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Home My WebLink About2010 02.02 City Council Regular Agenda PLEASE FILL OUT A"REuiEST TO SPEAK"FORM IF YOU WISH TO ADD[ 'THE COUNCIL AT CALL TO THE PUBLIC OR ON ANY NON-PUBLIC HEARING ITEM. aer� V. a, APACHE JUNCTION CITY COUNCIL CITY COUNCIL CHAMBERS 300 EAST SUPERSTITION BOULEVARD APACHE JUNCTION,ARIZONA 85219 REGULAR MEETING AGENDA February 2, 2010 7:00 PM A. CALL TO ORDER. B. INVOCATION AND PLEDGE OF ALLEGIANCE. C. ROLL CALL. D. CONSENT AGENDA. The Council may, at this time,take single action on any or all items listed as consent agenda items.These items may include,but are not limited to,acceptance of agenda, acceptance of minutes,appointments, acceptance of resignations and adoption of certain resolutions and other items which do not require a public hearing.The Consent Agenda is a timesaving device of which the Mayor and City Council is to receive documentation on these items from the City Manager for their review prior to the meeting.Any member of the Council may remove any item from the Consent Agenda for discussion and cause a separate vote on the matter later in the agenda. 1• Acceptance of Agenda. 2• Approval of minutes of Regular Meeting of January 19,2010. 3• Appointment of candidate to fill one Library Board vacancy. Perris Tebon, Colleen Hill and Robert Mayo were interviewed on February 1, 2010 and would like to be considered to fill the vacancy for a term which expires in 2011. / 4. Consideration of Resolution No.09-58,approving an intergovernmental agreement with Pinal County for reimbursement of overtime and employment related expenses incurred due to Pinal County local law enforcement agency participation in the Governor's Office of Highway Safety contract No.2010-410-024 for the High Visibility Impaired Driving Enforcement Program. Last year the City participated in a DUI Task Force Program which was funded by the State which allowed for overtime and employment related expenses to be reimbursed in the amount of$65,000.This year a similar arrangement is offered through the Governor's Office in the amount of$97,500. Resolution No. 09-58 authorizes the City to enter into an IGA with Pinal County to allow reimbursement of City overtime and employment related expenses incurred by its police officers while participating in the DUI Enforcement Program. 5. Fifth Amendment to Cable System License Agreement between Mediacom and City of Apache Junction(Temporary Extension). The City and Mediacom representatives are in active negotiations for an amended term of Mediacom's cable license due to expire on January 31,2010. It is anticipated such negotiations will continue through February and March,therefore additional time is needed to conclude negotiations. Staff requests that City Council authorize this fifth and hopefully final extension of the cable license agreement through April 6, 2010.The copy of the proposed extension is attached. E. AWARDS, PRESENTATIONS AND PROCLAMATIONS. Awards,presentations from other organizations,proclamations issued by the mayor,and acknowledgement of distinguished guests and visitors,and staff presentation of receipt of grant or donated funds are permitted at this time. n 6. PRESENTATION OF 25-YEA�RVICE AWARD TO THERYN HANSEN,ro-JBLIC WORKS ADMINISTRATIVE ASSISTANT. Presentation of 25-year service award to Theryn Hansen, Public Works Administrative Assistant,for completion of 25 years of service with the City of Apache Junction. 7. PRESENTATION OF CHECK BY THE SUPERSTITION MOUNTAIN PROMOTIONAL CORPORATION. The Superstition Mountain Promotional Corporation is donating funds to support Parks and Recreation Department sponsored events. 8• PRESENTATION OF CERTIFICATES OF APPRECIATION TO ADOPT A STREET PARTICIPANTS. The City of Apache Junction would like to recognize all the volunteers that help the City keep our streets free of litter. Certificates of Appreciation will be presented to the Adopt A Street participants by Mayor Insalaco. R ANNOUNCEMENT OF CURRENT EVENTS. n The Mayor or any member of Council may at this time present a brief summary of current events. However, no discussion shall take place on such items except for clarifying comments related to substance,time and location. G. CITY MANAGER'S REPORT. The City Manager,members of City staff or those individuals designated by the Manager may present information pertinent to items under consideration or information related to the operation of the City.There shall however be no discussion at this time except for clarification inquiries. 