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HomeMy WebLinkAboutApplication (99-730)FOR OFFICE USE ONLY CASE NO. q - -730 DATE SUBNII=D I UI, 1 2-1 CONDITIONAL USE PERMIT APPLICATION (Night Club and/or Sexually Oriented Enterprise) T- 1('69 Minimum Requirements $150.00 application fee. Ten (10) copies of site plan which includes requirements for site plan proposals as listed on attached sheet. This site plan will be reviewed by Staff, after which ten (10) copies of revised site plan will be required. Detailed explanation of proposed use including hours of operation, anticipated traffic, number of employees, total building capacity, etc., as applicable. (4.ee, pQz~G 3 4WU~Co' Lvw> If sign is planned for project, site plan should include sign elevation and details. If sign details are not ( N,k~ included on plans submitted with this application, any future sign may have to be considered as a separate conditional use permit and all of the above requirements must be repeated. ~ A certified copy of the Assumed Name Certificate filed in compliance with the Assumed Business or Professional Name Act (Texas Revised Civil Statutes, Annotated Business and Commerce Code, Chapter 36), if the applicant is to operate a sexually oriented enterprise under assumed name. 0 / A )If the applicant is also applying for a sexually oriented enterprise permit and is a Texas Corporation, a certified copy of the Articles of Incorporation, together with all amendments thereto, shall be filed. Q Use Only Q Site Plan Only Site Plan and Use NAME OF PROJECT M oY' + - Ae.i C_ewkigr ADDRESS 30 1 C~ t~Qe~ M01" LEGAL DESCRIPTION J o ~ `11 , QLA oC~k Co 1 APPLICANT (Primary Contact for the Project): Name Gr~.wMi ~o1~rG~nc Street Address L'2e~ 6Gdo";~ City State Zip Code E-Mail Address Phone Number Fax Number PROPERTY OWNER'S INFORMATION: Name '~o YJ2d-~ c j. C r•e15;L Street Address 12220 V- C O a," City b r' 40c" State 7-- Zip Code -1~I $ o 3 E-Mail Address tJ /d _ Phone Number 4oOl S4,(P 51 S 4- Fax Number jdm~ 4-&1 '1"1 S 03'1 S ARCHITECT OR ENGINEER'S INFORMATIOccN:`` Name tta. V"tP. Street Address _Q,r City 4eV' ~T State _~rA_ Zip Code -1 _ E-Mail Address C•R 1` a w oLt k Go4"~ Phone Number ¢og 2fao Z(o 3 5 Fax Number 4-01 S +(C) S 224 CUP - NIGHT CLUB AND/OR SEXUALLY ORIENTED BUSINESS I of 3 PT TD A AT1TR T a V' A') P) c Ion OTHER CONTACTS (Please specify type of contact, i.e. project manager, potential buyer, local contact, etc.) Name N /46 Street Address City State Zip Code Phone Number E-Mail Address Fax Number PRESENT USE OF PROPERTY ( "nu,.me_c ` ~aL (VaCotiwl) PROPOSED USE OF PROPERTY LX6 CURRENT ZONING OF PROPERTY d P • Total Acreage 0. t -15 afi. Building Sq. Ft. 5CA31S Floodplain Acreage p VARIANCE(S) REQUESTED AND REASON(S) Pgnn,; -6 NUMBER OF PARKING SPACES REQUIRED 61 14-RAs. NUMBER OF PARKING SPACES PROVIDED 4 APPLICATION WILL NOT BE CONSIDERED COMPLETE WITHOUT THE FOLLOWING INFORMATION ADDRESSED: Rate how the following issues will be addressed: 1. Indicate how this use and site plan will not be detrimental to the health, welfare, and safety of the surrounding neighborhood, by answering the following: a. Approximate the distance to the nearest residential area and indicate the housing type (single family, duplex, multi- family, etc.) (note 4-oo' .Iv ~„~al~ ~r~• b. The College Station Codes limit noise levels to 65 d.b.a. from 7:00 A.M. to 10:00 P.M. and to 55 d.b.a. from 10:00 P.M. to 7:00 A.M. Estimate the noise levels produced from the proposed use as heard from all property lines. L ~s k~w h 5 d; .b a c. Approximate the distance to the nearest church, school, or hospital. These measurements must be taken from front door, along property lines, to front door. )V le 6POO' )rV S -e CUP - NIGHT CLUB AND/OR SEXUALLY ORIENTED BUSINESS 2 of 3 I. d. rDescribe the proposed activities and entertainment attractions. n n IVI. Otu-6 I L4kJ ~ao~ w.~.ww OGC:.aSS~ Q;.~re. p~C,r~Aw~Gr.~. ~c rly- s e V,--p lo~e e5 ~o 6e de,~~ i-- v J C;~, Pe rax . o~) e. Indicate whether or not the parking lot will be altered to discourage the following: (circle yes or no for each) rI/A - No ow-5i,~P. (aar-`-4%6 Caw. bo rccvCA" yes no Trespassing on adjoining properties yes no Littering yes no Night noise from patrons leaving the night club yes no Loitering If the proposed use is a Sexually Oriented Enterprise, the following must also be answered. 2. Are there any churches, schools, day care centers, or sexually oriented enterprises within a 1000' radius of the site? 3. Is the applicant: (check one) an individual general partnership limited partnership corporation other (specify 4. State the name of the enterprise. 5. State the name, address and phone number of the manager. I verify that all of the information contained in this application is true and correct. 90 Signature o e gent r Applicant CUP - NIGHT CLUB AND/OR SEXUALLY ORIENTED BUSINESS -1(jqjqj Date 3 of 3 SUBMIT APPLICATION AND THIS LIST CHECKED OFF WITH 10 FOLDED COPIES OF SITE PLAN FOR REVIEW SITE PLAN MINIMUM REQUIREMENTS (ALL CITY ORDINANCES MUST BE MET) INCLUDING BUT NOT LIMITED TO THE FOLLOWING: 5a" 1. Sheet size - 24" x 36" (minimum). 2. A key map (not necessarily to scale). Ga' 3. Title block to include: GY' Name, address, location, and legal description O` Name, address, and telephone number of applicant @(WA)Name, address, and telephone number of developer/owner (if differs from applicant) a Name, address, and telephone number of architect/engineer (if differs from applicant) 0~ Date of submittal R" Total site area Gd/ 4. North arrow. O' S. Scale should be largest standard engineering scale possible on sheet. G 6. Ownership and current zoning of parcel and all abutting parcels. M/ 7. Existin locations of the following on or adjacent to the subject site: Ge Streets and sidewalks (R.O.W.). Gds Driveways (opposite and adjacent per Driveway Ordinance 1961). EY Buildings. Gr(~ )Water courses. 21' Show all easements clearly designating as existing and type (utility, access, etc.). Cal 100 yr. floodplain and floodway (if applicable) on or adjacent to the proposed project site, note if there is no on the site. Ef Utilities (noting size and designate as existing) within or adjacent to the proposed site, including building transformer locations, above ground and underground service connections to buildings, and drainage inlets. (a Meter locations. Or Topography (2' max or spot elevations) and other pertinent drainage information. (If plan has too much information, show drainage on separate sheet.) 8. Proposed location, type and dimensions of the following.: U 01A Phasing. Each phase must be able to stand alone to meet ordinance requirements. C1' The gross square footage of all buildings and structures and the proposed use of each. If different uses are to be located in'a single building, show the location and size of the uses within the building. Building separation is a minimum of 15 feet w/o additional fire protection. fa' Setbacks. Show building setbacks as outlined in Ordinance 1638 Zoning Ordinance, (Section 7, Table A). C( Off-Street parking areas with parking spaces drawn, tabulated, and dimensioned. Minimum parking space is 9' x 20', or on a perimeter row 9' x 18' with a 2' overhang. Designate number of parking spaces required by ordinance and provided by proposal. Cna, ) a Handicap parking spaces. (ri, oZ) SITE PLAN CHECKLIST I of 3 SITECK.DOC 03125/99 Parking Islands. Raised landscape islands, (6" raised curb) a minimum of 180 sq. ft. are required at both ends of every parking row (greenspace area contiguous to the end island maybe applied toward the required 180 sq. ft.). Additionally, 180 sq. ft. of landscaping for every 15 interior parking spaces must be provided. All required islands must be landscaped or set with decorative pavers, or stamped dyed concrete or other decorative materials as approved. C7 F1~p. Drives. Minimum drive aisle width is 23' with head-in parking or 20' without parking. 6d" Curb cuts. For each proposed curb cut (including driveways, streets, alleys, etc.) locate existing curb cuts on the same opposite side of the street to determine separation distances between existing and proposed curb cuts. Indicate driveway throat length as measured in the Driveway Ordinance. (See Ordinance 1961 for driveway location and design requirements.) 