderate X X N/A X X Comments /Concerns: Kandu must apply to Community Development for an occupancy permit in order to occupy a leased area in the building. Staff will contact them. ORIGINAL ALCOHOL BEVERAGE LICENSE APPLICATION Submit to municipal clerk. For the license period beginning 20 ending 20 Y�y, Town of TO THE GOVERNING BODY of the: Villa e of ^ ` ❑ 9 City of of County of Aldermanic Dist. No. (if required by ordinance) The named ❑ INDIVIDUAL ❑ PARTNERSHIP ❑ LIMITED LIABILITY COMPANY CORPORATIONiNONPROFIT ORGANIZATION hereby makes application for the alcohol beverage license(s) checked above. 2. blame (individual /partners give last name, first, middle; Applicant's Wisconsin seller's Permit Number Faderal Employar Identificall— Number (FSN); LICENSE REQUES I to 1 ❑ TYPE ❑ Class A beer FEE $ _J Class B beer $ ❑ Wholesale beer $ Class C wine $ EJ Class A liquor $ ❑ Class B liquor $ ❑ Reserve Class B liquor $ Publication fee $ TOTAL FEE , $ y� . give registered name); p An "Auxiliary Questionnaire," Form AT -103, must be completed and attached to this application by each individual applicant, by each member of a partnership, and by each officer, director and agent of a corporation or nonprofit organization, and by each member /manager and agent of a limited liability company. List the name, title, and place of residence of each person. , , . Tit € — . . _ Name T , t r s Home Address t Post Office & Zip Code President/Member _Vj Vice President/Member Secretary/Member Z� Treasurer /Member Agent Directors/Manage 3. Trade Name , T 4. Address of Premises 5. 6. 7. 8, 10. 11. 12. 13. 14, Business Phone Number Post Office & Zip Code Is individual, partners or agent of corporation/limited liability company subject to completion of the responsible beverage server ❑ Signature of Clerk; Deputy Clerk training course for this license period? ................................................. ............................... Is the applicant an employe or agent of, or acting on behalf of anyone except the named applicant? ............................... Yes 1:1 Yes o No Does any other alcohol beverage retail licensee or wholesale permittee have any interest in or control of this business ? ................ ❑ Yes [9 No (a) Corporatellimited liability company applicants only: insert state and date of registration. (b) Is applicant corporation /limited liability company a subsidiary of any other corporation or limited liability company ? ................. ❑ Yes 54 No (c) Does the corporation, or any officer, director, stockholder or agent or limited liability company, or any member /manager or agent hold any interest in any other alcohol beverage license or permit in Wisconsin? ......... ..............................$ Yes ❑ No (NOTE: Alt applicants explain fully on reverse side of this form every YES answer in sections 5, 6, 7 and 8 above.) 4 ( A6► & AT _3 0 - rl Premises description: Describe building or buildings where alcohol beverages are to be sold and stored. The applicant must include t.G C_-t—tt "-5 all rooms including living quarters, if used, for the sales, service, and /or atorage of alcohol beverages and records. (Al hol bever as may be sold and stored only on the premises described.) �1Y 1 C Legal description (omit if street address is given above): _ (a) Was this premises licensed for the sale of liquor or beer during the past license year? ....... ............................... Skli'es ❑ No (b) If yes, under what name was license issued? �a_11 el If) Does the applicant understand they must file a Special Occupational Tax return (TTB form 5630.5) before beginning business? [phone 1- 800 - 937 - 8864] ....................... ...........................Yes ❑ No Does the applicant understand a Wisconsin Seller's Permit must be applied for and issued in the same name as that shown in Section 2, above? [phone (608) 266-2776] ................................................ ............................LA, Yes ❑ No Is the applicant indebted to any wholesaler beyond 15 days for beer or 30 days for liquor? ........ ............................... ❑ Yes '� N o ­k11111111111"_ READ CAREFULLY BEFORE SIGNING: Under penalty provided by law, the of the signers. Signers agree to operate this business according to law and (Individual applicants and each member of a partnership applicant must sign; any portion of a licensed premises during inspection will be deemed a refusal ZZ SUBSCRIB� AND SWORN T r E this �� day of . • - • - J1 in[�i above questions has been truthfully answered to the best of the knowledge conferred by the license(s), if granted, will not be assigned to another. Fr of Limited Qability Companies must sign.) Any lack of access to PI misdemeanor an rounds for revocation of this license. 0`�\ of Cor atron/lvle `11W agar cfhi ', A Q� �/ls ` ' TOSE'COMPLETED BY CLERK ;' . , ` ` Date received and flied - I Date reported to council /beard with.municipal clerk Date provisional license issued Signature of Clerk; Deputy Clerk Dale license granted = Date lie °nse issued I License number issued AT -105 (.R. 4703) _ .. Nisconsin Deoartment of Revenue -1' Elper: CLEW2 Type: O2 Drawer: i Date: 7/15/11 01 tceipt rw: 52995 L Trans number: L PLII .ICATI 1 16642895 CK CHECK 64079 $50.00 Trans date: 7/15/11 Time: 12:21:40 Original Alcoh se Application Licensing period -- July 1 to June 30, City Ordinance Chapters 5.06 Trade Name Is the premises properly zoned for an alcohol establishment? Y YES ❑ NO Is the premises more than 300 feet from schools, churches, hospitals, licensed day care and youth entertainment centers? ❑ YES XNO Are you a Wisconsin Corporation, Wisconsin LLC or Sole Proprietor? ❑ YES )!�N0 (Class C applicants only) What is your target opening date? What is the name of the Closest Alcohol Licensed Premises and the distance between the establishments? Date: — 6 ", 74/ A can I dividual/Partner /Corporation Officer /Member l(� Title ' CADocuments and Settings \shehanc \Local Settings \Temporary Intemet Files\ Content .Outlook \QRQ53R2W\APPLICATION - COJ Original.doc Revised 12/04/09 SCHEDULE F APPOINTMENT OF AGENT BY C ORPORATI ON/N ONPROFIT ORGANIZATION OR LIMITED LIABILITY COMPANY Submit to municipal clerk. All corporations /organizations or limited liability companies applying for a license to sell fermented malt beverages and /or intoxicating liquor must appoint an agent. The following questions must be answered by the agent. The appointment must be signed by the officer(s) of the corporation /organization or members /managers of a limited liability company and the recommendation made by the proper local official. ❑ Town To the governing body of: ❑ Village of y� l a t �`t County of ,KC ity a 1 The undersigned duly authorized officer(s) /members /managers of ii (registered name of - corporationlorganifation or limited liability company) a corporation /organization or limited liability company making application for an alcohol beverage license for a premises known as I . ,IN It , A located at appoints 0 to act for the corporation /organization /limited Liability company with full authority and control of the premises and of all business relative to alcohol beverages conducted therein. Is applicant agent presently acting in that capacity or requesting approval for any corporation/ organization /limited liability company having or applying for a beer and /or liquor license for any other location in Wisconsin? Yes ❑ No If so, indicate the corporate name(s) /limited liability company(ies) and municipality ies). S, - - , _ `. - � \_3' _- % _ —,i t A-A -9 n6 %_. _ -, 1- /"" I i Is applicant agent subject to completion of the responsible beverage server training course? ❑ Yes No How long immediately prior to making this application has the applicant agent resided continuously in Wisconsin? Place of residence last year ACCEPTANCE BY AGENT , hereby accept this appointment as agent for the corporation /organization /limited liability company and assume full responsibility for the conduct of all business relative to alcohol beverpg'g� conducted on the premops for the corporation /organization /limited liability company. �?r r � /y le Agent's age (date) Date of birth APPROVAL OF AGENT BY MUNICIPAL AUTHORITY (Clerk cannot sign on behalf of Municipal Official) I hereby certify that I have checked municipal and state criminal records. To the best of my knowledge, with the available information, the character, record and reputation are satisfactory and I have no objection to the agent appointed. Approved on by Title (date) (signature of proper local official) (town chair, village president, police chief) AT -104 (R.4 -08) ',h4sconsin Department of Revenue AUXILIARY QUESTIONNAIRE At GOHOt BE1f==)`A t fr�cr<[cc e�a� t ter€ P1 RLVVE E L Submit to municipal clack. Individual's Full Name / (please print) (lastname) (Amst name) (middle nam I Social Securitv Number J �� � Z✓ F, E ( F� t t � L' �% Lf ! � �`�S"�� L Home Address (sfinet/route) I Post Office City State Zip Code Y . l Home Phone Number Age Date of Birth Place of Birth The above named individual provides the following information as a person who is (check on ): Applying far an alcohol beverage license as an individual. ❑. A member of a partnership which is making application for an alcohol beverage license. (Offluer/Oir„ctodMembeNManager /Agent} (Name of Corporation, Limited Vai which is making application for an alcohol beverage license. - D0A or Nonprofit O . an fiort) The above named individual provides the following information to the licensing authority: 1. How long have you continuously resided in Wsconsin prior to this date? 2. Have you ever been convicted of any offenses (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or municipality ?...... .............................. ............................ ..... [ZYeS ❑ No If yes, give law or ordinance violated, trial court, trial date and penalty imposed, and /or date, description and status of charges p ending. (if more room is needed, continue on reverse side of this form.) _ 3. Are charges for any offenses presenfly pending against you (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ...................._........................... ............................... ❑ Yes No If yes, describe status of charges pending. 