9• MANAGER'S REPORT. 10. PRESENTATION AND DISCUSSION ON THE UTILIZATION OF VOLUNTEERS IN THE CITY'S LIBRARY. Tracie Curtis,Supervisory Librarian,will provide an overview on the utilization of volunteers in the City's library. 11. PRESENTATION AND DISCUSSION ON THE UTILIZATION OF VOLUNTEERS IN THE APACHE JUNCTION PARKS AND RECREATION DEPARTMENT. Staff will provide an overview on the utilization of volunteers in the City of Apache Junction Parks and Recreation Department. H. PUBLIC HEARINGS. Public hearings required by applicable law shall be conducted by the Council and any person shall be given the opportunity to speak.All remarks shall be addressed to the Council as a whole and not to any member thereof.Such remarks shall be limited to five(5) minutes unless additional time is granted by the Mayor.This time limitation shall not apply to applicants and their agents appearing before the Council. 12. APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR.THE HITCHING POST PIZZA PUB. Application for a one-day extension of premises during Lost Dutchman Days on February 26,2010, requested by the Hitching Post Pizza Pub. State law requires the Council hold a public hearing on the item and make their recommendation for approval or denial the Arizona Department of Liquor Licenses and Control. 13. APPLICATION FOR A NEW LICENSE,CLUB,SERIES 14 LIQUOR LICENSE FOR LAWRENCE C. GARRETT VETERANS OF FOREIGN WARS(VFW)POST#7968. This is the next step in the application process. The city council must have a public hearing and make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control. 14. APPLICATION FOR A BINGO LICENSE FOR VFW POST#7968. VFW Post#7968 is applying for a bingo license. State law requires a public hearing in front of the city council with their recommendation for approval or denial forwarded to the Arizona Department of Revenue, Bingo Section. 15. PUBLIC HEARING FOR THE USE OF FISCAL YEAR 2010 COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS AND FISCAL YEAR 2009 AND 2010 STATE SPECIAL PROJECT FUNDS;PROPOSED RESOLUTION NUMBERS 09-60(AUTHORITY TO SUBMIT)AND 09-62(COMMITMENT OF LEVERAGE FUNDS). The City of Apache Junction is eligible to submit applications to the Arizona Department of Housing for both a Community Development Block Grant and State Special Project application.As part of the application requirements,a final public hearing is necessary to adopt a resolution that authorizes the City to submit applications to the Arizona Department of Housing for funding and a resolution is required when leverage funds are being utilized. �• OLD BUSINESS. The Council shall consider any business that has been previously considered and which is still unfinished to include those items previously postponed or tabled.No member of the public shall be permitted to speak on these items unless invited to do so by the Mayor after first n � submitting a written request-to-speak form with the City Clerk. None. J. NEW BUSINESS. The Council shall consider any business not yet considered. No member of the public shall be permitted to speak on these items unless invited to do so by the Mayor after first submitting a written request-to-speak form with the City Clerk. None. K. COUNCIL DIRECTION TO STAFF. This item allows the Mayor and City Council to direct staff on specifically listed matters. n 16. COUNCIL DIRECTION TO STAFF ON CITY-HOSTED PUBLIC FORUM UPDATING ECONOMIC DEVELOPMENT RELATED TOPICS. Staff seeks direction on last night's work session item regarding the city hosting a public forum to update residents on economic development related topics. �• SELECTION OF MEETING DATES, TIMES, LOCATIONS, AND PURPOSES: 17. EXECUTIVE SESSION AT 5:45 P.M.AND WORK SESSION AT 7:00 P.M.FOR MONDAY,FEBRUARY 15,2010 IS CANCELED DUE TO THE PRESIDENT'S HOLIDAY. 