1( Na. Security gates (show swing path and design specs with colors). Gd' Sidewalks (both public and private). Sidewalks are required at time of development if property has frontage on a street shown on the Sidewalk Master Plan or if the review staff determines the necessity. (Refer to Section 10.2 of the Zoning Ordinance). Cr N/A• Medians. Show any and all traffic medians to be constructed on site. ❑ Landscape Reserve. A twenty four foot setback from R.O.W. to curb of parking lot is required. Pavement may encroach into this 24' reserve by up to 1134 square feet if streetscape requirement can still be met. In no case may the pavement be less than 6' from the property line. ❑ Common open spaces sites ❑ Loading docks U' W, • Detention ponds Ci rt4/A. Guardrails Q' blt*;b. Retaining walls fft4/A, All required and other types of fences (a 6' privacy fence is required between industrial/commercial and residential developments as well as between multi-family and single family developments). 6d' Sites for solid waste containers with screening. Locations of dumpsters are accessible but not visible from streets or residential areas. Gates are discouraged and visual screening is required. (Minimum 12 x 12 pad required.) (a Show all easements clearly designating as proposed and type (utility, access, etc.). If dedicated by separate instrument list by volume and page. E( Utilities (noting size and designate as proposed) within or adjacent to the proposed site, including building transformer locations, above ground and underground service connections to buildings. a Meter locations (must be located in public R.O.W. or public utility easement.). 56"K A Proposed grading (1' max for proposed or spot elevations) and other pertinent drainage information. (If plan has too much information, show drainage on separate sheet.) 6d~ Show proposed and existing fire hydrants. Fire hydrants must be located on the same side of a major street as a project, and shall be in a location approved by the City Engineer. Any structure in any zoning district other than R-1, R-IA, or R-2 must be within 300 feet of a fire hydrant as measured along a public street, highway or designated fire lane. E(Nlk Show fire department connections. FDC's should be within 150' of the fire hydrant. In no case shall they be any further than 300' apart, and they shall be accessible from the parking lot without being blocked by parked cars or a structure. NIA Show fire lanes. Fire lanes a minimum of 20 feet in width with a minimum height clearance of 14 feet must be established if any portion of the proposed structure is more than 150 feet from the curb line or pavement edge of a public street or highway. NOTE: Fire hydrants must be operable and accepted by the City, and drives must have an all weather surface as defined in the Zoning Ordinance Section 9 before a building permit can be issued. Ed" 9. Will building be sprinkled? Yes ❑ No If the decision to sprinkle is made after the site plan has been approved, then the plan must be resubmitted. 10. Wheelstops may be required when cars overhang onto property not owned by the applicant or where there may be conflict with handicap accessible routes or above ground utilities, signs or other conflicts. SITE PLAN CHECKLIST 2 of 3 SITECK.DOC 03/25/99 CJ N/b• 11. Show curb and pavement detail. A 6" raised curb is required around all edges of all parts of all paved areas without exception. (To include island, planting areas, access ways, dumpster locations, utility pads, etc.) Curb details may be found in the Zoning Ordinance Section 9 and alternatives to those standards must be approved by the City Engineer. No exception will be made for areas designated as "reserved for future parking„ G 12. Landscape plans as required in Section 11 of the Zoning Ordinance (See Ordinance # 1638.) The landscaping plan can be shown on a separate sheet if too much information is on the original site plan. If requesting protected tree points, then those trees need to be shown appropriately barricaded on the landscape plan. Attempt to reduce or eliminate plantings in easements. Include information on the plans such as: C' required point calculations 9' additional streetscape points required. Streetscape compliance is required on all streets larger than a residential street. lid" ' calculations for # of street trees required and proposed (proposed street tree points will accrue toward total landscaping points.) O" proposed new plantings with points earned ( g1Z a,'*) fad" N/A proposed locations of new plantings O'N /A screening of parking lots Gr N/A screening of dumpsters, detention ponds, transformers, A/C units, loading docks, propane tanks, utility demarcation point on buildings, or other areas potentially visually offensive. existing landscaping to remain 5r N/A show existing trees to be barricaded and barricade plan. Protected points will only be awarded if barricades are up before the first development permit is issued. 6d hi~A 13. Show irrigation system plan. (or provide note on how irrigation system requirement will be met prior to issuance of C.O.) All plans must include irrigation systems for landscaping. Irrigation meters are separate from the regular water systems for buildings and will be sized by city according to irrigation demands submitted by applicant and must include backflow prevention protection. ff Wh,14. Is there any landscaping in TxDOT R.O.W. ? Yes ❑ No Mr, If yes, then TxDOT permit must be submitted. LX 15. Will there be any utilities in TxDOT R.O.W. ? Yes ❑ No CY' If yes, then TxDOT permit must be submitted. Q"JH/,Ar 16. Will there be access from a TxDOT R.O.W. ? Yes ❑ No a," If yes, then TxDOT permit must be submitted. litt~/* 17. The total number of multi-family buildings and units to be constructed on the proposed project site. 0' if /,N 18. The density of dwelling units per acre of the proposed project. Cr 19. Provide a water and sanitary sewer legend to include water demands (minimum, maximum and average demands in gallons per minute) and sewer loadings (maximum demands in gallons per day). O" 20. Are there impact fees associated with this development? Yes ❑ No @K NOTE: Signs are to be permitted separately. SITE PLAN CHECKLIST SITECK.DOC 03/2599 3 of 3 APPLICATION FOR A RETAILER'S PERMIT OR LICENSE FORM L-101-A 08196 TVPP CID DDINT 1W MuLe FIRST READ ALL INS i RUG I TUNS ISSUE DATE FEE SURCHARGE LATE FEE (RENEWAL ONLY) IA - . APPLICATION IS FILED FOR: Registry No. QX 1 BG WINE AND BEER RETAILER'S PERMIT ❑ BE BEER RETAIL DEALER'S ON-PREMISE LICENSE ❑PSPACKAGE STO STING PERMIT MIT ❑ BQ WINE AND BEER RETAILER'S OFF-PREMISE PERMIT ❑'111 , PRIVATE CLU, TION PER WINE PERMIT iV E - CL- U AI BF BEER RETAIL DEALER'S OFP=PREMISE LICENSE B PR X TION CERTIFICATE PERMIT ` ❑ PRIVATE C E BL RETAIL DEALER'S ON-PREMISE LATE HOURS LICENSE, ❑ t CLIJ13 OURS PERMIT PRIVATE+ ❑NL ❑ F1 , BP BREWPUB LICENSE RTAGE PERMIT V WINE 8 BEER RETAILER'S PERMIT FOR EXCURSION BOATS PE,.=BEVERZG &NI~ ❑ . Y WINE 8 BEER RETAILER'S PERMIT FOR RAILWAY DINING CAR MB'MIXEa~BEV RAC; 'PERMIT IT [b" MIMEDBEvr TE HOURS PV ❑ A y; ; P PACKAGESTORE PERMIT Q WINE ONLY PACKAGE"STORE PERMIT ❑ MI MINIBAR 0-9~ l(T ❑ ❑CB CA1EF'11A c ' ❑ S PERMIT LP LOCAL DISTRIBUTOR E LOCAL CARTAGE PERMiT ❑ FB FOOD A~ BE E TIFICAT ' 9 E PE IT ET LOCAL CARTAGETRANSFER PERMIT ❑ PT PASSENGER Change of _A B. Application is filed for. Original ❑ Renewal Change ❑ TABC USE ONLY _ C. If renewal or change,,enter license/permit no(s). license/permit no enter rimar rdinate onl ub f in y, o or s g D. If aply . p y CODE FUNC 4 2A. Application Is filed by: B: indicate primary business at this. loc ation: - . 'Individual 01-Restaurant 06-Grocery /Market" " 0artnership hi 02-Bar 07 Llquor,StoPeir:,_~«J ' ` S t orr gi BUS. TYPE p Limited Partners Limited Liability Partnership 03-Sexually Oriented . j i 08 Gad a WagIidng 10 Pali-M U Cdrporation' 04-Sporting Arena, Civic Center, Hotel . , ; 11 Store with Lirnited Liability Company 05-Miscellaneous Miscellaneous Other` - 12-Con- v4ien $tbi6 withdht a Unincorporated Association of. Persons (Private Clubs Only) r q't'y. ° ,W c i r II t i ll TRADE CODE ~ es ng cou s~ . er ra n C. Does applicant require employees to attend amagency approved se ❑ . YeNo 2 or more times per week? D. Is live music featured . ..r:, ,-d . licensed location been reviewed for compliance with Title, III of tine } Has your proposed . E , . Americans with Disabilities Act of 1990?.