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ITEM 3.9 Liquor License-Pour Wine Bar0 Ot§eTF MINNESOTA DEPARTMENT INFORMATION Request for City Council Action pRGINATING DEPARTMENT: REQUEST OR, MEETING DATE: Administration City Cleric Loff January 14, 2013 PRESENTER(s) REVIEWED BY: ITEM #: Consent Agenda City Administrator Johnson 3.9 Pour Wine Bar and Bistro SUPPORTING DOCUMENTS: X ATTACHED ❑ NONE • JLM, LLC; DBA Pour Wine Bar & Bistro Liquor License AGENDA ITEM DETAILS RECOMMENDATION City staff recommends approval of the attached new liquor license for JLM, LLC; DBA Pour Wine Bar & Bistro for January 14, 2013 to June 30, 2013. ARE YOU SEEKING APPROVAL OF A CONTRACT? IS A PUBLIC HEARING REQUIRED? n/a n/a BACKGROUNDIJUSTIFiCATION: • JLM, LLC; DBA Pour Wine Bar & Bistro -On -Sale and Sunday License The applicant has submitted a Liquor License for Pour Wine Bar & Bistro to be located at 15704 90th Street (a section of the old Bob's Produce Building.) The City has received all the paper work and the background check has been completed. SUPPORTING DOCUMENTS: X ATTACHED ❑ NONE • JLM, LLC; DBA Pour Wine Bar & Bistro MOTION: (Please word motion as you would like It to appear in the minutes.) Motion to approve the attached new liquor licenses for JLM, LLC; DBA Pour Wine Bar & Bistro for January 14, 2013 to June 30, 201.3. BUDGET INFORMATION 11100100 ACTION TAKEN BUDGETED: ❑ YES x NO ❑ APPROVED AS REQUESTED ❑ DENIED ❑ TABLED ❑ OTHER (List changes) COMMENTS: 13400 9CP Street NE, Otsego MN 55330 APPLICATION FOR LICENSE ©n -Sale Intoxlcating Liquor License -Y—on-Sale Sunday Liquor License on Sale thine On -Sale 3.2 Malt: Liquor License Off -Sale Liquor License off -Sale 3.2 Beer License Page I of 4 Workers` compensation insurance company Policy# LICENSH'S SALES & USE TAX ID 11� To apply for sales tax number) call 551-296-81.81 or 1800.657-3777 Applicant's name {Business, partnership, corporation DOB Social security 11 DBA or trade name License address Business phone Applicant's home phone 1E2o � J\i -611- / city !C unty State Zip Code License Period R4 Co H5-- M 5333 0 From S 3 to 201 �l Give name, residence, title and date of birth for all partners, or the officers slid directors of a corporation, Also, state the partnership crest of each partner a d for a cor oration the erce t of stock held each office . Name Social Security # Title DOB Percent stock or partnership Interest O®y+ Mal Address } city State obtz-EN IN� Name social Security # Title DOB Percent stock or partnership interest Address city State Name Social Security # Title DOB Percent stock or partnership interest Address city State gate of incorporatlon State of incorporation Certificate Number, Is corporation authorized to do business in Mlnnesota? j og_5C)1Yes No____ Purpose of corporation If a subsidiary of another corporation, give name and address of parent corporation 1. Describe premises to be licensecall facilities), �� Page 2 of 4 Floor establishment Is located on Seating capacity Hours food will be valiable Number of people restaurant employs 5fi- LLcc f Z CO`s 3 - ( b '�uvt2- .t J !,—?Z1 j ti 1 Fr 0( T1— Number of months per year establishment will be open Name of manager 2. if this establishment Is In conjunction with any other business (resort, etc.), describe business A) i3 3. Has applicant, partners, officers or employees ever had any Liquor law violation in Minnesota or elsewhere, Including State Liquor Control Penalties? ----Yes No if yes, give date, charges and final outcome. 4. Is the applicant or any partner, officer, director, agent, employee, or anyone having an interest in relation to this application a member of the city Council in which the license will be issued? Yes __,) No If yes, what capacity? (if the applicant for this license or any of the associates is the spouse of a inember of the governing body or where a family relationship exists, the membershall not vote on this application) (P5 9015x94) Yes ✓' No S. Have the applicants any Interest, directly or indirectly, in any other liquor establishment in the city issuing this license? if yes, give the name and address of the establishment. Yes --XNo 6. During the past license year, has a summons been Issued under the Liquor Civil liability law I�( (Dram Shop) M.S. 940A,802? if yes, attach a copy of the summons. "\ Yes :a 7. Will you serve liquor on Sunday? Amount of Sunday 1.1cense fee certify 1hat I have read the above -cit stto s and that a svrers e rue and correct to the Best of my knowle ge. IJ The License must have one of the following: intoxicating liquor license Check One X A, Liquor Liability insurance(Dram Shop) � $1,000,000 per person, $1,50000 more than oneperson; $100,000 property destruction, $100,000 for loss of means of support, ATTACH "CERTIFICATE OF I NSURANCO TO THIS FORM. Page 3 of 4 Check One XA, liquor Liability Insurance (Dram Shop) -$50,000 per person; $x.00,000 mare than one person; $10,000 properly destruction; $50,000 and $100,000 for loss of means of support. ATTACH'URTIFICATE OF INSURANCE" TO THIS FORM. or _ B. A Surety bond from a surety company with minimum coverage as specified above In A. or C. A certificate from the State Treasurer that the licensee has deposited with the State Treasurer $100,000.00. In cash or securities which may legally be purchased by savings Banks or for trust funds having a market value of $100,000.00. REPORT BY SHERIFF Page 4 of 4 ! certify that to the best of my knowledge, the applicants named above have not been convicted within the last five years for any felony or violation of State law or municipal ordinance relating to the sale of liquor, except as follows: Sheriff r-,5C�='? /Z' --E;, f� County Date If A have any questiogotottcerningthev recommendations or require additional information, please feel free to contact me,