18. EXECUTIVE SESSION AT 5:45 P.M.AND WORK SESSION AT 7:00 P.M.FOR TUESDAY,FEBRUARY 16,2010. OTHER MEETINGS IF NECESSARY. M. CALL TO PUBLIC. At this time the public has the privilege to address the Council with requests,communications,comments or suggestions relating to City business that are not listed on the agenda.All speakers must have already submitted a written"Request to Speak"form to the City Clerk no later than the conclusion of the City Manager's Report portion of the agenda. If there is a group speaking on the same item,they should select a spokesperson.All such remarks shall be addressed to the Council as a whole and not to any member thereof.The Mayor is authorized to ask a speaker to stop speaking and leave the podium or to adjourn the meeting if anyone becomes disorderly,uncivil, makes personal attacks or continues to speak about items that are not within the jurisdiction of the city after being warned such issues are beyond the jurisdiction of the city to act.The Council may not answer questions of the speaker,discuss the matter with one another,but may,at the conclusion:1) respond to criticism by a speaker;2) ask the City Manager to review a matter;3)ask the City Manager to place the matter on a future agenda. Each speaker must approach the podium,speak into the microphone,provide their name and address.There is a three(3) minute time limit per speaker. N. ADJOURNMENT. n . Copies of this agenda and additional information regarding any of the items listed above may be obtained from the City Clerk's office: 300 East Superstition Boulevard,Apache Junction,AZ Monday through Friday,8:00 a.m.to 5:00 p.m., excluding holidays If any person with a disability needs any type of accommodation,please notify the Human Resources Office,at (480)474-2617 or(480)983-0095(TDD) at least 72 hours prior to the scheduled time. CITY COUNCIL REGULAR MEETING JANUARY 19, 2010 The regular meeting of the City Council of the City of Apache Junction, Arizona, was held on January 19, 2010, at the Apache Junction City Council Chambers pursuant to the notice required by law. CALL TO ORDER Mayor Insalaco called the meeting to order at 7 : 19 p.m. INVOCATION Councilmember Coleman gave the Invocation. PLEDGE OF ALLEGIANCE Councilmember Barker led the Pledge of Allegiance. ROLL CALL Councilmembers Present: Mayor Insalaco Vice Mayor Eck Councilmember Barker Councilmember Coleman Councilmember Dietz Councilmember Serdy Councilmember Wilson Staff Present : City Manager George Hoffman Assistant City Manager Bryant Powell City Clerk Kathleen Connelly City Attorney Joel Stern Public Safety Director Jerald Monahan Public Works Director David Fern Others Present - None. REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 1 OF 8 ACCEPTANCE OF CONSENT AGENDA ) Vice Mayor Eck MOVED THAT THE CONSENT AGENDA BE ACCEPTED AS PRESENTED. THE MOTION. Councilme tuber Dietz SECONDE D VOTE: Unanimous . ,ate The motion carried. ` J AWARDS, PRESENTATIONS AND COMMUNICATIONS None . ANNOUNCEMENT OF CURRENT EVENTS Mayor Insalaco commented he attended a Court of Honor for an eagle scout last Sunday. It was very heartwarming and the boy was very excited. CITY MANAGER' S REPORT City Manager George Hoffman stated the council and management team will be working on next fiscal year' s budget in the months ahead. Key to understanding the budget is that we are a service industry with most services provided by paid staff. The chief will be talking about volunteerism at the police department tonight . Upcoming meetings will have presentations by the library and parks and recreation on volunteers . Public Safety Director Jerald Monahan gave a powerpoint �} presentation on the volunteer opportunities at the police department and animal control, the explorer program, the police reserves program, community service program, police auxiliary program, business watch partnership program, and mentioned Will Haynes . Mayor Insalaco commented there has been a lot of counterfeit money going around in the city. The hanks have been Yot+ ; ,, bunch of tens . Best Hardware took in two twenty dollar bills that have been works of art . REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 2 OF 8 Public. Safety Director Jerald Monahan stated the Secret Service has agreed to provide training for city staff in the near future. He will try to expand it to the business community. They are the experts in identifying the funny money. Mayor Insalaco stated he saw one of the twenties