` . ) I E ❑~No ti m n? ;t,. F No F. Does the,dpplicant own the property and building at the proposed licensed loce 3, 4,Trade Nam4 of nuslness f - t - TEXADEL,PHIA SANDWICHES 4. Address or Location 201 COLLEGE MAIN City County State ie ;01' Zip Code (9 Digits) ancooE COLLEGE STATION BRAZOS `X 77840 5. Mailing Address City 'State Zip Code (9 Digits) Court" CODE 201 COLLEGE MAIN COLLEGE-STATI0il ti TX. 77840 6. Area Code + Business Telephone Number Area Code + Alternate Telephone Number 713 785-6700 713 975-8378 Full Legal Name of Individual (Last, First, Middle) Date of Birth - MM / DD/ YY Social Security Number Issuing State and Driver's License Number PIC CODE Residential Address City State Zip Code ' B. Has the person named in 7A above been a legal resident of Texas for a period of one (1) year immediately preceding the filing of this application? 7B❑Yes ❑ No TRAnFNAMF:.TEXADELPHIA SANDWICHESrnRPnRAT1QN FORM 1_-101-C 08/96 ABC USE C7A. If applicant is a corporation or limited liability company, enter the following information: ONLY Entity Name MADDEN MANAGEMENT INC. 1 . 2. Federal Employer's Identification Number 76-0477623 3. Charter No. 01309176 Date Approved ' 04-14-94 State TEXAS 4. Number and Class of Shares/Memberships Issued 1000 • B. Is at least 51% of each class of shares/memberships issued owned by persons who are at least 21 years of age or older7 B ®Yes ❑No C. Have the persons listed in 1, 2 and 3 below, legally resided in Texas for at least one (1) • year immediately preceding the filing of this application: ' 1. All officers 7 i................................... C I ®Yes❑ No 51 % of owners of each class of shares/memberships issued?: 2 ® Yes[:] No 2 • . 3 ❑Yes❑ No . 3. Majority of directors? p,yFull Legal Name (Last,First, Middle) Officer Director/ Stockholder/ Date of Birth, Title b ❑M © ❑ M em anager er MM / DD/ YY • . MADDEN, JR. WILLIAM JAMES 08 1264 PRES/SEC. Social Security Number Issuing State and Driver's License Number Class & No. of Shares Held or % of Membership • • 450-11-=5317 TX 09738163 1000~COMMON Residential Address City State Zip Code 1801`°'.POTOMAd;' UNIT D HOUSTON S TX 77057 Stockholder/ Full LegAl'Name (Last,First,Middle) ~ Officer Director/ ❑ Manager 0 Member Date of Birth Title MM / DD/ YY Social Security Number Issuing State and Drivers License Number Class & No. of Shares Held or % of Membership - Residential Address City State Zip Code • Full Legal Name (Last,First,Middle) 1:1 Officer Director/ Stockholder/ Member Manager - Date of Birth YY MM / DD/ Title . , / Social Security Number Issuing State and Drivers License Number " Class & No. of Shares Held or % of Membership a Residential Adtlre§§ City; State Zip Code Director/ Stockholder/ Full Legal Name (Last, First, Middle) ❑ Officer ❑ ❑ Manager Member Date of Birth " Title MM I. DD/ YY.' • Social Security Number Issuing State and Drivers License Number Class &`No. of Shares Held or % of Membership fti • • Residential Address City State Zip Code • • Full Legal Name (Last,First,Middle) ❑ O(fcer 11 Director/ ❑ Stockholder/ Manager Member Date of Birth Title MM / DD/ YY c Social Security Number Issuing State and Drivers License Number Class & No. of Shares Held or % of Membership • Residential Address City State Zip Code (IF YOU NEED ADDITIONAL SPACE FOR MORE NAMES, USE REVERSE SIDE OF THIS PAGE) _ ALL APPLICANTS FORM L-101-APP 08/96 TRADE NAML. TEXADELPHIA SANDWICHES 10A1. Will the license or permit embrace the entire building, grounds and appurtenances at the address shown as the location? Al Eil YEs ❑ NO 2. If answer to question A(1) is "NO," have you attached the required diagram? 2 O YES ❑ NO B. Will your business be located within 300 feet of a church or public hospital? B ® YES E] NO Measurements for church or public hospital are to be made from front door to front door, along the property lines of the street fronts and and in direct line across intersection. C1. Will your business be located within°300.feet of d"public school? ............................................C1 OYES ®NO 2. Will your business be located within:1,000 feet of a public school? 2 OYES ®NO Measurements for #ft schbols.afb-tobe~'made in'a-.direct line frblfi'the,nearest property line of tie public school to the nearest property line oPthe, place of business, along fstreet,~ ohts ahd iti a'i1>i.recll line across intersections. D. Measuring from a door which the` public may enter .your establishment to the nearest property line of a publ ctschool,f-will your business be located within,1 000 feetdof a public Y school? . ; ' . D 4] YES NO If X5 is answered "Y yo'b must give written notice of this application fo 06bkschool officials and attach a copy of such notice to this application. Ela. #,4as., any p6rsoti named in question 7A, P7, C7 or N7 or his or her spouse b6en finally .Ela xFS~ -M NO tfconilicted o receiv6d deferred adjudication for any, of the following offenses?.. answer is,indicate which~type of offense and giveyexplanation: ~1) any felony offense J J (8) any,offense involving firearms or-a 2) prostitution. deadly weapon r bof 4~m jig s 'E 40) more than three v olatio s. f the e' YS z' R 4 ambiin or gaming Texas Alcoholic BeVerageode O(5) bootlegging relating to minors 8) vagr' n4 offdhse'involving moral turpitude 0(1'0) violations of the feXaS,Alcot1011C $0 - any offense involving controlled substances BeVerage Codetesulting -n u as ditned~ in "r-ekas Controlled Substances ;a cancellation of a1icerise car Hermit Act or Aberous'drugs or a fine of $500 or more:-' b Ahnsw.,e~ to t1ails 'YES, has it ,been three (3) years since the`terrriination, of a htence, j - y DYES ONO pa or-proba ion seNg&for rt offenses indicated above t..... If ans er is `NO," attach ekplahation;~. 2. Has aly:pe son.narked in question f 7A, P7, Cf 6r tJ7 fiee'n convicted of any-offenses under federal or state Wkt or rriuntcipal~bfdinance involving violations of an-individual's civil rights -r,+lor gm? 2 ❑ YES ® NO or discriminatid~ st,an~. indt, 'Iqu l,bn the; basis of race, oo, creed or_ natiogal on r, Fl. The applicant or perm4t anq icbnsetoLftr_mg ha~e~an lnterest, directly or indirectly In only one level of the alcoholic: be4erag6 iiidusby; Le. manufacturing, wholesaling or retail. You or your agent, servant or employee may not be employed in any capacity at different levels, may not rent or lease property or equipment from or to an entity operating at another level, may not secure credit or a loan in any form for an entity at another level, cannot control in any fashion the interests of a permittee or licensee at a different level. 2. Are you or anyone described in questions 7A, P7, C7 or 10J in violation of the above requirements? FZ ❑ YEs ® NO If "YES," attach explanation. TEXADELPHIA SANDWICHES ALL RETAILERS eX PRIVATE CLUBS FORM L-101-RET 08/96 (BADE NAME: IIA. Is the proposed location of the alcoholic beverage business sought to be licensed located in a A ❑ YES ® No hotel or motel? B. Does the applicant own or operate a hotel business at the location for which this application is R ❑ YES ® NO filed? C. Do you operate under a franchise agreement? C ❑ YES ®NO If so, attach a copy of the franchise agreement. D1 D YES F_XjNo D.1. Do you share the premises with another business entity? If "YES," enter name of business: 2E] YES ❑ No 2. Does that business entity operate under a franchise agreement7 If "YES," attach a copy of the franchise agreement; , E. If operating under a lease, indicate the following concerning your lease: 1. Expiration date(s)/Optibfis 2. Monthly rental amount a 3. Other fees or payments t6,Iandlord2 F.I. Are you operating under any concession, services or managemot- agreements or agreements nts rental?......... which contain terms for.services or management over and beyond provld ng;property FI El YES Q NO If "YES," indicate the following and attach copy of agreemeww: 2. Expiration dete(s)/Options fee - 3 ithl M . y, or 4. Another fee(s) made to concession, service ormanagement companies. 