Deb Houghtaling. Sarpy County. X August 15, 2017

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1 Deb Houghtaling Sarpy County X August 15, 2017 After a public hearing, Thompson moved, seconded by Warren, to approve the application of HX Gretna LLC dba Holiday nn Express Gretna and notify the Nebraska Liquor Control Commission of Board approval. Jim Thompson Jim Warren Ayes: Thompson, Zuger, Mixan & Warren. Nays: None. Absent: Kelly. X 8/15/17

Sarpy County Clerk Deb Houghtaling 1210 GOLDEN GATE DRVE #1250 PAPLLON, NE 68046-2842 402-593-2105 www.sarpy.

2 Sarpy County Clerk Deb Houghtaling 1210 GOLDEN GATE DRVE #1250 PAPLLON, NE CHEF DEPUTY RENEE LANSMAN CLERK DUTES Passports/Marriage Licenses Board Administration Payroll Accounting Records Management DATE: August 10, 2017 TO: FROM: RE: Sarpy County Commissioners Sarpy County Clerk Deb Houghtaling HX Gretna LLC DBA Holiday nn Express Gretna located at Stevens Point Circle, Gretna, Ne., Liquor License Class Beer, Wine, Distilled Spirits, On Sale Only The above referenced has submitted an application for Nebraska liquor license within the zoning jurisdiction of Sarpy County. Among the criteria to be considered by the Sarpy County Board is the adequacy of existing law enforcement in the community and the recommendation by local law enforcement agencies in the area; existing motor vehicle and pedestrian traffic flow in the vicinity of the proposed licensed premise; and also any zoning restrictions at this particular location. Having received recommendations from the Sheriff s Office and the County Engineer this license has been placed on the agenda for your recommendation. The recommendations and application are attached for your review. f you have any questions, please feel free to call Christine at

3 APPLCATON FOR LQUOR LCENSE CHECKLST - RETAL NEBRASKA LQUOR CONTROL COMMSSON 301 CENTENNAL MALL SOUTH POBOX9S046 LNCOLN, NE PHONE: (402) FAX: (402) Website: Applicant name HX Gretna LLC Hot List: YE RECEVED JUL l Trade name Holiday nn Express Gretna Previous trade name _N_l_A Contact address~iexpr:essgr:stsa@yahqq.catn: gm@hixgretna.com Provide all the items requested. Failure to provide any item will cause this application to be returned or placed on hold. All documents must be legible. Any false statement or omission may result in the denial, suspension, cancellation or revocation of your license. f your operation depends on receiving a liquor license, the Nebraska Liquor Control Commission cautions you that if you purchase, remodel, start construction, spend or commit money that you do so at your own risk. Prior to submitting your application review the application carefully to ensure that all sections are complete, and that any omissions or errors have not been made. You may want to check with the city/village or county clerk, where you are making application, to see if any additional requirements must be met before submitting application to the Nebraska Liquor Control Commission. 110 ~AUlfitf~ C7YL- ~~~ Ollk c use onlv i'\ Pi t PAYMENT TYPE ''f-j~f?(" AMOUNT: L{Oo Received: U llu ~ FORM 100 REVFEB2017 PAGEi

4 1. Fingerprints are required for each person as defined in new application guide, found on our website under "Licensing Tab" in "Guidelines/Brochures". See Form 147 for further information, this form MUST be included with your application. 2. _Enclose application fee of $400 (nonrefundable), check made payable to the Nebraska Liquor Control Commission or you may pay online at PAYPORT. 3. Enclose the appropriate application forms; ndividual License (requires insert form 1) Partnership License (requires insert form 2) Corporate License (requires insert form 3a & 3c) Limited Liability Company (LLC) (requires form 3b & 3c) 4. _f building is being leased send a copy of signed lease. Be sure the lease reads in the name of the individual(s), corporation or Limited Liability Company (LLC) making application. Lease term must run through the license year being applied for. 5. f building is owned or being purchased send a copy of the deed or purchase agreement in the name of the applicant. 6. f buying the business of a current liquor license holder: a. Provide a copy of the purchase agreement from the seller (must read applicants name) b. Provide a copy of alcohol inventory being purchased (must include brand names and container size) c. Enclose a list of the assets being purchased (fumiture, fixtures and equipment) 7. f requesting to operate on current liquor license; enclose Temporary Operating Permit (TOP) (Form 125). 8. Enclose a list of any inventory or property owned by other parties that are on the premises. No Assets except what's in purchase agreement. 9. For citizenship enclose U.S. birth certificate; U.S. passport or naturalization paper a. For residency enclose proof of registered voter in Nebraska b. f permanent resident include Employment Authorization Card or Permanent Resident Card c. See guideline for further assistance 10. Corporation or Limited Liability Company (LLC) must enclose a copy of articles of incorporation; as filed with the Secretary of State's Office. 11. Submit a copy of your business plan. acknowledge that this application is not a guarantee that a liquor license will be issued to me, and that the average processing period s 60 days. Furthermore, understand that all the information is truthful and accept all responsibility for y false documents. Signature ----'..4--f Date FORM 100 REV FEB2017 PAGE2