and it was a work of art . PUBLIC HEARINGS APPLICATION FOR A NEW LICENSE, CORPORATION, SERIES 10 LIQUOR LICENSE FOR WALGREENS #06333 ) City Clerk Kathleen Connelly briefed the council on the item. Mayor Insalaco requested the applicant address the council . A representative of Walgreen' s addressed the council . City Clerk Kathleen Connelly commented this application is for the Ironwood Drive location. She asked if they would be getting one for the Idaho Road location soon. The representative of Walgreen' s stated the Idaho location already has one . Mayor Insalaco opened the public hearing on the item. There being no one wishing to speak, he closed the public hearing and reopened the item to council discussion. There being no discussion, he called for a motion. Vice Mayor Eck MOVED THAT THE APPLICATION FOR A NEW LICENSE, CORPORATION, SERIES 10 LIQUOR LICENSE FOR WALGREENS #06333, SUBMITTED BY RANDY GUSE, BE RECOMMENDED FOR APPROVAL TO THE ARIZONA DEPARTMETNTT OF LIQUOR LICENSES AND CONTROL. REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 3 OF 8 Councilmember Barker SECONDED THE MOTION. VOTE : Unanimous . The motion carried. OLD BUSINESS None . t- NEW BUSINESS FISCAL YEAR 2009-2010 PROFESSIONAL SERVICES AGREEMENT WITH APACHE JUNCTION COMMUNITY DEVELOPMENT CORPORATION FOR ECONOMIC DEVELOPMENT SERVICES/FISCAL YEAR 2009-2010 PROFESSIONAL SERVICES AGREEMENT WITH APACHE JUNCTION MAIN STREET FOR ECONOMIC DEVELOPMENT SERVICES ) City Clerk Kathleen Connelly briefed the council on the items . Councilmember Barker commented B under the bullet points on the Community Development Corporation says the consultant will provide a speaker to explain the capitalized project . She asked what the project is . City Clerk Kathleen Connelly stated the project is the function of the Community .Development Corporation itself. Councilmember Barker commented the function of the Community Development Corporation is what follows with those bullet points . City Clerk Kathleen Connelly stated the Community Development Corporation }-lac a different 501 (C) than Main Street . It has a greater ability to initiate and get funding for projects and be responsible for the funding of the projects . It is a higher level of economic development REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 4 OF 8 engine. In other communities, they actually own real estate and do real estate transactions . The West Mesa Community Development Corporation was very active in light rail and the redevelopment of West Mesa. The director of that is now a member of the Mesa City Council . Councilmember Barker commented in bullet C of the Main Street contract it states the consultant shall provide technical assistance for local businesses . She wondered what that meant, as some technical assistance would call for some pretty high qualifications, such as the understanding of codes, ordinances and development services . City Clerk Kathleen Connelly stated it is technical assistance that fits within their area of expertise, such as how to begin a business, how to do store front improvements, and business plans . People just do not wake up in the morning and start a business, although a lot of people might try. Councilmember Barker agreed. City Clerk Kathleen Connelly stated it is their level of technical assistance. They are very good, when they come across something they are not familiar with, at directing someone to Steve Filipowicz, Janine Solley or the city clerk. Councilmember Barker stated that clears everything up for her. While she was reading, those two things had jumped out at her. City Clerk Kathleen Connelly stated she does not expect them to interpret city ordinances . Councilmember Barker commented they could not expect them to do that . The council frequently cannot do it . Mayor Insalaco closed the discussion with no further comments and called for a motion. REG ULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 5 OF 8 Councilmember Dietz MOVED THAT APPROVAL BE GIVEN FOR THE PROFESSIONAL SERVICES AGREEMENT FOR FISCAL YEAR 2009-2010 BETWEEN THE APACHE JUNCTION COMMUNITY DEVELOPMENT CORPORATION AND THE CITY OF APACHE JUNCTION FOR ECONOMIC DEVELOPMENT AND BUSINESS EDUCATION SERVICES IN THE AMOUNT OF $7, 600; AND THAT AUTHORIZATION BE GIVEN FOR THE MAYOR TO SIGN THE AGREEMENT. Councilmember Barker SECONDED THE MOTION. VOTE: Unanimous . The motion carried. Councilmember Barker MOVED THAT APPROVAL BE GIVEN FOR THE PROFESSIONAL SERVICES AGREEMENT FOR FISCAL YEAR 2009-2010 BETWEEN THE APACHE JUNCTION MAIN STREET PROGRAM AND THE CITY OF APACHE JUNCTION FOR ECONOMIC DEVELOPMENT SERVICES IN THE AMOUNT OF $32, 000; AND THAT AUTHORIZATION BE GIVEN FOR THE MAYOR TO SIGN THE AGREEMENT. Councilmember Dietz SECONDED THE MOTION. VOTE : Unanimous . The motion carried. Vice Mayor Eck asked if he could reopen Item No . 