5. If management Company=differs from lessor or sublessor,~enter name below and 06molete`Form L-101-SL, giving name; address and officers of concession; service or management companies. 4 4,Nafne4 N/A G.1. Ate there any agreements, excluding E and F,above which require a payment by the applicant in a dollar figure or percentage of gross or net receipts of the business? . G11JYkS No 2. It "YES," indicate to whom payment is mode, state amount, and attach a copy of agreement. +Name L Amount i a k e,yor! putehased this business? H. From Whom hav , 4,Name~ ~ Address t~ ;z > d: N/A ON PRLMItt1ICEN$ES1PERMITS ' rs~ q r ~ I. Does the proposed licensed locatibn~have , , t 1 ®YES ONO I i.? 1. running water, if aVailablO ` 2. separate, free, properly identified toilets fYWiales and fdmales? r ' 2 ®YES ONO 3. adequate seating fob customers : 3 DYES ❑ No J. Enter name of officer, owner of,partner.who is primarily responsible forz,th6!,Management of the premises." WILLIAM MADDEN, JR ~ K. If it is your intention to license a boat, what is the maximum number of passengers allowed? K For applicants in municipalities with a population of 1.500.000 or more: L.1. Measuring in a straight line from the nearest point of the property line of the proposed location to the nearest point of the property line of a residence, church, school, day care or social service facility, will your business be located within 300 feet of these types of facilities? LI DYES DNO 2. If answer to L1 is "YES," is 75% or more of the applicant's actual or anticipated gross revenue from the sale of alcoholic beverages? 20m E ]NO 3. If answer to L1 and L2 is "YES", have you given notice that an application has-been filed, to all tenants or property owners described in L1 within five (5) days after the filing of the original application? 3 DYES ❑NO .1 r'r1 F..,i Dt- i r 'I1 i t-; 7 1 , ?'-3._.:- . - F' . r Austin i` Houston Dallas } i 1 111 TO I Cheese Steak Sandwich $4.25 Thinly sliced sirloin, sauteed onions and melted mozzarella on a hearth baked roll. Chicken Cheese Steak Sandwich $4.75 Thinly sliced chicken breast, sauteed onions and melted mozzarella on a hearth baked roll. Extra Cheese 404 Cherry Peppers 30: a Musnrooms 401 Extra onions 201 Pepperoni 351 ►A'.`l111l:0t*l: No Competition Burger $3.65 with Cheddar, Mozzarella or Provolone add 40C Extras Jalapetlos 304 Guacamole 50t Mushrooms 404 Grilled Cnicn~ 2ps Hickory Sauce 104 Veggie Sandwich $3.75 Guacamole, melted cheddar & mozzarella cheese, lettuce, tomato & onion on a whole wheat bun Italian Sub $3.95 Geno salami, provolone cheese, smoked har n, cherry peppers, pickles, lettuce, tomato & onion with vinaigrette stuffed in a hogle roll Chicken Salad Sandwich • • . • . $3.95 Served on a whole wheat bun Grilled Chicken Sandwich • • • . $4.95 Served with melted cheddar cheese & your choice of our famous homemade sauces Smoked Turkey Sandwich $3.95 Try it with guacamole - only 504 more Top 'em off with your choice of sauce: Red Italian - Marinara Mustard Blend - Our Secret Plcante - Hot! Hot! Hotl Ranch . Creamy Mayonnaise - Heavy Duty Hickory - Sweet Barbeque 1L-W-1 " I DIN: 107:1%1 1, House Salad $3.35 Grilled Chicken Salad $5.25 House salad topped with grilled, marinated chicken breast Bevo Wings (1o)$4.65(25)$8.95 (5o)$ I S-95 Dried Stuffed Jalapetios $4.95 Chicken Tenders your choice of sauce.. $4.95 French Fries curly or viedge (Basket) $1.50 Onion Rings (Basket) $1.95 Chips $ .75 Chips & Salsa $1.95 Chips & Queso.............. $2.75 Chips & Guacamole $3.25 Beverages One Size Fits All FREE REFILLS 95C Snapple $1.50 Coke • Diet Coke - Dr. Pepper • Sprite • Root Beer • Lemonade • Iced Tea • Coffee Gatorade • Sprin5 Water • V ► 1 r N", V-4.-U,1, r_ - - Extras: - Lettuce & ,Tomato 401 1alapefios 301 :SSINGS~AY~tILf1BLiE inrldne IVQft to Mama`s We WIM i a ~ u ~ 8 2! ~ 1 1 s "The Best Phiily Cheese Steak in Texas" ACKNOWLEDGMENT FORM L-101-ACK 08/96 TRADE NAME: Name of License Service, if applicable: y Address of License Service: 40 Do you want your renewal notice sent to the mail address shown for your license service? IV] YES U NO EACH PERMITTEE OR LICENSEE SHALL HAVE EXCLUSIVE OCCUPANCY AND CONTROL OF THE ENTIRE LICENSED LOCATION. ANY ARRANGEMENT WHICH SURRENDERS SUCH CONTROL OF THE EMPLOYEES, PREMISES OR BUSINESS, INCLUDING PROFITS AND LOSSES, TO PERSONS OTHER THAN THE LICENSEE OR PERMITTEE IS UNLAWFUL. WARNING: Section 101.69 of the Texas Alcoholic Beverage Code is as follows:" ...a person who makes a false statement or false representation in an application for a permit or license or in a statement, report o(' other instrument 1: he filed with the Commission and required to be sworn commits an offense punishable by imprisonment in the penitentiary for not less than 2 nor more than;~ 0 years." A C K~ -N O W L E D#Cj = M"ESN T If A licant is"' Who Must Sign: s Individual-Individual Owner' Partnershl -partner SIGNA E MUST APP AS W~WE SHOWN IN-QUESTION 7A, P7, N7 OR C7 Cor ore ova Officer Before , the and rsi ned authority, on this 717 ~ # D. 19 the person Limited/Limited Uabil"i Partne sh• `1,General Partner day ,of A. Llmifed Ulablll ;Com `pan -Officer or Manage r whose name is signed- to the foregoing application personally . tvate ukis Onl ;Officer appeared and, duly sworn byo:meastatesunder.oaththat he or IF L I SUBORDINATE she has read the said application and that all the facts therein set PERMIT 'i 4 forth are true correct. Has there teen any)chajnge_ in the ownership-,ofAhe busigess:since the SIGN nst apphcatlon,was p1 7 DYES❑ NO HERE' C ' N )TAR PUB ND FOR TH TATE OF TEXAS S E A `L PUBLISHER'S-AFFIDAVIT t . Nameot- Newsap'ec Cit ;?Count`4. , Texas ATTACH 2 Dates:of.Notice Publication / /19 AND l /19 PRINTED ' Publisher 9 t rt e ' above. on the dates shown newspaper ublished in sa d COPY OF Signature of n e Q~ THE r or Designee, Publishe Sworn to and subscribed ~i 19 NOTICE before me this`°dafe Signature of Notary PU i S E A L COMPTROLLER OF PUBLIC ACCOUNTS CERTIFICATE This is to certify on this day of A.D. 19 the applicant holds or has applied for and satisfies all legal requirements for the issuance of a Sales Tax Permit under the Limited Sales, Excise and Use Tax Act or the applicant as of this date, is not required to hold a Sales Tax Permit. SALES TAX PERMIT NUMBER • SIGN Comptroller of Public Accounts HERE Title/Field Office SEAL TRADE NAME: IK ~~CJS'T-b ALL APPLICANTS FORM L-101-APP 09/97 10.G. List the bank name, address, and account numbers to be used in connection with your proposed business. Attach additional page if necessary. V~Bank Name4, Account No. tLovt'T NAT FT St✓ ~v Address Account No. Bank Name Account No. Address Account No. Bank Name Account No. Address Account No. H. List the name and address of the accountant of the business. J/Name4, Address S&NwPA T. i=vy I P o f Q i 1. What is the amount of total investment for this business? $ 93.000 J. List the names of any persons, firms, or corporations that have or will advance any money, that hold any mortgage or encumbrances against the assets of the business, or that have signed or co-signed, guaranteed or financially assisted this business for which you are seeking a permit. TABC USE J, Name y I Amount I Terms ONLY Date of Birth I Social Security or FEID Number Issuing State and Driver's License Number Name I Amount I Terms Date of Birth I Social Security or FEID Number I Issuing State and Driver's License Number K. Do you own the furniture, fixtures and equipment at the proposed licensed location? K ❑Yes WNo If "NO," state from whom leased and payment involved. ~NameJ, Amount t0T VE t' 1, L. Is this application being made by you for the benefit of someone else? L ❑Yes No If answer is "YES," please give the following information: ,LName4, I Address f"1 a - qyql~- 1 411~10 APPLICATION FOR A RETAILER'S PERMIT OR LICENSE 010CT BCAr% A!! IIJCTDI IY^TI(11JC FORM L-101-A 091 TYPE OR PRINT IN INK ISSUE DATE FEE SURCHARGE LATE FEE (RENEWAL ONLY) I 1A. APPLICATION IS FILED FOR: M BG WINE AND BEER RETAILER'S PERMIT Registry No. BE BEER RETAIL DEALER'S ON-PREMISE LICENSE STORE TASTING PERMIT PACKAGE F-1 BQ WINE AND BEER RETAILER'S OFF-PREMISE PERMIT ❑ REGISTRATION PERMIT N PRIVATE CLUB ❑ BF BEER RETAIL DEALER'S OFF-PREMISE LICENSE ❑ N ❑ BL RETAIL DEALER'S ON-PREMISE LATE HOURS LICENSE ❑ NB PRIVATE CLUB BEER AND WINE PERMIT El F1 BP BREWPUB LICENSE