5 APPLCATON FOR LQUOR LCENSE RETAL NEBRASKA LQUOR CONTROL COMMSSON 301 CENTENNAL MALL SOUTH POBOX9S046 LNCOLN, NE 68S09-S046 PHONE: (402) FAX: (402) Wc:bsite: RECEVED JUL NEBRASKA LQUOR CONTROL COMMSSON RETAL LCENSE(S) Application.'Fee ~400'Cnonrefun~blej A BEER, ON SALE ONLY B BEER, OFF SALE ONLY C BEER, WNE, DSTLLED SPRTS, ON AND OFF SALE D BEER, WNE, DSTLLED SPRTS, OFF SALE ONLY x BEER, WNE, DSTLLED SPRTS, ON SALE ONLY _ J LMTED ALCOHOLC LQUOR, OFF SALE - MUST NCLUDE SUPPLEMENT AL FORM 120 AB BEER, ON AND OFF SALE AD BEER ON SALE ONLY, BEER, WNE, DSTLLED SPRTS OFF SALE BEER, WNE, DSTLLED SPRTS ON SALE, BEER OFF SALE ONLY m Class K Catering license (requires catering application fonn 106) $ Additional fees will be assessed at city/village or county level when license is issued Class C license tenn runs from November - October 31 All other licenses run from May - April 30 Catering license (K) expires same as underlying retail license -- x ndividual License (requires insert FORM 104) Partnership License (requires insert 2 FORM 05) Corporate License (requires insert 3a FORM 10 l & 3c FORM 03) Limited Liability Company (LLC) (requires fonn 3b FORM 102 & 3c FORM 103) FORM 100 REV FEB 2017 PAGE3

6 Street Address # Ult75 SllMKl Paint ctr CityGtttna Premises Telephone number o2-60oh111e Business address lile;q,t.ay.a~if County_s._rpy.Zip Code_8802_s gm@hixgretna.com s this location inside the city/village corporate limits: YES NO x Mailing address (where you want to receive mail from the Commission) Name Hlloth Patel Street Address # J Stevens Paint err Street Address #2 ---~ State_N_e.Zip Code_88028 City Gretna n the space provided or on an attachment draw the area to be licensed. This should include storage areas, basement, outdoor area, sales areas and areas where consumption or sales of alcohol will take place. f only a portion of the building is to be covered by the license, you must still include dimensions (length x width) of the licensed area as well as the dimensions of the entire building. No blue prints please. l!~~~j9jµdi~te the ~c~on 1;1orth and: n~pi'1ei: ;~t.f.199rs. 0fd.ieb'1ilding... For on premises consumption liquor licenses minimum standards musl be mel by providing at least two restrooms Building: length 244 x width _s_1 in feet s there a basement? Yes No _x f yes, length x width in feet s there an outdoor area? Yes No_x f yes, length x width in feet PROVDE DAGRAM OF AREA TO BE LCENSED BELOW OR ATTACH SEP ARA TE SHEET FORM 100 REV FEB 2017 PAGE4

7 r ~ RECEVED., 1, ;! ~ (Ji jp -; ' 1J i _ ~,~ ' i l l } ~ ~ NEBRASKA LQUOR CONTROL COMMSSON -,-;; ;. :~ -, -, ~,. ' ~..: ' ' z...j.r:- :'.-- (\ ; ~ ~..,/ ') -L.)J --...!;u c:?--.. ::t d!:- - ;r') ~ -~- J '.;J (~~ : ;;.:..._ i;...._,,_.! ' ' :-.-:r ,, ' ("'- f,~.... ; '>'- ;_!._.. ;--,... ~--~..... '- -,_~ ~ -."-. :z '.., _ ~.. -- o... ~.. &.. ~!!!!... l ;J \. "~ ~ l -z. ~-. r:. q: : i )< ~- ' J ~ i c. - 1";.J ~.:- ~ ; :J'. (J..., ~ ~. ~ ' " "- l ~i '.'..(. :L, :~e '..,' :) -~ ~ ' -.J -.l ~ : - «) J L