6 for discussion. He has been advised he did not get the number of the store correct. He missed a digit . He asked if he could make another motion with the accurate number. There are 3 threes there and he only said two. It might be petty. City Attorney Joel Stern stated that is just a clerical thing. City' Clerk Kathleen Clonneliy stated we can change that . REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 6 OF 8 (00*) n Vice Mayor Eck commented that is what he wanted to know. If it is okay., then that is fine. It was eating at him. City Clerk Kathleen Connelly stated that was for Item No. 5, the liquor license. We will just include this discussion as part of the minutes and make the /� change. ` J COUNCIL DIRECTION TO STAFF None. SELECTION OF MEETING DATES, TIMES, LOCATIONS, AND PURPOSES Councilmember Dietz MOVED THAT AN EXECUTIVE SESSION AT 5 : 45 P.M. AND A WORK SESSION AT 7 : 00 P.M. BE HELD ON MONDAY, FEBRUARY 1, 2010, IN THE CITY COUNCIL CONFERENCE ROOM AND CITY COUNCIL CHAMBERS, RESPECTIVELY; AND THAT AN EXECUTIVE SESSION AT 5 : 45 P.M. BE HELD ON TUESDAY, FEBRUARY 2, 2010 IN THE CITY COUNCIL CONFERENCE ROOM. Councilmember Barker SECONDED THE MOTION. VOTE: Unanimous . The motion carried. CALL TO THE PUBLIC: n Mr. Elliott Fisher, 547 E. Quail, Apache Junction, addressed the council regarding the Main Street Program, requested the names of the people in charge of organizations and what those organizations have done with the funds received, thanked them for adding more recycling bins, and his problems in getting a booth at Lost Dutchman Days . ADJOURNMENT Mayor Insalaco adjourned the meeting at 7 : 45 p.m. REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 7 OF 8 Consent Agenda Items are as follows : 1 -Acceptance of Agenda. 2 . Acceptance of Minutes of Regular Meeting of January 5, 2010 . ACCEPTED THIS 2ND DAY OF FEBRUARY, 2010, BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA. SIGNED AND ATTESTED TO THIS 2ND DAY OF FEBRUARY, 2010 . JOHN S . INSALACO Mayor ATTEST: KATHLEEN CONNELLY City Clerk CITY COUNCIL MINUTES CERTIFICATION I hereby certify that the foregoing minutes are a true and correct copy of the minutes of the regular meeting of the City Council of the City of Apache Junction, Arizona, held on the 19th day of January, 2010 . I further certify that the meeting was duly called and held and that a quorum was present . Dated this 27th day of January, 2010 . KATHLEEN CONNELLY City Clerk REGULAR MEETING OF THE CITY COUNCIL JANUARY 19, 2010 PAGE 8 OF 8 r cv a�f g Print TO: City Manager's Office FROM: SPENCER PADEN, LIBRARY MANAGER DATE: February 2, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: Appointment of candidate to fill one Library Board vacancy. ACTION REQUESTED: DISCUSSION/ BACKGROUND INFORMATION: Pems Tebon, Colleen Hill and Robert Mayo were interviewed on February 1, 2010 and would like to be considered to fill the vacancy for a term which expires in 2011. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download D Talent Bank application d Talent Bank application d Mayo Talent bank application � f J 'Ma , k [ty Of ache. Junf-%t L. iun -uuARD 9 I I I APFuINTMh7-7NT Ar_rLIke'-.l AEI I Name Date City of Apache Junction Talent Bank Application F FHomeAddress: IYAS � i-b- o1'"1 Date: ! EL �. f yv..tP A J 1 '. Mailing Address, if different: Email Address: 11;,,r-_,.e G Home Telephone: Work Telephone: 1 �l Are you a resident of the City of Apache Do you own commercial property in the City of Junction? ® Yes ❑ No Apache Junction? ❑ Yes ® No Length of residency in the City of Apache Do you operate a business in Apache Junction? Junction(if applicable): 1 ; `q ett s ❑ Yes [ .No If yes,for how long: Tdame&address of bus;"ess(if applicable): If you are not in business in the City of Apache Junction,please list your occupation; or, if retired, p11lease indicate your former occupation or profession: .S t;.