4. Do you hold, are you making application for or are you an officer, director or agent of a corporation/nonprofit organization or memberlmanager /agent of a limited liability company holding or applying for any other alcohol beverage license or permit? .................................... . © ❑ No If yes, identify. �� � `Gib f�3 c�Y• � � � f e� �`� t L �� (Name, Location and Type of License/Parmit) /{ p I-1v 1. tj-yo- / r1 `( 5. Do you hold and /or are you an officer, director, stockholder, agent or employe of any person or corporation or G �I memberfrnanager /agent of a limited liability company holding or applying for a wholesale beer license, brewerylwinery permit or wholesale liquor manufacturer or rectifier permit in the State of Wisconsin? .......... ❑ Yes tE�'No If yes, identify. (Name of Wholesale Licensee or Permittee) (Address By City and County) 6. Named individual must list in chronological order last two employers. The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Cha ter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for submit %���Ients and affidavits in connection with this application. Subscribed and sworn to before rue �� ��• •.. ••• �i •�'��l' f fr this day of 20 • i f r N ,Cie F Nof Ai.bli � vA �, (1 ,B L t ,•• \ ` r (Br furs of c'l'amed indiiiduai) pvt' . my coImmiSSfo11 eX 's .S e �.��� ••••.a Q 'J ``�\ ��� Printed 4^,ltS on _...�e� �e �✓1 r Employer's Name -T- :.�A Employer's Address -"' i i 4 �v �.s Employed From • f L To J`�1.. Employer's Name FF Employer's Address Employed From To The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Cha ter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for submit %���Ients and affidavits in connection with this application. Subscribed and sworn to before rue �� ��• •.. ••• �i •�'��l' f fr this day of 20 • i f r N ,Cie F Nof Ai.bli � vA �, (1 ,B L t ,•• \ ` r (Br furs of c'l'amed indiiiduai) pvt' . my coImmiSSfo11 eX 's .S e �.��� ••••.a Q 'J ``�\ ��� Printed 4^,ltS on _...�e� �e �✓1 r AUXILIARY QUESTIONNAIRE ALGO�0'L BE`V ERAG LIGE"ISE APPLICATION Submit to rmunicipal clerk individual's Full Name (pleasa print) (last name] (first name) (middl name) Social Security Number { /_/j //i k_'(- dG r b a r au A Home Address (street/roufe) Post Office City State zip code 02 sari ! `fin w_z:- S3SZ ..3 Nome Phone Number I Age Date of Birth Place of Birth G & e f - S& a L/ The above named individual provides the following information as a persorr who is (check one ); Q Applying for an alcohol beverage license as an individual. i . A mere er of a partnership which is making application f r an alcohol beverage , Bice 1 nse.. of \ (Of erlDkeeto#MembWtsanage&Agent) d (Name at Carporatron. Unaed f.ia which is ma` JM_g application for an alcohol beverage license. The above named individual provides the following information to the licensing authority: 1, How long have you continuously resided in Wisconsin prior to this date? L,' & 2 In .e— 2. Have you ever been convicted of any offenses (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or municipality? .......... ...................... .............. © Yes Lyo if yes, give law or ordinance violated, trial court, trial date and penalty imposed, and /or date, description and status of charges pending (if more room is needed continue on reverse side of this €armj s. Are charges for any offenses presently pending against you (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ................................................ ............................... 0 Yes XNO If yes, describe status of charges pending. 4. Do you hold, are you malfling application for or arej you an officer; director or agent of a corporation /nonprofit organization or member/manager/agent of a limited liability company holding or applying for any other alcohol beverage license or permit? ................................. ............................... 0 Yes YNG If yes, ldentify. - -- -- - - - - (Name. Locaf7on and Type of LxenselPermr(J 5. Do you hold and/or are you an officer, director, stockholder, agent or employe of any person or corporation or memberimanagedagent of a limited liability company holding or applying for a wholesale beer license, brewery /winnery permit or wholesale liquor manufacturer or r6ctifier permit In the State of Wisconsin? .......... Q Yes XNO If yes, identify. (Name of Kgwk-sare Licensee or pean&ae) (Address By City and County) 6. Named individual must list in chronological order last two employers. E Ioy�Nam t Empt � � d �/ ' Employed To A x, A E to er's Name yl Employer's Address le « �� Employed From �` ye TO --- %.rLLlGL3 — u - -- - _ The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete artswerto each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for sub `%%j4Mi g ents and affidavits in connection with this application, subscribed and sworn to befor m; `��P��S . J .. c �JG���� this �� da f 2 NO T,qR � << = C* f- . ( MN, Pub" } — ' A (Signature of Named fndmduar) 01y commission exp _ i F Printed on ^o. r / / //f l VV l . P7 1�` \ � \`\\`` Fr Recycled Paper AT -743 (R- .,-u_, 1111. t Usconsii, Dear "men, of Revenue I"C LCVt i f L V .1 to t [ON J to I m "upi cixk F f i ivid_clr> Ipiaese P: — , , ?as ' name) S'i14R7_ °f i :1iGG�� nama) ;o ; T � TiU' -.,.•r 6 d( � Hom °A f rstrea>rroute) Post Gsiica _...._. C �Pe f/( state J rip coda ��}+ // {/ I 10 •t " �,� f a, -, „.' f 1152".^ . / € Boma Phona:2umber / Age Date of Birth Plate. of Birds 6 I The above narned individual provides the following information as a person •vr,u is (check one): Q Applying for an alcohol beverage R ense as an individual. d. A member of a pa.rtnerhip which is making application for an alcohol beve age license. sal ' —L of (C{Hice in_ r..e�dkrsmDar/rdartager�.�yerr:J (tdame of Corporafson, to isd LiaUt ty C which is making application for an alcohol beverage license. The above named indl idual provides the following information to the licensing authority. 1. How long have you continuously resided in Wisconsin pr for to this date? 3 L y,, 2, Have you ever been convicted of any offenses (other than traffic unrelated to alcohdf beverages) for violat of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or mun€ clpality?. ............................................. ............................... LO Yes VNo If yes, give law or ordinance violated, trial court, trial date and penalty imposed, and /or date, description and status of charges pending. (lt mora room is needed, continue an reverse side of his form. 3. Are charges for any offenses presently pending against you ( other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ................................................ ............................... ❑ Yes [XNo If yes, describe status of charges pending. 4, Do you hold, are you making application for or are you an officer, director or agent of a corporation/nonprofit organization or memberlmanager /agent of a limited liability company holding or applying for any other alcohol beverage license or permit? .................................... ............................... XYes ❑ No If yes, identify. (Name. Lo --odc r and Type of ticartsa1R% fiiQ 5. ❑o you hold and /or are you an officer, director, stoakholclK agent or employe of any person or corporation or member /managerlagent of a limited liability company holding or applying for a wholesale bear €icYnse, brewery /winery permit or wholesale liquor manufacturer or rectifier permit in the State of Wisconsin? . , , ...... , [] Yes i too If yes, identify. ' (Alamo of ih7 olasata tl ans„e or Perini °ee) ( Address By city and count) j 5. Named Individual must fist in chronological order fast two employers, E:np{ayaf .-me AA E a Employ {address Employed From CS f5 M t� t, a+� � `✓tat t.�'� �}� - �' `? To t�vr�c Employer's Name E mptoy%rs Adcrmss Eripio+ad From - To The undersigned, bang first duly sworn on oath, deposes and says That he /she is the person named in the foregoing application; that "he applicant_ has read and made a complete arts over to each question, and tttat the answers in each instance are true and correct. The undersigned Airther understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, he applicant may be prosecuted for submitting false statements and affidavits in connection with this application, Srubscribed and sv� `ris o day of issito n ..— ;-a ('7L �� �• a .. ... . .... : 20 � ' � •• TA,9 ,; DI - AUXILIARY QUESTIONNAIRE A I.,GO "[0ii_ BEVEP,AC LICENSE A PPLICATI -ON Submit to „7unlcloal cleat Applying for an alcohol beverage license as an individual. ❑ _ A me r of a parts rship which is making application or an alcohol beverag l'icens . - �. o 1� Ofi'i i2dor ember /lvlanageNAgen!) '.. (Name ofCorporafion. Limrfed Liability Company or onprofrt rganizaflort which is m g application for an alcohol beverage license. . The above named individual provides the following information to the licensing authority: 1. How long have you continuously resided in Wisconsin prior to this date? r 2. Have you ever been convicted of any offenses (other than traffic unrelated to alcohol beverages) fo * violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or municipality? ............................................................................ . ❑Yes If yes, give law or ordinance violated, trial court, trial date and penalty imposed, and /or date, description and status of charges pending. (if more room is needed, continue on reverse side of this form.) 3. Are charges for any offenses presently pending against you (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ................................................ ............................... If yes, describe status of charges pending. 