NE PRIVATE CLUB EXEMPTION CERTIFICATE PERMIT ❑ V WINE & BEER RETAILER'S PERMIT FOR EXCURSION BOATS ❑ NL PRIVATE CLUB LATE HOURS PERMIT ❑ PE BEVERAGE CARTAGE PERMIT ❑ Y WINE & BEER RETAILER'S PERMIT FOR RAILWAY DINING CAR ❑MB' MIXED BEVERAGE PERMIT ❑ P PACKAGE STORE PERMIT • ❑ Q WINE ONLY PACKAGE STORE PERMIT ❑ LB MIXED BEVERAGE LATE HOURS PERMIT ❑ LP LOCAL DISTRIBUTOR'S PERMIT ❑ MI MINIBAR PERMIT ❑ CB CATERER'S PERMIT ❑ E LOCAL CARTAGE PERMIT ❑ ET LOCAL CARTAGE TRANSFER PERMIT ®FB FOOD AND BEVERAGE CERTIFICATE B. Application is filed for: M Original ❑ Renewal Change ❑ Change of USE ONLY C. If renewal or change, enter license/permit no(s). D. If applying for subordinate only, enter primary : license/permit no. 2A. A pplication is filed by: B. Indicate primary business at this location: fUNC.LBDE Individual 01-Restaurant 06-Grocery/Market Partnership 02-Bar 07-Liquor•Store BUS. TYPE Limited Partnership Limited Liability Partnership 03-Sexually,0riented 08-Gas Sfation Corporation 04-Sporting Arena, Civic Center, Hotel 10-Pan-mutuel Wagering an d Liabilit Com Limp 11-Convenience Store with Gas y e y p 05-Miscellaneous Other 12-Convenience Store without Gas TRABECODE Unincorporated Association of Persons (Private Clubs Only)_ C. Does applicant require employees to attend an agency approved seller training course?.... 2C Yes ❑ No D. Is live music featured 2 or more times per week? D ❑ Yes No E. Has your proposed licensed location been reviewed for compliance with Title Ill of the' , Americans with Disabilities Act of 1990? E ❑Yes No F. Does the applicant own the land and building at the proposed licensed location? F ❑Yes ® No 3. +Trade Name of Business y 7NE ~i 4. Address or Location 301 COU-8 ` MAtiJ City County State Zip Code (9 Digits) CITY COOE COLLs= . sT 1ATWN' i;1 Awi TX 40 5. Mailing Address City State Zip Code (9 Digits) COUNTY COOE .O. l`)0 r 6, Z IC)NUJ6 - S-3 ")0 6. Area Code + Business Telephone Number Area Code + Alternate Telephone Number °T?_ 40A Z-3 20 7A.40 Full Legal Name of Individual (Last, First, Middle) Date of Birth - MM / DD/ YY Social Security Number Issuing State and Driver's License Number PIC CODE Residential Address City State Zip Code B. Has the person named in 7A above been a legal resident of Texas for a period of one (1) year immediately preceding the filing of this application? ...................................................................7B IRYes❑ No TRADE NAME: MAE 6zo-rTo PARTNERSHIP FORM L-101-P 09/97 P7A. Have all partners of the general partnership; or all general partners and 51% of the total se T ONLY ownership of the limited partnership or limited liability partnership resided in Texas for at least one (1) year immediately preceding the filing of this application? A Yes ❑No B. All limited partnerships and limited liability partnerships must enter the following information: 1. Entity Name 2. Federal Employers I.D. No. 3. Date Approved State C.y Full Legal Name of Partners (Last, First, Middle)y- - Date of Birth General Partner or MM`f DD/ YY Limited Partner POY ct+~iS:~Pik DAVifl Os Oq (10 GF--WFP<L- PAM Social Security Number issuing-AState and Driver's LicerA umber % of Interest - 1~~-GZ-►833 -TA -1419"Is'S3 5o~a Residential Address City State Zip Code PO- &71-' _ 901(oZ TA X753 rev Full Legal N Partner (Last, Frsf Middies Da e ir~h - ` = General Per MMTt3U/ YY ed Partner o SAtib4 A ToAIQ 03 05-140 6UN>'& Pok'4 Social Security Number Issuing State and -Driver's License Number of Interest - 1'~q-3o-~~ : -roc- i~z$~~do _ 0 Reside_rltiaTAddress City State Zip Code : 49~ t GZ Dam -TX X 53`10_ Fuil Lgat Warne of Partner {Last First, Middle)` Date of Birth GeneralPartner or _ MM / Db/ YY Limited Partner SocialSecurity Number Issuiv.State add Driver's License Number -0Io of:(nterest- Residential Address City State Zip C69e Full Legal FW* of-Partner (Last,=First Middle) Dat 0rth -General Partner or . 14M f1b" Limited Partner - f f Social Security Number Issuing State and Driver's License Number % of Interest Residential Address City State Zip Code Full Legal Name of Partner (Last, First, Middle) Date of Birth General Partner or MM / DD/ YY Limited Partner / f Social Security Number Issuing State and Driver's License Number % of Interest • Residential Address City State Zip Code (IF ADDITIONAL SPACE IS NEEDED FOR PARTNERS, USE REVERSE SIDE. IF GENERAL OR LIMITED PARTNER IS A CORPORATION OR LIMITED LIABILITY COMPANY, COMPLETE FORM 101-0 FOR THAT dORPORATION OR COMPANY.) FORM L-101-OP 09/97 TRADE NAME: -01CI5 GRATCO OWNER OF PREMISES 1. Please indicate if information to be entered below is for: TAec USE It Owner of Land and Building ❑ Owner of Land ❑ Owner of Building El Owner of Boat ONLY If the land and building are owned by different entities, please complete a separate Form L-101-OP for each entity. Entity Name a - £s - 1 . 2. Address 301 (2LtL'° £ M N 5 I)C784-0 3. Federal Employer's I.D. No. ❑ Check here if information entered is for owner of the land and building of the Storage Permit or Manufacturer's Warehouse License. B.yFull Legal Name of Individual, Partner, Officer (Last, First, Middle)+ Date DD/iYY Title/Owner W E;EgT" dc- 03 Z,1 ~A- Gw 2- Socia Security Number Issuing State and Driver's License Number Residential Address City State Zip Code 301% \.JeSTGJCOt~,, MP"J &eqpctj iX 10 Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth Title/Owner MM / DD/ YY Social Security Number Issuing State and Driver's License Number Residential Address City State' Zip Code Full Legal Name of Individual,-Partner, Officer (Last, First, Middle) Date of Birth MM / DD/ YY Title/Owner Social Security Number Issuing State and Driver's License Number Residential Address City State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth Title/Owner MM / DD/ YY if Social Security Number Issuing State and Driver's License Number Residential Address City State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth Title/Owner MM / DD/ YY Social Security Number Issuing State and Driver's License Number Residential Address City State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth MM/DD/YY Title/Owner if Social Security Number Issuing State and Driver's License Number Residential Address City State Zip Code (IF YOU NEED ADDITIONAL SPACE FOR MORE NAMES, USE ADDITIONAL COPIES OF THIS PAGE) I TRADE NAME ALL RETAILERS 8x PRIVATE CLUBS FORM L-101-RET 09/97 11A. Is the proposed location to be licensed located in a hotel or motel? A ❑ Yes No B. Does the applicant own or operate a hotel at the location for which this application is filed? B ❑ Yes W No C. Do you operate under a franchise agreement? If so, attach a copy C ❑ Yes No : D.1. Do you share the premises with another business entity? D1 ❑ Yes No If "YES," enter name of business: 2. Does that business entity operate under a franchise agreement? If "YES," attach a copy . 2❑ Yes ❑ No E. If operating under a lease, indicate the following concerning your lease: 1. Expiration date(s)/Options LEAS= )(er E itc. ;©p 2. Monthly rental amount 3. Other fees or payments to landlord F.1. Are you operating under any concession, services or management agreements or agreements which contain terms for services or management over and beyond providing property rental? F1 E] Yes No If "YES," indicate the following and attach copy of agreement(a): 2. Expiration date(s)/Options 3. Monthly fee' 4. Any other fee(s) made to concession, service or management companies. 5. If management company differs from lessor or sublessor, enter name below and complete Form L-101-SL, giving name, address and officers of concession, service or management companies. ~Name4, G. Are there any agreements, excluding E and F above, which require a payment by the applicant in a dollar figure or percentage of gross or net receipts of the business? G ❑Yes Iff No If "YES, attach a copy of agreement. ON PREMISE LICENSES/PERMITS fjuaLDy~;c~ L'NMf Cck%ST"LX-Tk'N - Af'f A-,<X rKA'rE CC,-kPLfne" bA4t H. Does the proposed licensed location have: I S si MME 'Z~ t 1. running water, if available? H1 'Yes ❑ No 2a. separate, free, properly identified toilets for males and females? .................te!.K 2a ❑ Yes No b. If "NO," is location in a multi-tenant business complex which provides free public restrooms for males and females and is available to customers during your hours of operation? b0 Yes a No 3. adequate seating for customers? 