=e r'L ouwe ntt,, t �.. fit.:o��i f�l�t?Cit'C'a'i �•i{ '.t - , :aes�served. Are you now serving,or have you'ever served, on a City of Apache Junction b commission?Yes ® No If yes,please list name of board/commission and Board & Commission preference(s):Refer to the last page for a list of Boardmmissions. List your choices in order of reference: 3 2. i. Education and Community Service Schools Attended: Degree: Year: 4 Ct CL.i'.l'(:i...j7 i'tr''C Civic Activities-Service Organizations WHeld: Year Begun: Year Ended: ��P t c t �'iz.��L it F'�' fi t cr2C (,ijl i tCC Please state why you would like to be appointed to a City Board,.Commission or Committee: - a ..�`,';�u�� cTjC�`�rl�,��LNI. � '1�iff� �� d �}�/Y�.�,�C�'�^�[�(�f�i�'�r�C/�'..Q.f�i L4J�C� ��,�C-tom/• 'Y What do you believe is the key responsibility of Board, Commission or Committee members to: (a)the City Council,(b)the citizens ofApache Junction,(c)other Board, Commission or Committee members? (b) V Le Please state the reasons why you feel you are qualified to serve on a Board, Commission or Committee: •�rs� =��_f<<<� -�b^i�,-�` �•r.�•� �'��7��,,r•('1� �r,r!��V: _(.�^,,:,s ivy y/_� . Applications are kept on file for two years. During that time,your application will be considered when there is an opening for the Board or Commission for which you have applied. As a candidate to a City Board, Commission or Committee,your.name, address and telephone number will be available to the media and the public. Occasionally requests are received fiom State and County legislators for recommendations of citizens to serve on State and County commissions.If the City Council recommends your name be submitted,you will be contacted before this action is taken. Please notify the City Clerk's Office at(480) 982-8002,option 5, if you move or no longer wish to be considered for appointment. If you have a current resume and/or any certificates that may be applicable to your Board, Commission or Committee interest,please attach a copy to this application. Mail or deliver your completed application to: City of Apache Junction,Attn: City Clerk,300 E. Superstition Blvd.,Apache Junction,AZ 85219. If appointed to a Board/Commission/Committee, I understand that one requirement is that I cannot be absent from the City for over 30 days at one time,unless authorized by the Mayor and Council. J Applicant's Signature: %' f-✓ �-�% ,,' �1 .�.. Date: ltllfi You LVi you,-111L1,11'Jl 111 We l.i ty Ul Apacne Junction. Rev'ewed.by Date: Appo riteff bv: Date: '.. Board or`Commssien appouited°to: City of Apache Junction e 300 E. Superstition Blvd. 9 Apache Junction,AZ 85219- -• Phone: (480) 982-8002 ® Fax: (480) 982-7018 e www.ajcity.net . ~u"1 Y 1 3 - tJ kv e "Ity Of SA on l jun,.Al -pame';wh g T & MMITTEE T M E NTTAPPLICATION Name �) Date —� City of Apache Junction - R � 'Talent Bank Application Name: `� S4 Date: Home Address: Mailing Address, if different: Email Address: Home Telephone: �� 233 _ /J Work Telephone: Are you a Iesident of the City of Apache Do you own commercial property, in the City of Junction? [ff`Yes ❑ No Apache Junction? ❑ Yes }.No Length of residency in the City of Apache Do you operate a business in Apache Junction? Junction(if applicable): _ ❑ Yes [2CNo If yes,for how long: Name& address of business(if applicable): If you are not in business in the City of Apache Junction,please list your occupation; or, if retired, please indicate your former occupation or profession: Are ou now serving, or have you ever served, on a City of Apache Junction board or commission? [ `Yes ❑ No If yes,please list name of board/commission and dates served: Board& Commission preference(s): Refer to the last page for a list of Boards&Commissions. List your choices in order of preference: 1. ��, 3. 2. 