8 OFFCE OF THE SHERFF COUNTY OF SARPY JEFFREY L. DAVS 8335 Platteview Road Sarpy County Sheriff Papillion, Nebraska Telephone (402) Fax (402) Deb Houghtaling Sarpy County Clerk 1210 Golden Gate Drive Papillion Nebraska July 31, 2017 Dear Mrs. Houghtaling: have reviewed the Application for a Class Beer, Wine, Distilled Spirits, ON Sale only Liquor License for HX Gretna LLC DBA Holiday nn Express Gretna located at Stevens Pont Circle, Gretna, Ne., As with all Nebraska Retail Liquor Licenses, am asking that the applicant strictly conform to Nebraska Liquor Control Commission rules and regulations under (Sec ) Nebraska Liquor Control Act. have also reviewed all reports for calls for service and incidents at the applicant location and have found nothing that pertains to alcohol related calls for service in the past 4 years. have checked the criminal history of applicant Hitesh Patel and found nothing. The Sarpy County Sheriff s Office is not opposed to this application. Respectfully, Jeffrey L. Davis Sheriff

PM jmage003 pnq This property is located within Sarpy County's zoning jurisdiction and is zoned BG (General Busin ess).

9 From: To: Cc: Subjec;t; Date: Attachments: Bruce Fountain Chris Vanci:; Pat Dowse Clerk Emaj!; public Works; Donna Lynam RE; 2017 HX Gretna LLC dba Holiday nn Express Gretna Class Liquor Lir;ense Applii;ation - Recommendation Request Planning and Public Works Thursday, July 27, :52:36 PM jmage003 pnq This property is located within Sarpy County's zoning jurisdiction and is zoned BG (General Busin ess). Retail alcohol sa les is a Principal Permitted Use within the BG zoning district. f you need any additional information, please feel free to contact me. Bnice A. Fountah1, ATCP, EDFP... ~~ cot-, Director, Plannfog & Building Dept. :i!i'.. ~"t',.~.. ~: ~... ~"ti ~... ~: ~ v... i B ~co... Sarpy County, Nebraska 1210 Golden Gate Or. Papillion, NE if Phone: ~ F ax: f8l E mail: bfountain@sa1 py.com ~ Website: "t's amazing how much you can accomplish if you don't care who gets the credit." President Harry Truman This communication, along with any allachmcnts. is covered by federal and state Jaw governing electronic cormnunications and may contain coofidet1tial and legally privileged infonnation. f the reader of this message is not the intended recipient, you are hereby notified that any dissemi11ation, distribution, use or copying of this message is strictly pl'ohibited. f you received this in error, plea.5e reply immediately to the sender and delete this message. T1ank you. From: Chris Vance Sent: Thursday, July 27, 20171:34 PM To: Pat Dowse <pdowse@sarpy.com>; Bruce Fountain <bfountain@sarpy.com> Cc: Clerk Emai l <clerlk@sarpy.com>; Public Works <publicworks@sarpy.com>; Donna Lynam <dlynam@sarpy.com> Subject: 2017 HX Gretna LLC dba Holiday nn Express Gretna Class Liquor License Application - Recommendation Request Planning and Public Works Mr. Fountain & Mr. Dowse, HX Gretna LLC dba Holiday nn Express Gretna applied for a Class "" Beer, Wine, Distilled Spirits, On Sale liquor license for business at Stevens Point Circle, Gretna NE Mr. Fountain ~ please advise who has zoning jurisdiction for the license. f this

licensed area. We would appreciate any comments or concerns regarding this application by Wednesday, August 9, 2017.

10 location is Sarpy's zoning jurisdiction, is this an appropriate use in the zoning designation? Mr. Dowse ~ among the criteria to be considered by the Sarpy County Board is the existing motor vehicle and pedestrian traffic flow in the vicinity of the proposed licensed area. We would appreciate any comments or concerns regarding this application by Wednesday, August 9, This information is needed for the hearing to be scheduled before the Sarpy County Board of Commissioners on August 15, Please let our office know if you need anything further. ~?~? Deb Houghtaling Sarpy County Clerk Deb@sarpy com (By Christine Vance)

11 Chris Vance From: Sent: To: Cc: Subject: Pat Dowse Friday, July 28, :32 PM Chris Vance; Bruce Fountain Clerk ; Public Works; Donna Lynam RE: 2017 HX Gretna LLC dba Holiday nn Express Gretna Class Liquor License Application - Recommendation Request Planning and Public Works Ms. Vance, Sarpy County Public Work does not foresee the existing or future pedestrian and/or vehicular traffic in the vicinity being adversely impacted do to the issuance of this class of license. Please feel free to let me know if you have any questions. Thanks, Patrick M. Dowse, P.E. Engineering Manager Sarpy County Public Works South 84th Street Papillion, NE Office Direct Mobile Fax pdowse@sarpy.com From: Chris Vance Sent: Thursday, July 27, :34 PM To: Pat Dowse <pdowse@sarpy.com>; Bruce Fountain <bfountain@sarpy.com> Cc: Clerk <clerk@sarpy.com>; Public Works <publicworks@sarpy.com>; Donna Lynam <dlynam@sarpy.com> Subject: 2017 HX Gretna LLC dba Holiday nn Express Gretna Class Liquor License Application Recommendation Request Planning and Public Works Mr. Fountain & Mr. Dowse, HX Gretna LLC dba Holiday nn Express Gretna applied for a Class Beer, Wine, Distilled Spirits, On Sale liquor license for business at Stevens Point Circle, Gretna NE Mr. Fountain ~ please advise who has zoning jurisdiction for the license. f this location is Sarpy s zoning jurisdiction, is this an appropriate use in the zoning designation? Mr. Dowse ~ among the criteria to be considered by the Sarpy County Board is the existing motor vehicle and pedestrian traffic flow in the vicinity of the proposed licensed area. 1