3 0 Yes ❑ No 1. Please provide the following information: Sales Data: Give the following sales data for your last year of operation orpr ojected yearly sales: Alcoholic Beverage Sales $ _5o, eco Other Sales $ Food Sales $ 3 eo, cec Total Sales...................... _3~xrecto J.1. Indicate your sales and use tax number: tw-, 4er Pwuen F.a - 2. If other businesses share the same premises as the applicant, indicate the name(s) of businesses and sales and use tax number(s) for other businesses. Name(s) Sales and Use Tax Number(s) K. If it is your intention to license a boat, what is the maximum number of passengers allowed? ........K For applicants in municipalities with a population of 1.500.000 or more: L.1. Measuring in a straight line from the nearest point of the property line of the proposed location to the nearest point of the property line of a residence, church, school, day care or social service facility, will your business be located within 300 feet of these types of facilities? L' 2. If answer to L1 is "YES," is 75% or more of the applicant's actual or anticipated gross revenue from the sale of alcoholic beverages? 3. If answer to L1 and L2 is "YES", have you given notice that an application has been filed, to all tenants or property owners described in L1 within five (5) days after the filing of the original application? ❑ Yes ❑ No 2 ❑ Yes ❑ No 3 ❑ Yes ❑ No TRADE NAME: /r7C :1~~I77V AC"OWLEDGMENT FORM L 101 ACK 09/97 Name of License Service, if applicable: `L Address of License Service: 4, Do you want your renewal notice sent to the mail address shown for your license service? U Yes 1 I No EACH PERMITTEE OR LICENSEE SHALL HAVE EXCLUSIVE OCCUPANCY AND CONTROL OF THE ENTIRE LICENSED LOCATION. ANY ARRANGEMENT WHICH SURRENDERS SUCH CONTROL OF THE EMPLOYEES, PREMISES OR BUSINESS, INCLUDING PROFITS AND LOSSES, TO PERSONS OTHER THAN THE LICENSEE OR PERMITTEE IS UNLAWFUL. WARNING: Section 101.69 of the Texas Alcoholic Beverage Code is as follows: "....a person who makes a false statement or false representation in an application for a permit or license or in a statement, report, or other instrument to be filed with the Commission and required to be sworn commits an offense punishable by imprisonment in the penitentiary for not less than 2 nor more than 10 years." ACKNOW If Applicant is: Who Must Sign: Individual -Individual Owner Partnership -Partner Corporation -Officer Limited/Limited Liability Partnership -General Partrfl5r Limited Liability Company -Officer or Manao Private Clubs Only -Officer PERMIT OR LICENSE: Has th owners usiREVERICY Eg, last app t' filed? NotaryPublic ~J 4. S E A MY Comm. Exp. 08-01-2001 Q No SIGN / HERE vvv SIGNATURE MUS APPEAR AS hAdE SHOWN IN QUESTION 7A, P7, N7 OR C7 Before me, the undersigned authority, on this day of , A.D. 1~t b the person whose na is signed to the foregoing application personally appeared and, duly sworn by me, states under oath that he or she has read the said application and that all the facts therein set forth are true and correct. SIGN HERE NOT Y PUBLIC IN AND FOR THE STATE OF TEXAS //oifl --PUBLISHER'S AFFIDAVIT Name of Newspaper 72W ort-A914- City, Count 6eyAr1 49:4.470T 6'7ilV7z7 , Texas ATTACH 2 Dates of Notice Publication / /19 AND / /19 PRINTED Publisher or designee certifies attached notice was published in said newspaper on the dates shown above. COPY OF Signature of Publisher or Designee THE Sworn to and subscribed before me this date 19 NOTICE o B Signature of Notary Public S E A L COMPTROLLER OF PUBLIC ACCOUNTS CERTIFICATE This is to certify or, this l") - day of A.D. G 4 D the applicant holds or has applied for and satisfies all legal requirements for the issuance of a Sales Tax Permit under the Limited Sales, Excise and Use Tax Act or the applicant as of this date, is not required to hold a Sales Tax Permit. SALES TAX PERMIT NUMBER D 0,x.3 ,~1,-S d-3 Comptroller of Public Accounts SIGN HERE yz~ Title/Field Office Nor • SEAL TRADE NAME: CERTIFICATE OF COUNTY CLERK FORM L-101-CNY 09/97 I hereby certify that on this the day of indicated in question 4 as the place of business is in a "wet area," for a Type of License or Permit Commissioner's Court. SIGN HERE SEAL County Clerk A.D. 19 the location I Type of License or Permit and is not prohibited by any valid order of the County CERTIFICATE OF COUNTY CLERK' FOR LATE HOURS LICENSE OR PERMIT I hereby certify this the day of A.D. 19 that: - ❑ 1. The Commissioner's Court of the county has by order authorized the sale of "mixed_ beverages" • between midnight and 2:00 A.M. (or) • ❑ 2. The Commissioner's Court of the county has by order authorized the sale of "beer" between midnight and A.M. (or) - ' ❑ 3. The population of the county in which such premises are located was 500,000 or more according to the last Federal Census. • SIGN (:25F= County HERE County Clerk ° SEAL CERTIFICATE OF COUNTY CLERK (Address for Storage Permits and Manufacturer's Warehouse License listed in Questions 21B andlor Q hereby certify that on this day of , A.D. 19 the location herein given as the place of business is in a "wet area," and that the sale of alcoholic beverages for which license/permit is sought is not prohibited by any valid order of the Commissioner's Court. SIGN o HERE County Clerk SEAL County ' TRADE NAME: CERTIFICATE OF CITY SECRETARY (If not in an incorporated city, so state) FORM L-101-CTY 08/965 I hereby certify that on this kl day of A.D. 19 that the location indicated in question 4 as the p ace of business is in a "caret area." for a Type of License or Permit and that such location is inside the boundaries of this city or w-14 &411 1007f.. A 1, 7, Type of License or Permit town for which permittlicense is sought and is not prohibited, by charter or ordinance. • SIGN (ZF~ Ny ~j ~4 J6 HERE -A T@X8S City Secretary_lclerk ° yrrx. Alp • -r3~jys x ~e~ir 4VWL TE- OF 1TY S . , . ~ot in an incorp, ted city, so state) FbWLATE HOURSklltENSE OR PERMIT. hereby certify that on this day of 'a A!D. 1, that: 1. The governing body of.this city has by ordinance authorized the sale of % vtween midnight and 2:00 A.M. " • (or) • The governing body of this city has by ordinance authorized the sale of between ion4ht and A. M. (or) Ito The population of the county in which such premises are located was 500,000tbr more according to the last .4 Federal Census. • f SIGN =f # w;: HERE Texas City Secretary/Clerk~-~ • SEAL CERTIFICATE CITY SE CRET'-Y (It not'in art ulcorporeted crty, s~5tate}/i,'~ - (Address for Storage Permits and M"'u6ct is~vare ouse.l.i ease listed in Questions 21B andlor. C.) I hereby certify that on this day of , A.D. 19 the location herein given as,. the place of business is in a "wet area." . that such location is inside the boundaries of this city_or town and that the sale of alcoholic beverages for which license/permit is sought is not prohibited by charter or ordinance. SIGN HERE - - City Secretary/Clerk , Texas SEAL ALL APPLICANTS FORM L-101-APP 09/97 NAME: I-W GiZo'rry 10A1. Will the license or permit embrace the entire building, grounds and appurtenances at the address shown as the location? Al Yes ❑ No 2. If answer to question A(1) is "NO," have you attached the required diagram? 2E ]Yes ❑ No B. Will your business be located within 300 feet of a church or public hospital? B ❑ Yes ® No Measurements for church or public hospital are to be made from front door to front door, along the property lines of the street fronts and and in a direct line across intersections. Cla. Will your business be located within 300 feet of a public school, day care center or day care facility? C1a❑ YesNo b. If "YES," are the facilities located on different floors or stories of the building(s)? b❑ Yes ❑ No 2. Will your business be located within 1,000 feet of a public school? 