4. .r 1L " b- Z- Education and Community Service Schools Attended: Degree: Year: 2- Civic Activities-Service Organizations Office Held: Year Begun: Year Ended: �Y Please state why you would like to be appointed to a City Bo ission or Committee: vno- a- CnQ What do you believe is the key responsibility of Board,Commission or Committee members'ta:! he City Council, (b)the citizens of Apache Junction, (c) other Board,Commission or Committee-nerrf'ers. n (a) (b) ` V- (c) en c.b - j> Please state the reasons why you feel you are qualified to serve on a Board, Commission or Committee: Applications are kept on file for two years. During that time,your application will be considered when there is an opening for the Board or Commission for which you have applied. As a candidate to a City Board, Commission or Committee,your name, address and telephone number will be available to the media and the public. Occasionally requests are received from State and County legislators for recommendations of citizens to serve on State and County commissions. If the City Council recommends your name be submitted,you will be contacted before this action is taken. Please notify the City Clerk's Office at(480)982-8002, option 5, if you move or no longer wish to be considered for appointment. If you have a current resume and/or any certificates that may be applicable to your Board, Commission or Committee interest,please attach a copy to this application. Mail or deliver your completed application to: City of Apache Junction,Attn: City Clerk, 300 E. Superstition Blvd.,Apache Junction,AZ 85219. If appointed to a Board/Commission/Committee,I understand that one requirement is that I cannot be absent from the City for over 30 days at one time,unless authorized by the Mayor and Council. Applicant's Signature: u— � � Date: - Thank you for your interest in the City of Apache Junction. Reviewed by: Date: Appointed. by: Date: Board or Commission appointed to: City of Apache Junction o 300 E. Superstition Blvd. e Apache Junction, AZ 85219 Phone: (480) 982-8002 ® Fax: (480) 982-7018 ® www.aicity.net ...°. - ..,----K-.....«, .ice ww cl: J.m ac ction �ON &tOMM! T E PO IN ... w� EST APPLICATIO P,i. m: Ai iz- f a2 r�`i`jc� ._... ate ...... . r :. .. _. �f ....�as' tICa:WE � 1- P _ 3 rti`1 Date . , r> �t r� L7r 416i Ad l� tt, �eu rsN JC s: lam, Mail�ig Addles , zftzfferent; Lmail:Addr ess Home Telephone:.,,/ „ — tlf'I'elephozc Are.you a t•es dent o:f`tlte City ot'Apache Do you ount co nmorc 'I property in the City of Ainc"tion? Yes [❑ No l mche Junction? [ ::YeSr . . Length of residency iit the City of Apacdte Do you operate a business in Apache Junction? Junction(zf applicable). Yes N.o If es., _ y for hot long, ante;;& address of b.usiness.(if . appl;tcabie): T yoiu.:are not in bUSilleSS izL the of r pache Juticti on,please Iist yq:tir.occupation,or,if reEt.red:,: . please tndtcate your fozmer occ upatan or profession: Ate}�o'u now serying or have you ever served,oti:a Cit, of Apach e Junction board or c ntimss on? [] .No Ifyes;!please Tist name of board/ccamisszori and':ilates served_ Iioarti yssiotr peiFercaac�a.) 3Zeier to tide last page for:a'lzst of Boards&Conimzssioris yours=hozct ain ojde'o£pref fence::'. r Y: (� ialLniL A 4. I.vl/yk�vre .Sv^r e�� i�y ✓ ,� J wit e Y�. 11,41flcafib H and �;®YriBY�IIIlfl. e '9 & Schools Attended: Degree: Year: _._ Civic:Activities=Scrvice Organizations Office.Held: Yeas:Begttp: Year Ended: y..: — .:.: .r. .. ... 1?Zease Mate why you?would lrlce to be appoiirto ., a Ctt !:B.0 d,Cornrn'rsston.ot:Coniiti tteer Whatdi� F. yot� believe is the key responsibility of Boarcl,Cosrzrxirsst.an or C anxin>tte manbi;rs to, )the: Ci Council, tY (b)the:crtizens:of Apache Jurictiolr c�tlier:l3oard Commission or Coruttxittee,nenrbei � i a.. r O M�. , LLG L` .G-4LQ (J': �.... LL- l-i ti •Lrtll..t'I:✓ .J: y� (U� f r Z l.� Jv�V 'fZ: {_` � E c^':b� ✓t�f.i�y�rnll <:i^t��r �� l- 1y f�/ w) t — Cil�n t1 Z (t t .' V /1rY! lG�Y( I— �r J t / ..j Y✓�`-`G t� f(,� 1I C.