4. Do you hold, are you making application for or are you an officer, director or agent of a corporation/nonprofit organization or membedmanager /agent of a limited liability company holding or applying for any other alcohol beverage license or permit? ... .. �..... . ..............................r. ..... if yes, identify. �� X ) t, 1I b) 5. Do you hold and/or are you an officer, director, stockholder, agent or employe of any person or corporation or memberimanager /agent of a limited liability company holding or applying for a wholesale beer license, brewery/winery permit or wholesale liquor manufacturer or rectifier permit in the State of Wisconsin? ...... ❑ Yes ' k, ", If yes, identify. (name of Wholesale Licensee or Permitteej (Address By City and County) 6. Named individual must list in chronological order last two employers. Employers Name 5e 1:f Employers Address AAA& I a boo C Employed From I q 99 To -- oV - 0C'e'k+ Employee's Nams Employs s AddMs Employ d From To The undersigned, being first duly sworn on oath, deposes and says that he/she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for submitting false statem is and affidavits in connection with this application. Subscribed and sworn to . re t�tilltliltttif,.. n this � day of ' 20 AT iC3 (R. 3 - `\' 5 J M cAj R!A US LIG WI ZI N Printed on Recycled Paper thisconsin Department of Revenue The above named individual provides the following information as a person who is (check one): AUXILIARY QUESTIONNAIRE A r OOL- BEVERAGE L ICENSE A c0LtG i €nit Submit to inUnicipal clark. Individual' A Me / p aasa prin) (last name) (frrsf name) (midd�ma) I Social Sacur y Number bli o A — Home Address (straat/routa) Po t Office Ci_ state I Zip Code 1 L/' I _Ss / / Ha a Phone Number ne . I nat. of Birth. r Place of Birth O / — The above named individual provides the following infon nation as a person who is (check one): r ❑ Apply' fo an alcohol beverage license as an indh ❑. A me ber of a part rship which is making applica of (Officer /Director /rt4een6edf nagerlfiganf) which is making application for an alcohol beverage license. The above named individual provides the following information to the licensing auth r 1. How long have you continuously resided in Wisconsin prior to this date? 2. Have you ever been convicted of any offenses (other than traffic unrelated to alcoh beverages) for violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county or municipality? ........................................... ............................... ❑ Yes $No If yes, give law or ordinance violated, trial court, trial date and penalty imposed, and!or date, description and status of charges pending. (If more room is needed, continue on reverse side of this form.) 3. Are charges for any offenses presently pending against you (other than traffic unrelated to alcohol beverages) for violation of any federal laws, any Wisconsin laws, any laws of other states or ordinances of any county or municipality? ............................................. ............................... If yes, describe status of charges pending. 4. Do you hold, are you making application for or are you an officer, director or agent of a corporation /nonprofit organization or member /manager /agent of a limited liability company holding or applying for any other alcohol beverage license or permit? .................................... ............................... ❑ Yes If ves, identifv. ��. (!Jame, Location and Type of Licanse/Parmft) 5. Do you hold and /or are you an officer, director; stockholder, agent or employe of any person or corporation or member /manager /agent of a limited liability company holding or applying for a wholesale beer license, brewery/winery permit or wholesale liquor manufacturer or rectifier permit in the State of Wisconsin? .......... ❑ Yes o If yes, identify. (Name of "olasale Licenses or Parmiltee) (Address By City and Couniy) S. Nxf d individual must li§t-tti chronological order last two employers. /11 u 7z�i Employer' Address 0 ,�— Employed Employed F om To Employer's mama Employers Address J Empl ad From To The undersigned, being first duly sworn on oath, deposes and says that he /she is the person named in the foregoing application; that the applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. The undersigned further understands that any license issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and under penalty of state law, the applicant may be prosecuted for submitting false statements and ai;idavits in connection with this application. \ \MillII tilt / / /j��� Subscribed and sworn to before ma § a M 4f 4/ , V't� i is 5 day of 20 ��;•• O �R�' �`�2 expi •Z A LIBI. \;' Co fpF iWl SG \` � \ N 07 Printed on Recycled Papar `f. sconsi� Depa-hxcant of Revs, we ... ❑ Yes �No CITY OF JANESVILLE ALCOHOL BEVERAGE LICENSE RELINQUISHMENT ALCOHOL LICENSED PREMISES: (Address): 2809 NORTH PONTIAC DRIVE City of Janesville, County of Rock, State of Wisconsin, a /k/a PONTIAC CONVETION CENTER Limited Liability Company Member: DAVE R. MANSUR I, DAVE R. MANSUR an adult resident of the County of Rock, State of Wisconsin, limited liability company member, a Wisconsin limited 'liability company called PONTIAC CONVETION CENTER LLC the holder of the combined Class B Intoxicating Liquor and Fermented Malt Beverage Alcohol License(s) of the business /premises located at 2809 NORTH PONTIAC DRIVE City of Janesville, County of Rock, State of Wisconsin, on behalf of myself and all others directly and /or indirectly and in any manner whatsoever claiming any right, title and /or interest in said Class B alcohol license(s), do hereby freely, voluntarily, knowingly, completely, unconditionally, forever, and forthwith RELINQUISH and RELEASE BACK to the CITY OF JANESVILLE, a Wisconsin Municipal Corporation, any and all alcohol licenses granted and issued by the CITY OF JANESVILLE to this limited liability company and tome, including, but not limited to, one (1) CLASS B FERMENTED MALT BEVERAGE LICENSE and one (1) CLASS B INTOXICATING LIQUOR ALCOHOL BEVERAGE LICENSE(S), for the above described premises and business, together with any and all other food, cigarette, vending machine, amusement center, amusement device, and similar licensed and permits of whatsoever kind or nature issued by the CITY OF JANESVILLE to and /or for the above described premises and /or business. Page One of Two I, HEREBY FURTHER RELINQUISH and RELEASE BACK to the CITY OF JANESVILLE any and all rights, titles, interests and privileges of whatsoever kind and nature which I personally and /or as licensee and /or as agent have or may have and which any and all other persons have, claim, may have, and /or may claim, directly and /or indirectly in, arising from, and /or pertaining to this granted and issued CITY OF JANESVILLE CLASS B FERMENTED MALT BEVERAGE and CLASS B INTOXICATING LIQUOR ALCOHOL BEVERAGE LICENSE(S) for the above described alcohol licensed premises and /or business. () This Relinquishment is contingent upon the Janesville Common Council granting and issuing a successor alcohol beverage license for these premises. RELINQUISHED and RELEASED back to the CITY OF JANESVILLE on behalf of the LICENSEE, myself, and any and all other persons this day of , 20. invited Liability Company Member (Signature) STATE OF WISCONSIN ) ROCK COUNTY ) C ified and signed p before me this %1 day of J GL I , 20� P Notary Public, State f nsin My Commission: Wisc •',� p, L. V/4 • : •• •. U, PUBLIC OF WISE 4,. 010 6. Page Two of Two V Z O W Z O V V it Z O CL ui w V d Q Z W City of Janesville Alcohol License Application Review Check List Applicant: Address: Date Received ALAC Meeting MCDJ, LLC 1221 Woodman Rd. Friday, July 15, 2011 Tuesday, August 02, 2011 0 City Clerk - Treasurer's Office Complete Information Alcohol Beverage License Application (AT106) Alcohol Beverage License Application (City) Appointment of Alcohol Agent (AT106) Auxiliary Questionnaire (AT103) Detailed Floor Plan Distance Requirement Met Notified Neighborhood Relinquishment Form New License Change in Ownership License Amendment I X Positive Ne alive N/A X X X X Unknown Comments /Concerns: Moderate No concerns. 0 Police Services Background Check X Alcohol Agent Officers X Partners /Members Sole Proprietor 0 Police Services Impact Bar clustering Call for Police Services Hours of Operation Neighborhood New License Change in Ownership License Amendment I X Positive Ne alive N/A X X X X Unknown Low Moderate X X X X Comments /Concerns: The Janesville PD has had 6 complaints of loud music/noise coming from the bar in the past year. Twice the responding officer felt the music was too loud and asked that it be turned down. 3 times the officers felt there was no violation, 1 complaint was an on -line complaint and no officer responded. ®x Community Development Application Review Acceptable Floor Plan Conditional Use Required Distance Requirement Met Properly Zoned Site Plan Review Required Neighborhood Impact Bar clustering Hours of Operation Outdoor Seating Parking Traffic �v Comments /Concerns: The Plan Commission reviewed and approved the request for a Conditional Use Amendment to add lighting to the volleyball court area and to extend the playing hours from 9:OOPM to 10:00 PM on July 5th. Neighbors spoke in opposition at the public hearing. Community Development has no objection to the request since our review of the lighting shows that only the court area would be lit and no illumination would reach beyond the court boundaries. Court lighting would be extinguished at 10:00 PM when the courts are closed. Dear ALAC members I'm writing to make amendments to my condtion use permit. I have stated to the Plan Commision that I would like to extend volleyball hours from 9:00 p.m. to 10:00 p.m. due to the increase in volleyball teams being added. Secondly, I am requesting lighting to just light up the court directly. The Plan Commision already has appoved both request. Thank you Matt DeWitt -- - RIGINAL ALCOHOL BEVERAGE LICENSE APPLICATION Submit to municipal clerk. For the license period beginning (� 20 I ; ending (ty8 Z Q 20_ / Z_ ❑ Town of TO THE GOVERNING BODY of the: ❑ llage of) -� ,.- AIV.:3 id Z l ity of County of Rot, Aldermanic Dist. No. (if required by ordinance) 1. The named ❑ INDIVIDUAL ❑ PARTNERSHIP LIMITED LIABILITY COMPANY ❑ CORPORATION /NONPROFIT ORGANIZATION hereby makes application for the alcohol beverage license(s) checked above. 