12 We would appreciate any comments or concerns regarding this application by Wednesday, August 9, This information is needed for the hearing to be scheduled before the Sarpy County Board of Commissioners on August 15, Please let our office know if you need anything further. Deb Houghtaling Deb Houghtaling Sarpy County Clerk (By Christine Vance)

AFFDAVT OF PUBLCATON STATf: OF 'E:BRASl<A County of Sarpy } SS.

$says that he is the Executive Editor or the llellcvuc Leader, Papillion Times, Gretna Breeze and Springfield J\lonitor, legal ne wspapers or general circulation in Sarpy County, Nebraska, and$ knowledge, t11e advertisement, a copy of which is hereto auached, was VVednesday, August2, 2017 Bellevue Leader Gretna Breeze Papillion Times Springfield Monitor And that said newspaper is a legal

knowledge, t11e advertisement, a copy of which is hereto auached, was VVednesday, August2, 2017 Bellevue Leader Gretna Breeze Papillion Times Springfield Monitor And that said newspaper is a legal

~ Michael larrington Accounting Manager OR Ron Petak Executive Editor OR Laura Estep-Bronk Sales Representative Today's Date Y /7 'JO/ 7 Signed in my G?e/'i?

13 AFFDAVT OF PUBLCATON STATf: OF 'E:BRASl<A County of Sarpy } SS. } Being duly sworn, upon oath, Michael Harrington deposes and says that he is the Accounting Manager or Laura Estep-Bronk deposes and says that she is a Sales Representative or Ron Petak deposes and says that he is the Executive Editor or the llellcvuc Leader, Papillion Times, Gretna Breeze and Springfield J\lonitor, legal ne wspapers or general circulation in Sarpy County, Nebraska, and published therein; that said newspaper has been established fo r more than one year last past; that it has a bona-fide paid subscription list of more than three hundred; that to this personal knowledge, t11e advertisement, a copy of which is hereto auached, was VVednesday, August2, 2017 Bellevue Leader Gretna Breeze Papillion Times Springfield Monitor And that said newspaper is a legal newspaper under the statutes of the State of Nebraska. The above facts are within my personal knowledge. ~ Michael larrington Accounting Manager OR Ron Petak Executive Editor OR Laura Estep-Bronk Sales Representative Today's Date Y /7 'JO/ 7 Signed in my G?e/'i?c(j~ rn tcfbefbre me: Printer's Fee Customer Number: Order Number: $ NOTCE OF HEARNG Notice is hereby given that HX Gretna LLC dba Holiday inn Express. Gretna has applied for a Class ' ' Beer, Wine, Distilled Spirits, On Sale liquor license for business at Stevens Point Circle, Gretna NE The County Board of Sarpy County, Nebraska wo consider said application at a public hearing to be held August 15, 2017 at 3:00 P.M. in the County Board Room Golden Gate Dr.. Papillion, Nebraska, and after all consideration and the hearing of remonstrants, if there be any, the Board will use its discretion n granting or withholding said license. Debra J. Houghtaling Sarpy County Clerk ; 8102

14 RECEPT From: Phone: Fax: NLCC 402/ / To: CLERK OF SARPY COUNTY Subject: HX GRETNA LLC dba HOLDAY NN EXPRESS GRETNA PLEASE COMPLETE THE BOTTOM SECTON MMEDATELY UPON RECEPT OF THS APPLCATON AND FAX OR EMAL THS FORM BACK ACKNOWLEDGNG THE RECEPT OF THS APPLCATON. PLEASE DATE STAMP F THAT OPTON S AVALABLE. THANK YOU. DATE OF RECEPT SGNATURE ~ Urgent 181 For Review 181 Please Comment 181 Please Reply D Please Recycle

BOARD OF COUNTY COMMISSIONERS SARPY COUNTY, NEBRASKA

2011-405 BOARD OF COUNTY COMMISSIONERS SARPY COUNTY, NEBRASKA RESOLUTION AMENDING INTERLOCAL COOPERATION AGREEMENT FOR ANIMAL CONTROL SERVICES WITH THE CITIES OF BELLEVUE, LAVISTA, PAPILLION, SPRINGFIELD