2 ❑ Yes No Measurements for public schools, day care centers and day care facilities are to be made in a direct line from the nearest property line of the public school, day care center or day care facility to the nearest property line of the place of business, along street fronts and in a direct line across intersections. D. Measuring from a door which the public may enter your establishment to the nearest property line of a public school, will Your business be located within 1,000 feet-of a public school? D'❑ Yes W No If D is answered "YES," you must give written notice of this application to public school officials and attach a copy of such notice to this application. Ela. Has any person named in question 7A, P7, C7 or N7 or his or her spouse been `finally convicted or received deferred adjudication for any of the following offenses? . E1 a❑.-Yes No If answer is "YES," indicate which type of offense and give explanation: ❑(1) any felony offense ❑ (8) any offense involving firearms or a ❑(2) prostitution deadly weapon ❑(3) bookmaking ❑ (g) more than three violations of the ❑(4) gambling or gaming Texas Alcoholic-Beverage Code ❑(5) bootlegging relating to minors ❑(6) vagrancy offense involving moral turpitude ❑(10) violations of the Texas Alcoholic ❑(7) any offense involving controlled substances Beverage Code resulting in ` as defined in Texas Controlled Substances cancellation of a license-or permit Act or dangerous drugs or a fine of $500 or more b. If answer to Eta is "YES," has it been three (3) years since the termination of a sentence, parole or probation served for any offenses indicated above? b ❑Yes ❑ No If answer is "NO," attach explanation. 2. Has any person named in question 7A, P7, C7 or N7 been convicted of any offenses under federal or state law, or municipal ordinance involving violations of an individual's civil rights or discrimination against an individual on the basis of race, color, creed or national origin?....... 2 ❑Yes No Fl. The applicant or permit and license holder may have an interest, directly or indirectly in only one level of the alcoholic beverage industry; i.e. manufacturing, wholesaling or retail. You or your agent, servant or employee may not be employed in any capacity at different levels, may not rent or lease property or equipment from or to an entity operating at another level, may not secure credit or a loan in any form for an entity at another level, cannot control in any fashion the interests of a permittee or licensee at a different level. 2. Are you or anyone described in questions 7A, requirements? If "YES," attach explanation. P7, C7 or 10J in violation of the above F2 ❑ Yes No PARTNERSHIP FORM L-101-P'69/97 TRADE NAME: P7. + Full Legal Name of Partner (Last, First,Middle) y Date of Birth General Partner or TAec USE MM / DD/ YY Limited Partner ONLY Social Security Number Issuing State and Driver's License Number % of Interest Residential Address City State Zip Code Full Legal Name of Partner (Last, First, Middle)- Dale of Birth General Partner or MtJF=/ DD/ YY Limited Partner Social Security Number Issuing State and Driver's License Number % of Interest Residential Address = - - City State Zip Code Full Legal l `of PartnerjW- st, Firit,Uddle) DatOMR rah weral Partn r o - MMYwTYY 1-irr ited Paftr w • Social Security Number Issuing State and Ddvees-License Number 1651' Interest-- Resideifitial Address - City State Zip Code FufllegaMame of Partner (Last, First, Middle) Date of Birth general Psrtner of F MM / DD/ YY _ -Limited. Partner SociaMecunty Number IssuirrM Stat"nd Driver's License 'Number Yo of Interest Residential Address City State Zip Wde • Full Legal Name7bf Partner (Last, First M ddle) = birth RtO~ffl GeneFal r or n MMIDD/ YY Limited aa er Social Security Number - - Issuing State and Driver's License-Number % of Interest Residential Address City State Zip Code Full Legal Name of Partner (Last, First, Middle) Date of Birth General Partner or MM / DD/ YY Limited Partner Social Security Number Issuing State and Driver's License Number % of Interest Residential Address City State Zip Code (IF ADDITIONAL SPACE IS NEEDED FOR PARTNERS, USE ADDITIONAL COPIES OF THIS PAGE) FORM L-101-SL 09/97 U. Please indicate if information to be entered below is for. >e 0 Sublessor DManagement company of B.I. Entity Name TABC USE OIB.Y 2. Address 3. Federal Employer s L D. No. ;1 44 Date of Birth C. 40 Full Legal Name of Individual, Partner, Officer (Last, First, Midd e) MM / DD/ YY Title/Owner Social Security Number Issuing State -and Drivers License Number Residential Address City State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth MM / DD/ YY Title/Owner Social Security Number Issuing State and Driver's License Number Residential Address City State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth MM / DD/ YY Title/Owner Social Security Number Issuing State and Drivers License Number Residential Address City State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth MM / DD/ YY Title/Owner Social Security Number Issuing State and Drivers License Number Residential Address city State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth Title/Owner Social Security Number Issuing State and Driver's License Number Residential Address 1 City 7 State Zip Code Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Date of Birth MM / DD/ YY - - Title/Owner Social Security Number Issuing State and Driver's License Number Residential Address city State Zip Code tir T vu Nccu AuuI 11UNAL -WAk;L FUK MORE NAMES, USE ADDITIONAL COPIES OF THIS PAGE) TRADE NAME: SUBLESSOR 'ORM L-101-B 09/97 0o no n . ISSUE DATE FEE SURCHARGE m nv~ LATE FEE (RENEWAL ONLY] IA. APPLICATION IS FILED FOR: Q wWHOLESALER'S PERMIT Registry No. FlX GENERAL CLASS B WHOLESALER'S PERMIT J BONDED WAREHOUSE PERMIT El LX LOCAL CLASS B WHOLESALER'S PERMIT JD BONDED WAREHOUSE PERMIT Y AREA) El B BREWER'S PERMIT El BB GENERAL DISTRIBUTOR'S LICENSE Q D DISTILLER'S AND RECTIFIER'S PERMIT [_1 13D LOCAL DISTRIBUTOR'S LICENSE 0 Z WINE BOTTLER'S PERMIT El BC BRANCH DISTRIBUTOR'S LICENSE F-1 G WINERY PERMIT - [:3 131 IMPORTER'S LICENSE El 0 PRIVATE CARRIER'S PERMIT BJ IMPORTER'S CARRIER'S LICENSE F-1 L PRIVATE STORAGE-PERMIT El BA MANUFACTUREFVS LICENSE El K PUBLIC STORAGE PERMIT MW MANUFACTURER'S WAREHOUSE TENSE OGS WINERY STORAGE PERMIT SL STORAGE LICENSE B. Application is filed for: D Original El Renewal Change E3 Change of C. If renewal or change, enter license/permit no(s). If l i f b TABC USE ONLY app y D. ng or su ordinate only, enter primary license/permit no. 2A. Application is filed by: El Individual El Cor oration FUNC.CODE p El Partnership El Limited Liability Company El Limited Partnership F-1 Other El Limited Liability Partnership B. Does the applicant own the land and building at the proposed licensed location? 2B >'es'[:]No 3.44 Trade Name of Business BUS. TYPE 4. Address or Location CITY CODE City County State Zip Code (9 Digits) COUNTY CODE 5. Mailing Address City ' State Zip Code (9 Digits). 6. Area Code + Business Telephone Number Area Code + Alternate Telephone Number A/DD/W I I Social Security Number Issuing State and Drivers License Number Pic CODE Residential Address city State Zip Code B. Has the person named in 7A above been a legal resident of Texas for a period of one (1) year immediately preceding the filing of this application? ...................................................................7B [E] Yes ❑ N TRADE NAME: 71(c GrCTTV FOOD 8t BEVERAGE u Y FORM L-101-FB 09/97 12A.1. If your basic primary license or permit at this location is a Wine and Beer Retailer's Permit or a Retail Dealer's On-Premise License, is food service your primary business at this location?......... A10 Yes❑ No 2. If your basic primary permit at this location is a Mixed Beverage Permit or any type of Private Club Permit, do you maintain food service at this location? 20 Yes E No B. Does the licensed premises have food service facilities which allow you to cook or assemble food on premise primarily for on-premise consumption? B Yes[:] No C. Are at least 8 multiple entrees available to customers for each meal period?.... C Yes[:] No If answer is NO, please explain operation of business. D.1. Are the hours of operation for the sale and service of food and alcoholic beverages the same?..... D1 Yes ❑No 2. Hours of sale/service of food: W -12kM 3. Hours of sale/service of alcoholic beverages: IZ 0V\- IL k-tA _ E. Have you attached a copy of your menu to this application? E Z Yes ❑ No If a menu is not available, list food and beverage items below, including prices. Application will not be approved without menu or food list. If additional space is needed, attach additional page. F. Sales Data: Give the following sales data for last year of operation or projected yearly sales: Gross Sales $ 35C, coo Food Sales....................... 