2. Name. findividual/ partners give last name, first, middle; corporation - n " s /limited liability - Applicant's Wisconsin Seller's Permit Number Federal Employer IdentiricaB - Number (FEIN): LICENSE REQUESTED )1 TYPE LI Class A beer FEE $ ❑ Class B beer $ ❑Wholesale beer $ ❑ Class C wine $ ❑ Class A liquor $ ff - Class B liquor Is ❑ Reserve Class B liquor $ Publication fee $ 5D. oo TOTAL FEE $ ( give registered flame): _A CIDT WX An "Auxiliary Questionnaire," Norm AT -113, must be completed and attac ed to this application by each individual applicant, by each member of a partnership, and by each officer, director and agent of a corporation or nonprofit organization, and by each member /manager and agent of a limited liability company. List the name, title, and place of residence of each person. itie r Name tjome Address A PostrO�ce & Zi Code PresidentlMember r LV it p Vice PresidentiMember o t - l ►� �- Secretary/Member Agent )►_ 3. Trade Name � I i � Business Phone Number J'�e • f 2'Z i 4. Address of Pre mises ► ZZ.� l�✓ n: )ry 4-&- AV—.s V 14(,� � � Post Office &Zip Code � �' 3 -s�S 5. Is individual, partners or agent of corporation /limited liability company subject to completion of the responsible beverage server training course for this license period? ........... ............................... ...... ❑ Yes L o 6. Is the applicant an employe or agent of, or acting on behalf of anyone except the named applicant? ............................... ❑ Yes 7. Does any other alcohol beverage retail licensee or wholesale permittee have any interest in r control of this business ? ................ ❑ Yes No 8: (a) Corporate /limited liability company applicants only: Insert state ` -QMS date 14PB of registration. (b) Is applicant corporation /limited liability company a subsidiary of any other corporation or limited liability company ?............ )Yes ❑ No (c) Does the corporation, or any officer, director, stockholder or agent or limited liability company, or any member /manager or agent hold any interest in any other alcohol beverage license or permit in Wisconsin? ........ ............................... FrYes ❑ No (NOTE: All applicants explain fully on reverse side of this form every YES answer in sections 5, 6, 7 and 8 above.) 9. Premises description: Describe building or buildings where alcohol beverages are to be sold and stored. The applicant must include all rooms including living quarters, if used, for the sales, servic , and /ors rage of alcohol bev r ges and record Icohol beverages may be sold and stored only on the premises described.) '� ; 10. Legal description (omit If street address is given above): 11. (a) Was this premises licensed for the sale of liquor or beer during the past license year? ....... :. . ...... es ❑ No (b) If yes, under what name was license issued? 5- �5 �5� ee 12. Does the applicant understand they must file a Special Occupational Tax return (TTB form 5630.5) t before beginning business? [phone 1- 800 - 937 -8864] ..... Yes El No ........:............... 13. Does the applicant understand a Wisconsin Seller's Permit must be applied for and issued in the same name as that shown in Section 2, above? [phone (608) 266 -27761 .... Yes ❑ No 14. Is the applicant indebted to any wholesaler beyond 15 days for beer or 30 days for liquor ?... , .. ❑ Yes o READ CAREFULLY BEFORE SIGNING: Under penalty provided by law, the applicant states that each of the above questions has been truthfully answered to the best of the knowledge of the siyiiers. Signers agree to operate this business according to law and that the rights and responsibilities conferred by the license(s), if granted, will not be assigned to another. (Individual applicants and each member of a partnership applicant must s:gn; :.orporate officer(s), members /managers of Limited Liability Companies must sign.) Any lack of access to any portion of a !icensed premises during inspection will be deemed a refusal to permit inspection. Such refusal is a misdem anor and grounds for revocation of this license; SUS30,RIBEID AND SJVORN T BEFOR ME r this �- day of ~ {l 20 'na C 4 jj (Officer ofCorp anon/ MembedNanageroflimifedG' abilityCompany /Parfner/IndividuaQ - - - - ^- Vt (CI rk/Nota Public) y ex p i re s �^ 4 (OrfrcerofCorporatron/ Member /Manager of Limited UabilityCompany /Partner) faT comm;ssion (Additional Partner's A..,A Date received and filed ' �: ry I Date reported to counciliboard i Date provisional licensa with municipal clerk issued Signature of Clerk I Deputy Clerk 1 Date license granted Date license-issued License number issu 4T -106 (R. 4 -09) 7 J i F Wisconsin Departmen *. of Revenue JANESVILLE POLICE DEPARTMENT July 27, 2011 TO: ALAC FROM: Deputy Chief Davis SUBJECT: Quotes - Calls For Service July 1 — July 27 The Janesville Police Department has experienced limited calls for service to Quotes Bar so far during the month of July. There was one call for an "Unwanted Person" and another "Disorderly Conduct" that the bar staff reported to the police department. The staff's handling of the patrons in both of those incidents was appropriate. The "Sex offense-Rape" was a report of unwanted sexual contact between patrons. The bar's video equipment showed that the alleged contact never occurred. R Deputy Chief Dan Davis CITY OF jANESVILLE iZGA- silt -n Z pa-.m.4 plffG' July 19, 2011 Spirits of Janesville LLC Quotes Bar & Grill Attn: Denise Carpenter 22 N. Main St. Janesville, WI 53545 Dear Ms. Carpenter: The Alcohol Licensing Advisory Committee (ALAC) requested that you appear at their next meeting to discuss operations. This is a reminder to appear at the ALAC meeting on August 2, 2011 at 8:00 A.M. in the Council Chambers on the Fourth Floor of the Municipal Building, 18 North Jackson Street. If you have questions, please contact me at 755 -3073. Sincerely, Jean Ann Wulf City Clerk- Treasurer cc: ALAC Deputy Chief Danny Davis CLERK- TREASURER'S OFFICE MUNICIPAL BUILDING • 18 N. JACKSON ST., P.O. BOX 5005 • jANESVILLE, WI 53547 -5005 • (608) 755 -3070 WEBSITE: http: / /www.ci.janesville.wi.us AM l � �; ff 1� Alcohol Advisory Committee City of Janesville 18 North Jackson Street Janesville WI 53545 June 29, 2011 To the Alcohol Advisory Committee: To be clear at the outset, we at Quotes are never satisfied nor are we complacent with security. We view it as our number one priority. Proper security is not only important for good business, but for the good for Janesville. One incident is one too many in our view and we strive for zero incidents. While I have spent thousands of dollars on cameras, scanners, and other equipment and have personally attended many seminars, had meetings with the local police department, spoke to other bar owners in town and in other states, I believe you cannot learn enough or ever be completely satisfied. Our current security measures include: 1. A written Security Policy, which must be read and signed before a person may start work. (This is for all personnel and not only Security personnel). 2. A strict music policy. 3. A strict dress code for weekends. 4. 2 men on Wednesday and Thursdays and 4 men on Friday and Saturdays. Watching over the crowd and overseeing the door. 5. Panic lights at each security station. 6. 21 cameras; 6 outside and 15 inside. 7. An ID Scanner Incidentally, since the purchase of a ID Scanner, Quotes has been able to establish a "banned list ". What is unique is that in most establishments one must rely on the memory of personnel to remember the troublemakers, but at Quotes our policy is if you are involved in an altercation you will be banned from the establishment and if you try to enter, the Scanner will notify the doorman of the restriction. Quotes have not only generated a list of those people who have caused problems at Quotes, but we have also acquired the banned list from Mc Staggers courtesy of Alfredo Del Los Monteros. Quotes has also been in contact with the Janesville Police Department's Gang Division and are trying to obtain a list of known "gang associates ". Recently, it has been pointed out that our security staffs have been more aggressive than necessary. Thanks to Deputy Chief Dan Davis's research into this matter, it was discovered there was a pattern; most occurrences were attributed to one gentleman and that situation has been rectified. Also, just to be on the safe side a Security Meeting was held Sunday, June 26, 2011 in which Sgt. Ratzloff attended to give us more of an insight as to what the Police Department is looking for. It was also decided that as personnel turns over we will have additional meetings to augment our training procedures. While as explained, Quotes has a disproportionate amount of "calls for service" in comparison to the other bars in Janesville. We believe this is due to the fact that we have a very busy bar. According to our records we serve over 1250 customers per week, this works out to serving over 65,000 customers per year. The police calls in comparison shows that over all we have less than one tenth of one percent of our customer base that are causing a problem. After discussing this situation with Deputy Chief Dan Davis we thought instituting the following changes would hopefully lessen the amount of police calls generated. 1. To further restrict capacity to less than the posted limit. 2. To impose an even stricter dress code. 3. Change the traffic pattern in the bar, i.e. all traffic enters through the front door and exits through the back door. (This would include people using their cell phones as well as the smokers). We hope by starting this policy to reduce the pressure at the front door, to control bottles and glassware from leaving the bar and to diminish the amount of people on the front sidewalk. 