3cn. Oc ) Alcoholic Beverage Sales $ Lp occ> Other Sales $ - G. List the equipment used in the preparation and service of food. DYi= z g C(,4:a 77ZV 1'rYrS 6lJh~w %1 If additional space is needed, attach additional page. H. Have you attached copies of floor plans of the proposed licensed location indicating areas devoted primarily to the preparation and service of food (including placement of tables,.chairs, and other fixtures and furniture) and those devoted primarily to the preparation and service of alcoholic beverages? Application will not be approved without floor plans of the proposed licensed location. I.1. Indicate your sales and use tax number: 2. If other businesses share the same premises as the applicant, indicate the name(s) of businesses and sales and use tax number(s) for other businesses. Name(s) Sales and Use Tax Number(s) H 'Yes ❑ No WINE AND BEER RETAILER'S PERMIT FOR RAILWAY DINING CAR 13A. Designate type of car and give number B. This car will operate between (City) and Total Number of Cars (City) TP.ADE NAME: CERTIFICATE OF CITY SECRETARY (If not in an incorporated city, so state) I hereby certify that on this day of location indicated in question 4 as the place of business is in a "wet area," for a FORM L-101-CTy 09/97 A.D. 19 that the Type of License or Permit Type of License or Permit and that such location is inside the boundaries of this city or town for which permit/license is sought and is not prohibited by charter or ordinance. SIGN HERE City Secretary/Clerk , Texas SEAL CERTIFICATE OF CITY SECRETARY (if not iron incorporated city, so state) FOR LATE HOURS LICENSE OR PERMIT I hereby certify that on this day of A. D. 19 that: ❑ 1. The governing body of this city has by ordinance authorized the sale of "mixed - v r ~e-" between midnight and 2:00 A.M. (or) ❑2. The governing body of this city has by ordinance authorized the sale of "bg rr" between midnight and A. M. (or) ❑ 3. The population of the county in which such premises are located was 500,000 or more according to the last Federal Census. SIGN HERE Secretary/Clerk SEAL , Texas CERTIFICATE OF CITY SECRETARY (If not in an incorporated city, so state) (Address for Storage Permits and Manufacturer's Warehouse License listed in Questions 21B and/or Q I hereby certify that on this day of , A.D. 19 the location herein given as the place of business is in a wet area," that such location is inside 11fe boundaries of this city or town and that the sale of alcoholic beverages for which license/permit is sought is not prohibited by charter or ordinance. SIGN HERE 0 City Secretary/Clerk , Texas SEAL TRADE NAME: OUNTY IUDGE'S WAIVER FORM L-101-CJ 09/97 County Judge of County, do hereby waive the issuance of notice of the filing. of this application. SIGN S E A L HERE Cam' COUNTY JUDGE COUNTY JUDGE'S ORDER On this the day of , A.D. 19 going application and it appearing to the County Judge/Delegated County Officer of came to be heard the foreCoun, that due and legal notice was given as required by law; and after having heard the evidence and argument,it further appearing that the facts as set forth in the application, are TRUE / FALSE and that LV / A lawful reason exists to warrant the denial thereof. It is, therefore, the order and judgment of the Judge/Delegated County Officer that said application be in all things approved subject to the payrgent of the proper fees and the approval of the Texas Alcoholic Beverage Commission. SIGN HERE S E A L NAME TITLE THE FOLLOWING INFORMATION IS FOR TABC HEADQUARTERS USE ONLY. DO NOT ENTER ANYTHING BELOW THIS BOX. CONDUCT SURETY BOND NAME ADDRESS CITY, STATE, ZIP TYPE NUMBER AMOUNT NAME ADDRESS CITY, STATE, ZIP TYPE NUMBER AMOUNT TAX SECURITY - LIQUOR TAX SECURITY - BEER NAME ADDRESS CITY, STATE, ZIP - - - - TYPE - - NUMBER AMOUNT TEXADELPHIA SANDWICHES TRADE NAME: FOOD 8L BEVERAGE, PT 8L Y FORM L-101-1`13 03/9E - 12A.1. If your basic primary license or permit at this location is a Wine and Beer Retailer's Permit or a Retail Dealer's On-Premise License, is food service your primary business at this location?......... A10 YES ❑ No 2. If your basic primary permit at this location is a Mixed Beverage Permit or any type of Private Club Permit, do you maintain food service at this location? 2 ❑ YES E) No B. Does the licensed premises have food service facilities which allow you to cook or assemble food on premise primarily for on-premise consumption? B ® YES ❑NO C. Are at least 8 multiple entrees available to customers for each meal period? C ® YES ❑No If answer is NO, please explain operation of business. D.1. Are the hours of operation for the sale' and Service of food and alcoholic bevera9e$ the same?..... D1 ®YES ❑No 2. Hours of sale/service of food: 11 : OOA TURDAY 3. Hours of sale/service of alcoholic beverages: 11 : OOAM TILL 2 MIQNIQ4; SUNDAY THRU SATURDI E. Have you attached a copy of your menu to this application?............ E YES ❑ No If a menu is not available, list food ;and beverage items below, including "prices. Application will not be approved without menu or food list. - If additional space is needed, attach additional page. F. Sales Data:. Give the following sales data for last year of operation or projected yearly sales: Gross Sales $ 500,000.00 Food Sales $ 4so 000.00 Alcoholic Beverage Sales $ 45,000.00 Other 5, 000.00 G. List the equipment used in the preparation and service of food. PLEASE SEE ATTACHMENT r, If additional space is needed, attach additional page. H. Have' you attached copies of floor plans of the proposed licensed location indicating areas - devoted. primarily to the preparation and service of food (including placement of tables,' chairs, and,other fixtures and furniture) and those devoted primarily to the preparation and service of alcoholic beverages?................... H ® YES ❑ No Application. will not be approved without floor plans of the proposed licensed ,location: I.I. Indicate your sales and use tax number,, 17604776231 2. If other businesses share the same premises as the applicant, indicate the, name(s) of businesses and sales and use tax number(s) for other businesses,. Name(s) Sales and Use Tax Number(s) PASSENGER TRAIN BEVERAGE PERMIT 13A. Is the applicant corporation organized under Title 112, Revised Statutes or Rail Passenger Service Act of 1970 or a corporation holding franchise issued by High-Speed Rail Authority? .....13A ❑ YES ❑No B. Does the applicant operate a commercial passenger train service? BE] YES ❑ No WINE AND BEER RETAILER'S PERMIT FOR RAILWAY DINING CAR 14A. Designate type of car and give number Total Number of Cars _ B. This car will operate between and (City) (City) ALL APPLICANTS FORM L-101-APP-08/96 TRADE NAME: TEXADELPHIA SANDWICHES 10.G. List the bank name, address, and account numbers to be used in connection with your proposed business. Attach additional page if necessary. y Bank Name 4, Account No. BANK OF AMERICA 2414300523 Address Account No. 6020 WESTHEIMER HOUSTON, TEXAS 77057 Bank Name Account No. Address Account No , Bank Name s Account N0 Address r. Account No: 'j 1" H. List the name and address of the accountant of ttie business. yNameL Address DOUG JOHNSON, 19747 HWY 59 N JiUM$LE, TX. 77338 s y , ,f is I. What is the ambtint of total investment for this business? « - 250,000. 00 . ' J. List the names of any-`persons, firms, or corporations that have or will advance`*.a'n m6hey, tt hold any mortgage or encumbrances against the assets of the business, or that have signed or co sigt ed, 0arariteed or ' financially assisted this business for which you' are seeking a'permit. r ; TABCUSE J Name Je Amount jarmsv ONLY NSA . Date of Birth Social Security or FEID Number Issuing State' and'Dfivers tloens4 Number Name Amount , ,,Term's Date of Birth Social Security or FEID Number Issuing State and Drivers License Number r w Name oun , Terms Date of Birth I Social Security or FEID Number K. Do you own the furniture, fixtures and equipment at the proposed licensed location? K ®YES ❑d If "NO," state from whom leased and payment involved. - - J,Name4, - i Amount -