4. To institute a rope line. (By corralling the customers entering the bar we hope to curb the amount of people pushing to get in; thereby decreasing pushing and bumping). I know this will not fix all the concerns, but I believe it will make a significant improvement. Please know that I will continue to give this the care and consideration it deserves and strive for a good and safe establishment. Since ly,. Denise C ` nter Attached: Current Security Policy Current Dress Code As a postscript; the previous administration (Chief Mahon) said that "It is always better to be proactive than to wait for someone else to call in." I understood this to mean that Quotes should try to identify a problem before it becomes a problem, thereby avoiding an extreme happenstance. We were told at this point that it would actually be a point in our favor to act on the cautious side and to contact the police department at any sign of trouble. Unfortunately, with the current administration, any call is deemed a drain on the resources available no matter who calls it in. After some consideration, we as Quotes will continue to call when we have not only situations in the bar but in the neighborhood (specifically Wall Street or the parking structure). I understand that it will be added in to the general "calls for service" and will probably go against the general total but it is our opinion that as an individual or an establishment we should do what is best for the whole or the community as it were. Case in point, out of 53 written reports Quotes called in 24 occurrences. Denise Carpenter * 24 North Main Street * Janesville * WI * 53545 Phone 608 - 758 -9050 * Mobile 608- 359 -6500 * e -mail quotesjvlC>yahoo.com Spirits of Janesville, LLC PROPER DRESS REQUIRED (Up to the discretion of ` iQ "'Crew) NO EXCESSIVELY BAGGY CLOTHES NO PLAIN WHITE T- SHIRTS NO ATHLETIC GEAR, WARM UPS, ETC. NO BANDANAS, DO -RAGS, HEADBANDS NO GANG COLORS OR AFFILIATED APPARRAL NO EARPIECES NO SUNGLASSES NO HEAVY CHAINS OR MEDALLIANS NO VIDEO RECORDING ALLOWED (items will be confiscated) DANCE AT YOUR OWN RISK State Issued ID Cards Military ID Cards Passport or Visa (with 2nd form) A second form of ID maybe requested for Hangement reserves the right to refuse service and entrance to anyone. DRINK RESPONSIBLY &HAVE FUN ONLY Accepts the State issued Drivers License VII. SECURITY POLICY- - All personnel will read and sign the following outline upon employment. Any revisions during employment will also be signed. A. Opening Duties 1. A head bouncer should be assigned; this bouncer will take the responsibilities of the stage position, and overseeing all checklists, and completing the incident reports. 2. There is an opening checklist on the shift reports. a) Review the bar for anyone suspected of being underage. Even if they have been carded by the bartender, recheck the ID. b) Move the tables to edges of dance floor. (Pick up tables do not slide) c) Get buckets for center bouncing box, front and back door. d) Take out the recyclables and trash if needed. e) Complete opening checklist. B. Closing Duties 1. Last Call a) Sunday through Thursday closing time is 2AM b) Friday and Saturday closing time is 2.3oAM c) The bar clocks are generally set seven minutes ahead. d) Time of day is time stated on bar clocks. e) The bar cans and back bar lights are turned on at 1.35AM and 2:o5AM respectively (1) Bartenders may serve until all the lights are turned up. (2) Bartenders may start closing duties, but serving during this time is the priority. fl . At 1.5oAM and 2:2oAM respectively the rest of the bar lights are turned on. (1) DJs will play "Turn Back Time" to signal final call. (2) All lights will be turned up at that time. (3) Bartenders may serve until the last note is played. (4) After song is over: (a) Give the patrons a chance to drinks their drinks. (b) Gently encourage the patrons to finish and leave. (c) As the time grows close to bar time, be more firm about them leaving. (d) Always be warm and courteous, but firm. (e) We do not want to leave a bad impression as their last memory. (0 All bar personnel are responsible for clearing the bar at closing. (g) Both restrooms should be checked for patrons. (h) LOCK front door. 2. Take glassware to the bar. (DO NOT FORGET DJ AREA & ALL AMUSMENT GAMES) 3. Clear the tables of bottles and trash. 4. Wash all tables and chairs, rinsing rags continuously (this job may be traded with bartenders for stocking the beer. 5. Sweep bar floor moving tables and chairs to the outside walls (do not drag). 6. Move stools away from bar to sweep under them. 7. Bag up the trash. 8. Take trash to corral. (DO NOT PUT TRASH IN RECYCLING DUMPSTERS) 9. Take out recyclables 10. Stools are placed on bar after cleaned. 11. Clean out bottle crusher. a) Unplug the bottle crusher. b) The dust pan is in utility closet, whisk broom is in machine. c) Sweep out bottom of crusher thoroughly. d) Place clean empty bucket back in crusher. e) Plug the bottle crusher back in. 12. Replace trash bags. 13. Beer List. a) Bartenders will prepare a beer list. b) Bring up beer from walk in cooler c) If too much beer is inadvertently brought up it must be taken back down and put away properly. d) Restock walk in cooler. There must be at least 16 cases of Bud Light and Miller Light each. e) If you are stocking beer do the white coolers first. 14. Wash down bar a) With bucket of soda water. b) Rinse rag frequently. c) Dry bar as you go. 15. Complete check list on the shift report. C. During the Shift Responsibilities 1. FRONT DOOR a) Use the ID Scanner whenever possible. b) ID Verification (1) Expiration date (a) Expired ID's are usually a good sign ID may be a fake or false form of ID. (b) Expired ID's are no longer a valid form of ID, we can except them with care. (2) Birthdates (Birthdates are displayed in two areas). (i) "Birth date" (ii) DL NumberA000- 0000 - 0000 -0000 (3) Height & Weight (check date of issue) (a) Height is a great way to tell if ID is valid, if the ID says 6 foot and the person is only s'6 "ID is probably not valid. (b) Weights are a little more difficult to judge. Large weight difference must be compared to date of issue. (4) Picture (a) Only after the above items have been checked you can then look at the picture. (b) Hair color and facial hair are not always a good indicator, look to the eyes and bone structure. (5) Signature (a) If an ID is still in question, ask for a second form of ID. Or you may also have the person sign on a separate sheet of paper. Compare signature with the signature on ID. (b) Any ID's in questions should be entered in log book. (c) If an ID is refused, confiscate. Should they question it, tell them they are welcome to call police department. c) No food or beverages are brought into or leave the bar. (1) Scan pockets and purses. (2) Check hands. (3) Hand and arms in awkward positions could indicate the concealing of beverages. (4) Long or large coats check for bottles and weapons. Also, check waistbands for weapons. d) All patrons should be in compliance with our dress code. (It is good to review the dress code every night to make sure nothing has changed. e) Be aware who has been asked to leave, they may try to reenter using a different door. J) The front door is our FIRST impression. (1) Greet by name whenever possible, refer to scanner. (2) Be warm and courteous. g) if a patron wants to go outside to smoke, (1) Make sure they do not take a beverage outside with them. (2) Stamp their hands so you do not have to recheck their ID. (3) If stamp is smudged to not clear, recheck ID. We do not want under -agers taking advantage of sharing stamps. h) NEVER LEAVE DOOR UNATTENDED. Signal stage/front box before leaving. BACK DOOR a) No one enters the backdoor other than employees. b) Should someone knock, open door and inform them they must go around. It could be and employee or the police department. c) Be aware who has been asked to leave, they may try to reenter using a different door. d) Customers may step out the back door to use a cell phone and return that way. Do not let them abuse the privilege. e) Smokers should be directed to front of building. fl Do not allow patrons to place glasses or asses on pool tables. g) Discourage gambling on pool tables and darts, this can lead to fights. h) Be aware of loiterers, if they are not drinking or playing they are not staying. Fifteen minutes without ordering or playing and they are asked to leave. No warning to change their minds. i) Watch the bathrooms (1) No men in the ladies and vice versa. (Accidents do happen, but usually not.) Use your best judgment about whether they should be asked to leave. (2) Excessive use of the bathrooms could indicate drug activity. (3) Men going to the bathroom together could indicate drug activity. j) No beverages leave the building. (1) Scan pockets and purses. (2) Check hands (3) Hand and arms in awkward positions could indicate the concealing of beverages. k) TRY NOT TO LEAVE DOOR UNATTENDED. Signal stage /front box before leaving. l) The back door is our LAST impression. Be warm and courteous. 3. STAGE OR CENTER BOX a) This position is the anchor, keep an eye all positions as well as out front. They may need help escorting patron out or may need to leave their position. b) Smoking area outside. (1) We need to monitor what is going on out there. (2) If you notice posturing or an argument go out and tell them to stop. (3) Explain that if their behavior does not stop they will not be let back in. (4) If you see violence outside, immediately call JPD, get bartender or barback to cover front door, go out with front door and stop altercation. (5) Tell them JPD is in route. (6) Record in incident book at end of evening. c) TRY NOT TO LEAVE ANY DOOR UNATTENDED. d) Watch the crowd. e) Work with other positions to see around pillars and other obstacles. We should be able to cover the entire bar. fl Discourage customers on Stage and steps that obstructs the view and could be dangerous for patrons that are drinking. 4. GENERAL INFORMATION. a) When asking someone to leave, please use hand gestures that can be seen by the cameras that you are plainly asking a patron to leave. (1) Be nice ask them to leave, be nice (2) It is NOT personal, anger has no place in security. (3) VIOLENCE AND /OR FORCE SHOULD BE AVOIDED IF AT ALL POSSIBLE! (a) The only reason for force would be if you are in danger, or if there is a risk to the patrons. (b) When using force be careful of necks and heads. (c) If a violator needs to be subdued onto the floor, they must be on their side. Never put violator on their fronts or backs. (4) Always try to walk them out, walk and talk, do not argue with people who have been drinking. (5) When all else fails, (they are a danger to themselves and/or other patrons or employees) they must be physically removed. Try to have another bouncer with you. (6) Should a fight break out, all involved must leave as quickly as possible. One violator will be put out the front and one out the back. We do not want them to meet up outside to finished their argument. (7) Once the violator is outside we are done, do not continue verbal exchange, if they refuse to leave the area (8) If the incident in non - violent, i.e. butt grabber, dress code violation, (a) Ask them to leave (b) Explain inappropriate behavior. (c) Ask them to leave. (d) Should they refuse, explain JPD will be called. (e) Call JPD (fl Keep violator in sight, point out to JPD. Go ( Get incident number from JPD. (h) Record in incident book at the end of evening; be sure to include names of violator and Police officers. b) Incident Book (1) All incidents must be recorded in the incident book at end of evening. (2) It is helpful to jot down time and names during the evening so you can write it up in detail. (3) Use scanner to find their names if necessary. (4) Management can burn video to back up the written report. (5) Be clear, be detailed, and if JPD is involved get an incident report number as well as the Officer /s names. I have read and understand the above Quotes Security Policy and will abide by it: Signed Print Name Date FEE .! �:' ' S.!_�,L_ Application Date: (Q - 90 -11 ❑ Town ❑ milage jCity o c'�'� ,S�t' t County o rS;L � The named organizatlon applies for (Weakapproprtafe pox {oW A Temporary Class "B" license tc sell fermented malt beverages at picnics or similar gatherings under s. 125.26(6), Ws, Stats. ❑ A Tempgrary "Class B" license to gall wine at picnics or almllar gatherings anft 61(10),1Ms 1 00Pm at the prernlses described below during a special event beginning a -11 and ending and agreea to comply with all law, resolution, ordinances and regulations (state, federal or loom) affecting the sale of fermented molt beverages andfor wine if the license Is granted, .n o- 1. ORGANIZATION (ohsokaporoprtate ba�Bonaflde Club ❑ Ch ❑ L So ©Vateran's brganlzatlart ❑ FeirAeaodaibn (a) Name (b) Address .� ❑ Tow„ p Ilao V Clly (¢) Date organized ) Q a A If corporatlon, give date of Inoorporatlon (q q r L. (V} Names and addresses of all olfrcara. r r✓ a C l l) ) Vice Pnt Secratary Treasurer E + V '(f) Name and address of manager ar person lkharg e of affaEr. S � � L *V- - L 1 2. LOCATION OF PREMISES WNERL BEER ANYOR WINE WILL B SOLD: (e) Street number ,'�'h Q. o�-ip� �A h z '�y�i��trs , L (b) Lot Block (a) Do premises occupy all or part of building? WU_ (d) If pact of building, describe fully alt premises coveted under this application, which floor or floors, or room or rooms, lioenae la to cover. P Qe.� " ,AR -E�Ka . SEE 1't►VA C46 APPUGATION F QR TEMPORARY C1.,A$S 110 , ) "QLA. M I ".RETAILER'S LICENO . _ . See Addtionar fnforrnetlon on reverse side. Contact the rnutllcfpat clerk ff you have questions. S. NAIVE OF t= MNI W- w ' a +• (a) List name of the event 1 U "It �A., �► .� . j�.k� � • 1 (b) Dates of event .7;rL. -A 1:1 . 901 w DECLARATION Officer IVe& (e ter a aNia ) Officer (sane a r Date Piled with Clark _- - The Offlcer(s) of theorganization, individually and together, declare underpenaltlee of wthat Die Information provided in this application Is true and correct to the best of their knowladge and belief L t V WwoorPr9 a on Date Granted by Council _ AT.Stn M *119) Officer Officer {a er"rs�dare) Date Reported to Council or Board License No. Wfso"Whcapofte tatRavenaa O : 91 lfeaeitt sotSil� APPLICATION FOR TEMPORARY CLASS "B "/ "CLASS B" RETAILER'S LICENSE See Additional Information on reverse side. Contact the municipal clerk if you have questions. FEE $ Application Date: ❑ Town El Village City of _ ) RAIF,� UIZI F- County of R 0 C K The named organization applies for: (check appropriatebox(es).) 'VA Temporary Class "B" license to sell fermented malt beverages at picnics or similar gatherings under s. 125.26(6), Wis, Slats, ❑ A Temporary "Class B" license to sell wine at picnics or similar gatherings under s. 126.51 (10), Wis. Stat. , ¢�.�t - ja : e v ' f at the premises described below during a special event beginning /M 2 rid i i and ending A 1,16 P: PD11 and agrees to comply with all law, resolution, ordinances and regulations (state, federal or local) affecting the sale of fermented malt beverages and/or wine if the license is granted. 1. ORGANIZATION (che box) ❑ Bona tide Club ❑ Church ❑ Lodge/Society Ltd Veteran's Organization El FaIrAssocia (a) Name VET 4N3 t t 7 T-b (b) Address 3 P P 3 Al F%j (c) (Street) ❑ Town Date organized q P • 66 ❑ Village City (d) if corporation, give date of incorporation (e) Names and addresses of all officers: President h/91E T Vice President 19.4 a,e,2y- Secretary 3 ) c-L A) r= r L % o Treasurer .S a 141- 5 oelrc (f) Name and address of manager or person in charge of affair - L 144, - 1 b 6v( 2. LOCATION OF PREMISES WHERE BEER ANDIOR WINE WILL BE SOLD: "Z -,C 3 l S 7 S - 7 A ax (a) Street number 3 2 r 3 N PD t tJ (b) Lot Block (c) Do premises occupy all or part of building? o (d) If part of building, describe fully all premises covered under this application, which floor or floors, or room or rooms, license is to cover: 3. NAME OF EVENT (a) List name of IN (b) Dates of event UGLL,K"1IVr4 The Officer(s) of the organization, individually and together, declare underpenalties of lawthatthe information provided in this application is true and correct to the best of their knowledge and belief. Officer �'�'� 41 is tur ate) Offic (Signature/date) Date Filed with Clerk Date Granted by Council AT-315 (R. 4 -De) /e �y (Name of Organization) Officer �GL� A" (Signature/dete) Officer — C:X / 22 (signaturerdate) Date Reported to Council or Board License No. Wisconstn Department of Revenue APPLICATION FOR TEMPORARY CLASS "B "/ "CLASS B" RETAILER'S LICENSE See Additional Information on reverse side. Contact the municipal clerk if you have questions. FEE $ Application Date: ❑ Town ❑ Village ❑ City of County of The named organization applies for: (check appropriate box(es).) I�A Temporary Class "B" license to sell fermented malt beverages at picnics or similar gatherings under s. 125.26(6), Wis, Slats. F JZPUJ ❑ A Temporary "Class B" license to sell wine at picnics or similar gatherings under s. 125.51(10), Wis. Stat. 2-0 K /9 at the premises described below during a special event beginning Ait, 2 t� and ending At 24 Z y and agrees to comply with all law, resolution, ordinances and regulations (state, federal or local) affecting the sale of fermented malt beverages and /or wine if the license is granted. 1. ORGANIZATION (check appropriate box) ❑ Bona fade Club ❑ Church [] Lodge /Society ❑ Veteran's Organization ❑ Fair Association (a) Name tyP,C �>7 w T O cIy G'6 0 ,0 4 , Cx C t01 , Jf (y1'r-corvflAe Z-04c< Al t/ (b) Address 2 IV AlA!N - (Street) ❑ Town ❑ Village [City (c) Date organized / l np (d) if corporation, give date of incorporation (e) Names and dresses of officers President oZ Vice President Secretary Treasurer _ _ (f) Name and address of manager or person in charge of affair: 2. LOCATION OF PREMISES WHERE BEER AND /OR WINE WILL BE SOLD: (a) Street number 2 2 /lJ, _ -_-r r _ - - -___— (b) Lot Block (c) Do premises occupy all or part of building? M tI (d) If part of building, describe fully all premises covered under this application, which floor or floors, or room or rooms, license is to cover. I ' t 3. NAME OF EVENT (a) List name of the event 1 ? � `` (3 C, (b) Dates of event Q" IFj " 211 DECLARATION The Officer(s) of the organization, individually and together, declare under penalties of lawthat the information provided in this application is true and correct to the best of their knowledge and belief. Officer Officer Date Filed with Clerk — _ Date Reported to Council or Board Date Granted by Council License No. 2oll V 6o AT -315 (R. 4 -09) Wisconsin Department of Revenue APPLICATION FOR TEMPORARY CLASS "B" J "CLASS B" RETAILER'S LICENSE See Additional Information on reverse side. Contact the municipal clerk if you have questions. FEE $ Application Date: P U u S r 30 . 20 11 ❑ Town ❑ Village ['City of R1gFS i ` I � f County of 1 The named organization applies for (check appropriate box(es).) Z A Temporary Class "B" license to sell fermented malt beverages at picnics or similar gatherings under s. 125.26(6), Wis, Stats. ❑ A Temporary "Class B" license to sell wine at picnics or similar gatherings u er s. 125.51(10), Wis. Stat at the premises described below during a special event beginning E�and ending P ri- ; ^rs and agrees to comply with all law, resolution, . ordinances and regulations (state, federal or local) affecting the sale of fermented malt beverages and /or wine if the license is granted. . 1 pi _ ID10.0 1p 1. ORGANIZATION (check appropriate box) ❑ Bona fide Club ❑ Church ❑ Lodge /Society [Veteran's Organization ❑ Fair Association (a) Name 111❑ojPI. (b) Address (c) Date organized (d) If corporation, give date of incorporation (e) Names and addresses of all officers: President M Vice President Secretary Treasurer 77 ❑ Town ❑ Village V t e-ri u, -F[ o �- Amor r cc- I n c. (f) Name and address of manager or person in charge of affair � � i CO j �'� 0 Aa. E 11111 1,11, Y 2. LOCATION OF PREMISES WHERE BEER AND /OR WINE WILL BE SOLD: (a) Street number 3 2 F 3 h1 , p; 11 I t' 1� ) (b) Lot Block (c) Do premises occupy all or part of building? R u t /.- ,I� (d) If part of building, describe fully all premises covered under this application, which floor or floors, or room or rooms, license is to cover: 3. NAME OF EVENT (a) List name of thi (b) Dates of event The Officer(s) of the organization, individually and together, declare under penalties of law that the information provided in this application is true and correct to the best of their knowledge and belief. (£3( Officer (SignatufWdate) Officer (Signature/da t Date Filed with Clerk Date Granted by Council sue, : i Nu - 4. ice. Date Reported to Council or Board License No. Wisconsin Department of Revenue r APPLICATION FOR TEMPORARY CLASS "B "/ "CLASS B" RETAILER'S LICENSE See Additional Information on reverse side. Contact the municipal clerk if you have questions. FEE $ L� '-- Application Date: ^ ' Z ❑ Town ❑ Village '`® City of tJ z.5 v QN, County of The named organization applies for: (check appropriate box(es).) °] A Temporary Class "B" license to sell fermented malt beverages at picnics or similar gatherings under s. 125.26(6), Wis, Stats. ❑ A Temporary "Class B" license to sell wine at picnics or similar gatherings under s. 125.51 (10), Wis. Stat at the premises described below during a special event beginning 1, 9- � i— and ending V ao A-Yl— and agrees to comply with all law, resolution, ordinances and regulations (state, federal or local) affecting the sale of fermented malt beverages and /or wine if the license is granted. 1. ORGANIZATION (check appropriat box) ❑ Bona fide Club ❑ Church ❑ Lodge /Society ❑ Veteran's Organization ❑ Faii (a) Name (b) Address C 0 j C„! (Street) (c) Date organized (d) If corporation, give date of incorporation (e) Names and addresses of all officers: President s --,� Q Vice President Secretary _ Treasurer r, k< (fj ame and address of anager or person in charge of affair: \`�'Z, 2. LOCATION OF PREMISES WHERE BEER AND/ R WINE WILL BE SOLD' (a) Street number t :Z `'"j 5 / — � - y ,-- (b) Lot Block (c) Do premises occupy all or part of building? (d) If part of building, describe fully all premises covered under this application, i cover: or rooms, license is to 3. NAME OF EVENT (a) List name of the event (b) Dates of event DECLARATION The Officer(s) of the organization, individually and together, declare under penalties of law that the information provided in this application is true and correct to the best of their knowledge and belief. (Name of Organization) Officer ".A : "" Officer (Signatu ate) (Signature/date) Officer _ (Signature/date) Date Filed with Clerk Date Granted by Council AT-315 (R. 4 -09) Officer _ (Signature/date) Date Reported to Council or Board License No. rri ❑ Town ❑Village City Wisconsin Department of. Revenue A N 00 3 acs Cl) C C 01 3 V' r J � O N r o N t y C } 7 O 4.. c z w O U N � C Cq o O O o 0 0 U O _1 d o c o a c Iz z O O O p Q Q d � Q Q QQQQ N O �O Q CA 0000 U O)I 00 • r J Q Z Z y M C 0) O CO to N Q Q Q Q Q U) r J ZZZZ z z y N z Z O N N c C 01 O (D U') N y f6 U � J � $a U*) r Q $ 4 m m o Z Z Z Z Z Z m ' orn rn .-oQQ J O �p o m :? 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( N c moo0 Cl ;:� N M v to CO F 00 Crystal Report JV- CAD - Licensed Establishment Contacts - Summary From 7/1/2011 to 7/27/2011 - 1015 CENTER AV 1 - 108 CENTER AV 7 - 1103 CENTER AV ... �...._.,... . -._ r __. __ 2 - 120 N CROSBY AV _.. __. ...... ....... _......... _. ,,,, P �.. �._ .� - 2 - 1301 BLACK BRIDGE RD .... 3 - 1313 MILTON AV 1 - 1405 CRESTON PARK DR 1 - 1455 PALMER DR ..... ..�. �,..�.w�.. .�....,e� ..� , ... .,........... .,.. 4 „ ,.:,,,.,,. �....�a� -._. 1501.. - CRESTON PARK DR �_�.., ... 5 - 1621 W COURT ST 2 - 1650 CE AV .... ,.,� .... ,._... - .. .. ....� _....... - ..,,,. ,�.K_. - -.. � „.� _..�.�e 1 . .......... 1900�HUMES RD ,e ...� . we �w,. ,.... .... 1 .. - 1942 CENTER AV 1 - 2100 N WASH ST 1 - 2100 PALMER DR 1 - 2211 MILTON AV 2 - 2307 MILTON AV _. .. . 1 - 2819 N LEXINGTON DR ,..., 21 - 2900 DEERFI D R 13 - 3100 WELLINGTON PL 5 - 3123SITY51 8 - 322 HU MES RD 10 - 3961 MILTON AV 4 - 408 S MAIN ST 6 5 Points Beverage 600 W MILW ST . 708 Club - 708 S JACKSON ST �� 2 Alfresco - 39 MI LTON AV 8 Applebee's 3024 MILTON AV 2 Back Bar - 1901 BELOIT AV 2 Page 1 of 2 Looking, Glass 18 N MAIN ST 4 Lunatic Red's - 120 W DELAVAN DR 4 Main St Saloon - 117 N MAIN ST .... ... .... ..., 4 Moose Club - 2701 ROCKPORT RD 2 Noodles & Company 2259 HUMES RD 1 Pick'N Save - 1717 CENTER AV 10 Quotes Bar - 24 N MAIN ST 9 Red Robin - 2430 HUMES RD 2 River's Edge Bowl 215 S RIVE ST 2 Riverside Golf Course -2100 GOLF COURSE RD 1 .............. Russ'sPark Place - 1637 E RACINE ST ........... ...._.. _.__ ._. .. 1 Slick's Bar & Grill - 309 ROCKPORT RD 2 Speakeasy 19 N HIGH ST . �.e a. _. �. ,.,e. �. 1 TAASBAG - 2339 MILTON AV 1 Texas Road House - 3201 DEERFIELD DR 3 Time Out - 101 E MILW ST P...,. _ .. ., .... ,._ 2 Tom's Riders In - 721 CENTER AV 5 Tremer's Bar & Grill - 1802 CENTER AV 4 Watering Hole 1700 N WASH ST 1 Weirdo's - 209 W MILW ST 4 White Oak - 429 N PARKER DR 1 Wiggy's 9 N PARKER DR 2 Wolfs Den - 1704 ROCKPORT RD 1 Page 2 of 2 Crystal Report JV- CAD - Licensed Establishment Contacts From 7/1/2011 to 7/27/2011 CAD Create Time Report Number Call Type Cad Incident Number Arrival Time -1015 CENTER AV 7/7/2011 7:46:37AM TRAFFIC COMPLAINT LJV110707036223 -108 CENTER AV 7/1/2011 12:04:13PM TRAFFIC STOP LJV110701034876 7/7/2011 3:59:15PM FOLLOWUP LJV110707036322 7/9/2011 8:20:49AM TRAFFIC STOP LJV110709036699 7/10/2011 6:01:07AM SUSPICIOUS VEHICLE LJV110710036981 7/10/2011 9:10:58AM OUT WITH SUBJECTNEH LJV110710036990 7/21/2011 1:36:59AM ABANDONED 911 CALL LJV110721039266 7/23/2011 4:14:52PM TRAFFIC STOP LJV110723039820 -1103 CENTER AV 7/14/2011 6:57:42PM TRAFFIC STOP LJV110714037914 7/17/2011 10:31:15PM TRAFFIC STOP LJV110717038645 -120 N CROSBY AV 7/1/2011 12:14:12PM FOLLOWUP LJV110701034879 7/1/2011 1:40:21 PM FOLLOWUP LJV110701034889 -1301 BLACK BRIDGE RD 7/4/2011 6:24:30PM LJV110704007963 HOLDUP ALARM LJV110704035587 7/5/2011 8:12:51AM TRAFFIC STOP LJV110705035759 7/20/2011 2:46:03PM ABANDONED 911 CALL LJV110720039167 -1313 MILTON AV 7/3/2011 4:31:16PM FIREWORKS COMPLAINT LJV110703035353 -1405 CRESTON PARK DR 7/23/2011 12:50:35PM ANIMAL COMPLAINT /BAR LJV110723039783 -1455 PALMER DR 7/12/2011 3:43:59PM LJV110712008345 TRAFFIC ACCIDENT PD LJV110712037482 7/15/2011 3:47:17PM ABANDONED 911 CALL LJV110715038102 7/18/2011 12:32:54AM TRAFFIC STOP LJV110718038660 7/19/2011 12:38:26PM VEHICLE UNLOCK LJV110719038934 1 7 12:04 15:59 8:20 6:04 9:10 1:40 16:14 2 18:57 22:31 2 12:14 13:40 3 18:25 8:12 1 1 4 16:09 15:54 0:32 12:46 Page 1 of 9 CAD Create Time Report Number Call Type Cad Incident Number Arrival Time -1501 CRESTON PARK DR 5 7/3/2011 9:26:02PM FAMILY PROBLEM LJV110703035405 21:33 7/12/2011 2:52:19PM LJV110712008350 ABANDONED VEHICLE LJV110712037468 7/16/2011 3:09:32PM ABANDONED 911 CALL LJV110716038333 15:29 7/18/2011 6:35:57PM LJV110718008629 UNWANTED SUBJECT LJV110718038805 18:38 7/23/2011 12:34:31AM LJV110723008812 ALCOHOL VIOLATION LJV110723039717 0:40 -1621 W COURT ST 2 7/14/2011 4:03:44AM LJV110714008427 OPEN DOORNVINDOW LJV110714037789 4:03 7/15/2011 5:37:05PM ORDINANCE COMPLAINT LJV110715038143 19:26 - 1650 CENTER AV 1 7/14/2011 9:06` :23PM TRAFFIC STOP LJV110714037939 21:06 -1900 HUMES RD 1 7/27/2011 6:19:17AM LJV110727008979 BURGLAR ALARM LJV110727040510 6:25 -1942 CENTER AV 1 7/24/2011 3:18:48AM SUBJECT DOWN LJV110724039943 4:30 - 2100 N WASH ST 1 7/24/2011 4:43:48AM LJV110724008860 BURGLAR ALARM LJV110724039954 4:48 - 2100 PALMER DR 1 7/22/2011 6:57:36AM LJV110722008777 VANDALISM /CRIMINAL D LJV110722039503 7:16 - 2211 MILTON AV 2 7/8/2011 3:35:05PM TRAFFIC STOP LJV110708036526 15:35 7/12/2011 2:28:26PM TRAFFIC STOP LJV110712037465 14:28 - 2307 MILTON AV 1 7/24/2011 2:04:10PM LJV110724008871 CHILD ABUSE /NEGLECT LJV110724040013 14:11 - 2819 N LEXINGTON DR 21 7/2/2011 10:19:47AM ANIMAL COMPLAINT /BAR LJV110702035123 10:31 7/2/2011 11:25:28AM ABAND WIRELESS 911 C LJV110702035145 7/3/2011 5:22:54PM ANIMAL COMPLAINT /BAR LJV110703035362 17:28 7/6/2011 1:25:35AM VANDALISM /CRIMINAL D LJV110706035973 7/6/2011 6:21:06AM CIVIL PAPER SERVICE LJV110706035992 6:21 7/7/2011 7:08:04PM LJV110707008135 SHOPLIFTING /RETAIL T LJV110707036366 19:12 7/9/2011 12:03:41 PM LJV110709008200 THEFT LJV110709036744 12:03 7/9/2011 12:50:04PM LJV110709008208 FOLLOWUP LJV110709036758 13:57 Page 2 of 9 CAD Create Time Report Number Call Type Cad Incident Number Arrival Time 7/9/2011 4:47:21 PM FOLLOWUP LJV110709036826 16:51 7/14/2011 11:27:16PM TRAFFIC STOP LJV110714037973 23:27 7/15/2011 8:14:23PM LJV110715008504 SHOPLIFTING /RETAIL T LJV110715038187 20:18 7/18/2011 1:01:36AM SECURITY CHECK LJV110718038663 1:01 7/19/2011 6:20:18PM ANIMAL COMPLAINT /BAR LJV110719039006 18:35 7/20/2011 6:34:13PM CHILD ABUSE /NEGLECT LJV110720039209 19:00 7/21/2011 2:26:47PM LJV110721008751 DISORDERLY CONDUCT LJV110721039356 16:11 7/21/2011 4:20:19PM LJV11.0721008752 HIT & RUN -NO INJURY LJV110721039376 16:47 7/21/2011 9:11:07PM FOLLOWUP LJV110721039437 21:11 7/22/2011 1:05:34AM SECURITY CHECK LJV110722039479 1:05 7/22/2011 3:56:02PM ANIMAL COMPLAINT /BAR LJV110722039596 16:02 7/25/2011 10:58:59AM ANIMAL COMPLAINT /BAR LJV110725040161 7/18/2011 7/27/2011 2:47:47AM SECURITY CHECK LJV110727040498 2:47 - 2900 DEERFIELD DR 13 7/1/2011 8:42:59PM LJV110701007835 THEFT LJV110701034996 20:42 7/3/2011 1:04:12PM ANIMAL COMPLAINT /BAR LJV110703035326 7/4/2011 4:49:14AM BURGLAR ALARM LJV110704035492 7/5/2011 6:56:43PM ABAND WIRELESS 911 C LJV110705035892 7/5/2011 7:11:24PM ABAND WIRELESS 911 C LJV110705035898 7/10/2011 9:32:21AM ANIMAL COMPLAINT /BAR LJV110710036993 9:35 7/15/2011 11:05:30AM ANIMAL COMPLAINT /BAR LJV110715038054 11:31 7/15/2011 7:19:29PM TRAFFIC ACCIDENT PD LJV110715038174 19:58 7/17/2011 11:10:34AM ANIMAL COMPLAINT /BAR LJV110717038520 11:34 7/18/2011 12:10:48PM ANIMAL COMPLAINT /BAR LJV110718038725 7/26/2011 7:24:01 PM LJV110726008967 HIT & RUN -NO INJURY LJV110726040438 20:03 7/26/2011 9:42:08PM TRAFFIC COMPLAINT LJV110726040458 7/26/2011 9:49:55PM TRAFFIC COMPLAINT LJV110726040461 21:50 - 3100 WELLINGTON PL 5 7/13/2011 3:53:47PM FOLLOWUP LJV110713037680 15:53 7/16/2011 2:50:51AM SUSPICIOUS PERSON LJV110716038251 2:54 7/21/2011 2:40:25AM SECURITY CHECK LJV110721039275 2:40 7/23/2011 1:38:33PM LJV110723008824 TRAFFIC ACCIDENT PD LJV110723039791 14:01 7/26/2011 12:28:38AM SECURITY CHECK LJV110726040293 0:28 - 3123SITY51 8 7/4/2011 8:30:14AM LJV110704007940 FORGERY /FRAUD LJV110704035502 7/9/2011 10:56:15AM TRAFFIC STOP LJV110709036726 10:56 7/9/2011 4:01:31 PM TRAFFIC STOP LJV110709036809 16:01 7/11/2011 10:58:05PM SUBJECT DOWN LJV110711037370 23:03 7/14/2011 11:45:14PM ASSIST OTHER JURISDI LJV110714037977 23:50 7/18/2011 4:31:03PM VEHICLE RUNOFF -NO IN LJV110718038766 7/21/2011 10:30:21 PM FOLLOWUP LJV110721039456 7/21/2011 10:32:34PM ASSIST CITIZEN LJV110721039457 - 3222 HUMES RD 10 7/2/2011 7:20:46PM LJV110702007886 HOLDUP ALARM LJV110702035222 19:29 7/6/2011 1:40:19PM THEFT LJV110706036059 14:12 Page 3 of 9 CAD Create Time Report Number Call Type Cad Incident Number 7/7/2011 7:43:05PM ABANDONED 911 CALL LJV110707036374 7/8/2011 12:27:49AM FOLLOWUP LJV110708036421 7/8/2011 1:40:10PM LJV110708008165 THEFT LJV110708036511 7/8/2011 3:58:07PM SECURITY CHECK LJV110708036535 7/15/2011 6:12:30PM CIVIL DISPUTE LJV110715038152 7/15/2011 6:48:37PM CIVIL DISPUTE LJV110715038163 7/17/2011 3:41:57AM LJV110717008551 THEFT LJV110717038489 7/17/2011 4:00:06AM CHECK WELFARE LJV110717038492 - 3961 MILTON AV - 708 S JACKSON ST 7/4/2011 10:07:30PM TRAFFIC COMPLAINT LJV110704035643 7/20/2011 2:30:52AM SECURITY CHECK LJV110720039076 7/21/2011 3:20:22AM PARKING COMPLAINT/VI LJV110721039278 7/23/2011 6:01:20PM SECURITY CHECK LJV110723039835 - 408 S MAIN ST 8 7/1/2011 3:09:44PM ASSIST CITIZEN LJV110701034906 7/8/2011 6:38:42PM TRESPASS LJV110708036579 7/13/2011 10:39:33PM FOLLOWUP LJV110713037753 7/14/2011 2:16:18AM ABANDONED 911 CALL LJV110714037784 7/15/2011 10:29:49AM LJV110715008477 CHECK WELFARE LJV110715038049 7/17/2011 3:04:58AM SUSPICIOUS ACTIVITY LJV110717038484 5 Points Beverage - 600 W MILW ST 1:18:36PM LJV110713008400 7/3/2011 8:50:20PM LJV110704007976 DRUG VIOLATIONS LJV110703035397 7/21/2011 9:58:40AM LJV110721008737 ORDINANCE COMPLAINT LJV110721039314 7/24/2011 10:39:34AM THEFT LJV110724039992 Arrival Time 19:46 0:27 13:46 15:58 3:53 4:02 4 2:30 3:40 18:01 6 15:09 20:03 23:25 2:21 10:36 3:10 3 21:05 9:58 11:23 708 Club - 708 S JACKSON ST 2 7/27/2011 12:38:38AM LJV110727008976 AUTO THEFT LJV110727040486 0:41 7/27/2011 10:03:22AM FOLLOWUP LJV110727040536 10:42 Alfresco - 3900 MILTON AV 8 7/6/2011 10:50:39AM FOLLOWUP LJV110706036023 10:50 7/9/2011 6:31:23PM UNWANTED SUBJECT LJV110709036848 18:38 7/9/2011 6:49:26PM FOLLOWUP LJV110709036853 19:53 7/13/2011 1:18:36PM LJV110713008399 CHECK WELFARE LJV110713037651 13:28 7/13/2011 1:18:36PM LJV110713008400 CHECK WELFARE LJV110713037651 13:28 7/21/2011 9:37:52PM TRAFFIC STOP LJV110721039443 21:37 7/22/2011 11:52:16PM TRAFFIC STOP LJV110722039707 23:52 7/25/2011 8:14:50PM LJV110725008924 FOUND PROPERTY LJV110725040256 20:14 Applebee's - 3024 MILTON AV 2 7/1/2011 9:15:54PM TRAFFIC STOP LJV110701035004 21:15 7/17/2011 6:34:44PM TRAFFIC STOP LJV110717038600 18:34 Page 4 of 9 CAD Create Time Report Number Call Type Cad Incident Number Arrival Time Back Bar -1901 BELOIT AV 2 7/6/2011 7:06:01 PM LOUD MUSIC LJV110706036120 7/9/2011 7:52:04AM OPEN DOORNVINDOW LJV110709036695 7:52 Best Events Catering (Kandu) -1741 ADEL ST 1 7/26/2011 9:32:38AM LJV110726008940 HOLDUP ALARM LJV110726040337 9:36 Buffalo Wild Wings - 2929 MILTON AV 4 7/1/2011 10:32:52PM TRESPASS LJV110701035021 22:35 7/8/2011 9:55:02AM DISORDERLY CONDUCT LJV110708036476 11:46 7/10/2011 9:45:37PM LJV110710008260 ABANDONED VEHICLE LJV110710037111 22:14 7/15/2011 11:16:57PM LOITERING LJV110715038215 23:18 Charlie's Place - 2020 E RACINE ST 1 7/12/2011 5:47:13PM LJV110712008353 CHECK WELFARE LJV110712037504 17:56 Chi Chi's - 3001 N LEXINGTON DR 1 7/9/2011 12:58:55PM OFFICER ASSIST FOR F LJV110709036760 13:04 Deano's West Side Pub - 2523 W WALL ST 1 7/23/2011 6:16:13PM ASSIST CITIZEN LJV110723039838 18:28 Dool's Pub & Grub - 967 S JACKSON ST 1 7/6/2011 6:01:23AM LJV110706008043 BURGLAR ALARM LJV110706035990 6:04 East Point Sports Club - 3501 E MILW ST 2 7/10/2011 3:18:26AM HARASSMENT LJV110710036976 7/24/2011 1:00:23AM BAR/BUSINESSNVALKTHR LJV110724039923 1 :00 Famous Dave's - 3030 MILTON AV 2 7/1/2011 7:13:OOPM ANIMAL COMPLAINT /BAR LJV110701034972 19:24 7/1/2011 7:55:34PM FOLLOWUP LJV110701034986 20:33 Grain & Grape -1514 E RACINE ST 3 7/14/2011 8:01:14AM LJV110714008430 FOUND PROPERTY LJV110714037804 8:21 7/21/2011 4:32:52AM LJV110721008732 SUSPICIOUS ACTIVITY LJV110721039283 4:38 7/21/2011 9:09:32AM FOLLOWUP LJV110721039306 9:21 Ground Round - 2753 MILTON AV 1 7/23/2011 9:53:28PM TRAFFIC STOP LJV110723039879 21:53 Page 5 of 9 CAD Create Time Report Numbe Call Type Cad Incident Number Arrival Time Hammy's Roadside Bar - 2131 CENTER AV 7/17/2011 3:11:50AM LJV110717008553 SEX OFFENSE -RAPE, IN LJV110717038486 7/17/2011 10:31:19AM FOLLOWUP LJV110717038518 7/17/2011 4:16:55PM FOLLOWUP LJV110717038565 7/17/2011 10:12:25PM FOLLOWUP LJV110717038641 7/17/2011 10:12:57PM FOLLOWUP LJV110717038642 HHFFRRRGGH's - 731 S WUTHERING HILLS DR -121 E MILW ST 7/21/2011 8:30:07PM ASSIST CITIZEN LJV110721039425 Julie's Friendly Tap —1020 ROCKPORT RD 7/5/2011 12:13:53AM LJV110705007983 7/12/2011 6:14:54AM LJV110712008324 VANDALISM /CRIMINAL D LJV110712037410 7/13/2011 9:11:13AM FOLLOWUP LJV110713037609 7/26/2011 10:45:13AM LJV110726008947 VANDALISM /CRIMINAL D LJV110726040345 Jumbo's Pub -1110 KELLOGG AV 7/7/2011 10:11:24AM ORDINANCE COMPLAINT LJV110707036246 7/7/2011 10:11:44AM OFFICER ASSIST FOR F LJV110707036247 7/9/2011 11:14:42AM TRAFFIC STOP LJV110709036730 7/9/2011 12:06:02PM TRAFFIC STOP LJV110709036745 7/25/2011 3:33:41 PM BAR/BUSINESS/WALKTHR LJV110725040205 Lava Lounge -121 E MILW ST 7/2/2011 1:43:50AM TRAFFIC STOP LJV110702035071 7/5/2011 12:13:53AM LJV110705007983 THEFT LJV110705035699 7/27/2011 1:10:43AM SECURITY CHECK LJV110727040490 Legends -11 N MAIN ST 7/17/2011 2:33:53AM LJV110717008549 BATTERY /ASSAULT LJV110717038480 7/22/2011 11:26:46PM OUT WITH SUBJECT/VEH LJV110722039699 Looking Glass -18 N MAIN ST 7/9/2011 6:20:26AM PARKING COMPLAINT/VI LJV110709036685 7/15/2011 11:20:55AM LJV110715008475 THEFT LJV110715038055 7/15/2011 7:03:16PM HIT & RUN -NO INJURY LJV110715038168 7/16/2011 11:47:49AM DISORDERLY CONDUCT LJV110716038305 Lunatic Red's -120 W DELAVAN DR 7/6/2011 9:06:28PM FOLLOWUP LJV110706036147 7/6/2011 9:27:03PM FOLLOWUP LJV110706036150 7/1112011 11:29:33PM LJV110711008316 SECURITY CHECK LJV110711037375 7/19/2011 3:36:24PM CIVIL PAPER SERVICE LJV110719038973 5 3:15 10:31 22:12 22:12 1 3 6:14 10:08 12:20 5 10:12 11:14 12:06 15:33 3 1:43 1:20 1:10 2 2:33 23:26 4 6:27 11:20 19:56 11:54 4 21:06 21:27 23:29 15:36 Page 6 of 9 CAD Create Time Report Number Call Type Main St Saloon -117 N MAIN ST 7/5/2011 12:23:21AM CHECK WELFARE 7/11/2011 5:01:13PM LJV110711008296 THEFT 7/15/2011 12:50:36PM LJV110715008483 BURGLAR ALARM 7/22/2011 11:32:29PM BAR/BU SI N ESS/WALKTH R Moose Club - 2701 ROCKPORT RD 7/5/2011 11:29:44PM UNWANTED SUBJECT 7/9/2011 9:05:39PM ASSIST CITIZEN Noodles & Company - 2259 HUMES RD 7/9/2011 2:11:19PM ASSIST CITIZEN Pick 'N Save -1717 CENTER AV 7/1/2011 4:35:12PM TRAFFIC COMPLAINT 7/7/2011 6:12:29PM TRAFFIC STOP 7/7/2011 6:29:33PM TRAFFIC STOP 7/7/2011 7:30:15PM TRAFFIC STOP 7/8/2011 6:29:15PM LJV110708008170 THEFT 7/9/2011 7:52:02PM DISORDERLY CONDUCT 7/13/2011 11:15:50PM ASSIST CITIZEN 7/14/2011 1:51:47PM ASSIST CITIZEN 7/15/2011 4:39:22PM FOLLOWUP 7/27/2011 12:16:29PM LJV110727008993 DRUG VIOLATIONS Quotes Bar - 24 N MAIN ST 7/1/2011 11:55:46PM LJV110702007847 UNWANTED SUBJECT 7/2/2011 12:32:38AM LJV110702007849 ASSIST OTHER JURISDI 7/2/2011 1:21:29AM LJV110708036576 FOLLOWUP 7/2/2011 2:08:55AM LJV110702007853 DISORDERLY CONDUCT 7/2/2011 11:46:23PM LJV110703007898 DRUG VIOLATIONS 7/11/2011 11:21:46PM LJV110711008314 THEFT 7/23/2011 11:43:06PM ASSIST CITIZEN 7/24/2011 3:27:59AM ASSIST CITIZEN 7/26/2011 1:58:21AM LJV110726008933 SEX OFFENSE -RAPE, IN Red Robin - 2430 HUMES RD 7/9/2011 12:17:58PM ANIMAL COMPLAINT /BAR 7/26/2011 9:36:OOAM LJV110726008939 HOLDUP ALARM River's Edge Bowl - 215 S RIVER ST 7/13/2011 3:10:04PM 7/24/2011 10:03:47AM DRUG VIOLATIONS DOMESTIC DISTURBANCE Cad Incident Number Arrival Time 4 LJV110705035704 LJV110711037300 17:01 LJV110715038067 12:54 LJV110722039700 23:32 2 LJV110705035952 23:41 LJV110709036888 LJV110709036777 1 9 LJV110701035039 10 LJV110701034933 0:32 LJV110707036355 18:12 LJV110707036358 18:29 LJV110707036372 19 :30 LJV110708036576 18:29 LJV110709036867 LJV110713037758 23:30 LJV110714037856 2:06 LJV110715038121 LJV110727040553 12:51 9 LJV110701035039 23:59 LJV110702035050 0:32 LJV110702035065 1:21 LJV110702035075 2:08 LJV110702035263 23:46 LJV110711037374 23:21 LJV110723039905 LJV110724039948 LJV110726040305 2:06 2 LJV110709036752 12:33 LJV110726040338 9:39 2 LJV110713037671 16:09 LJV110724039989 10:05 Page 7 of 9 CAD Create Time Report Number Call Type Cad Incident Number Arrival Time Riverside Golf Course - 2100 GOLF COURSE RD 1 7/21/2011 11:03:25PM LJV110721008773 BURGLAR ALARM LJV110721039462 23:09 Russ'sPark Place -1637 E RACINE ST 1 7/24/2011 2:27 :20AM LJV110724008853 OPERATING WHILE INTO LJV110724039937 2:40 Slick's Bar & Grill - 309 ROCKPORT RD 2 7/20/2011 9:54:29AM TRAFFIC COMPLAINT LJV110720039117 7/22/2011 1:14:09PM SECURITY CHECK LJV110722039559 13:14 Speakeasy -19 N HIGH ST 1 7/3/2011 10:39:14AM LJV110703007912 OFFICER ASSIST FOR F LJV110703035309 10:44 TAASBAG - 2339 MILTON AV 1 7/14/2011 10:07:33PM TRAFFIC COMPLAINT LJV110714037954 Texas Road House - 3201 DEERFIELD DR 3 7/2/2011 12:51:36AM LJV110702007852 BURGLAR ALARM LJV110702035059 0:55 7/8/2011 6:43:16PM ANIMAL COMPLAINT /BAR LJV110708036582 19:19 7/26/2011 7:03:29AM LJV110726008935 BURGLAR ALARM LJV110726040320 7:12 Time Out -101 E MILW ST 2 7/20/2011 9:29:32AM LOST PROPERTY LJV110720039110 9:52 7/22/2011 11:14:14PM OUT WITH SUBJECT/VEH LJV110722039694 23:14 Tom's Riders In - 721 CENTER AV 5 7/4/2011 10:51:16AM LJV110704007945 ALCOHOL VIOLATION LJV110704035518 10:51 7/11/2011 10:48:25AM ANIMAL COMPLAINT /BAR LJV110711037234 11:03 7/14/2011 4:26:22PM CODE ENFORCEMENT /INS LJV110714037885 17:30 7/22/2011 1:03:34PM SECURITY CHECK LJV110722039556 13:03 7/27/2011 12:08:09AM TRAFFIC STOP LJV110727040482 0:08 Tremer's Bar & Grill -1802 CENTER AV 4 7/12/2011 11:43:10PM LJV110713008377 DISORDERLY CONDUCT LJV110712037563 23:49 7/15/2011 1:37:57AM LJV110715008464 THEFT LJV110715037990 1:58 7/15/2011 2:41:33AM LJV110715008465 THEFT LJV110715037997 2:41 7/27/2011 2:01:44PM ASSIST CITIZEN LJV110727040568 Watering Hole -1700 N WASH ST 1 7/7/2011 10:10:46PM LJV110708008149 DISORDERLY CONDUCT LJV110707036406 0:19 Page 8 of 9 CAD Create Time Report Number Call Type Weirdo's - 209 W MILW ST 7/16/2011 1:45:50AM LJV110716008510 BATTERY /ASSAULT 7/16/2011 2:12:46AM LJV110716008512 ASSIST OTHER JURISDI 7/23/2011 10:38:OOPM OUT WITH SUBJECTNEH 7/26/2011 3:51:56AM OUT WITH SUBJECTNEH White Oak - 429 N PARKER DR 7/16/2011 11:16:14AM KID COMPLAINTS Wiggy's - 9 N PARKER DR 7/16/2011 4:29:38PM ANIMAL COMPLAINT /BAR 7/19/2011 7:46:22AM LJV110719008652 HIT & RUN -NO INJURY Wolfs Den -1704 ROCKPORT RD 7/1/2011 6:28:17PM OUT WITH SUBJECTNEH Cad Incident Number Arrival Time LJV110716038239 LJV110716038244 LJV110723039893 LJV110726040313 LJV110716038297 LJV110716038355 LJV110719038890 LJV110701034960 4 1:48 2:22 22:38 3:51 1 11:20 2 7:51 1 18:28 Page 9 of 9