�L ( Ff f�I,I+'�" LL' If�� t L :Please state the reasprts why You f6,61 you #ieq>ial�fed to serge; ri a Board,Cornntssron'ar Cotrirnttlee; r.. r Applicatrois are kept on Tilt for two: years During tb.at time,yatu appliiali:o31 wi be cansrde ed when chars.is an ap`erring Coi the F oard dr Commission for which you have applied As.a cLuididate to a City'Board, Corrrinission or Convnittce you�>i1arne, aeldress��xid telephone ilcin�br will be available fo the mcciia.aa the publi-c.'C)ccasiorially:iequests are received fiorri.State rind County legislators for rec'mumen'datior s o citizens to serve city State and Couniy comity s iorrs.:If tlrc Crt} Cc ui c rl r con�rri:ends your name be siYhmitted, voii will be contacted before this action is iaiwn. F'1e<<se notrfv tllc City'Cleric's Office:at(480)982 K002 if>you move of no longer wish to;be e ois>derccl . For appdrntirient;. : . _.If you lime a current resume and/or.any certicates'tliat rxray be a}�}�lrcab'ie to your Board;Coiunlissiran'or° k Corrimlttec rnterest,.please attach a.capyio.tlrs app;Icatibir 1 Mai or dehvei your completed application to Cityo"f.Apache unction,3Q0 L S:up ei stit P,pac be Jainctton, AZ 851.19:: . I.f a ,�oiuted to.a Award/Commission/Coirimittee,T undexstatid tliatone rec�:uirenirit is tltat I cannot loci pl absent from the City_:to1 o ?e..r. 30 days:at one time, unless aitliorrzed,by tleMayoiaiid Coiincrl: ., . Applicant's Signature: / /I C. .. . f.iltt tl k vnt r fnr voi:r i71t�. 4 (- - !.•_ J ••��rti.t�c.C.r.ty vi ri:�.ia�:lil:.i unetio.n. . eviewed by: - Date: Appointed by: - — pp Date. Boas d ii of Comtrtrssioxi a ointed t o - - .. _` City ofApache JunctionSupctstitionBlvd. A,pche JYznctrn AZ 85119 Phone :(480) 982 8002 ® Fax (480)982 7015' www alcty.nct i n � �P P. H tt tY o GO ofApachejuncfion r. y Z Home O the gRrz4�A a Print TO: City Manager's er's Office FROM: Jerald Monahan, Director of Public Safety DATE: February 2,2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: Consideration of Resolution No. 09-58, approving an intergovernmental agreement with Pinal County for reimbursement of overtime and employment related expenses incurred due to Pinal County local law enforcement agency participation in the Governor's Office of Highway Safety contract No. 2010-410-024 for the High Visibility Impaired Driving Enforcement Program. ACTION REQUESTED: DISCUSSION/BACKGROUND INFORMATION: Last year the City participated in a DUI Task Force Program which was funded by the State which allowed for overtime and employment related expenses to be reimbursed in the amount of$65,000.This year a similar arrangement is offered through the Governor's Office in the amount of$97,500. Resolution No. 09-58 authorizes the City to enter into an IGA with Pinal County to allow reimbursement of City overtime and employment related expenses incurred by its police officers while participating in the DUI Enforcement Program. FISCAL IMPACT: n OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download ❑ Resolution 09-58 RESOLUTION NO. 09-58 A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING AN INTERGOVERNMENTAL AGREEMENT WITH PINAL COUNTY FOR REIMBURSEMENT OF OVERTIME AND EMPLOYMENT RELATED EXPENSES INCURRED DUE TO PINAL COUNTY LOCAL LAW ENFORCEMENT AGENCY PARTICIPATION IN THE GOVERNOR' S OFFICE OF HIGHWAY SAFETY CONTRACT NO. 2010-410-024 FOR THE HIGH VISIBILITY IMPAIRED DRIVING ENFORCEMENT PROGRAM. WHEREAS, last year the Pinal County Board of Supervisors ("PCBS") approved Pinal County' s participation in a Governor' s Office of Highway Safety ("GOHS") contract for the High Visibility Impaired Driving Enforcement Program ("HVIDEP") by approving and signing Contract No. 2008-410-003 in the total amount of $65, 000 . 00; and WHEREAS, the City desires to participate again in the task force program of which funding was extended to the PCBS through acceptance of the HVIDEP State Contract No. 2010-410-024; and WHEREAS, GOHS. Contract No. 2010-410-024, administered by the Pinal County Sheriff' s Office prescribes the p scope, terms and duration of the program and is limited to reimbursement of overtime and employment related expenses incurred by local law enforcement agencies in the total amount of $97, 500 . 00 to be incurred through September 30, 2010; and WHEREAS, the City and Pinal County are each authorized to participate in this Agreement pursuant to A.R.S. § 11-952 . n NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, AS FOLLOWS: SECTION I : The Cityof Apache Junction hereby approves a s the Intergovernmental g Agreement with Pinal Count al g y to low the City to be reimbursed for overtime and employee related expenses incurred by its police officers while participating in the County' s DUI enforcement program under the terms of GOHS Contract No. 2010-410-024 . RESOLUTION NO. 09-58 PAGE 1 OF 2 n n SECTION II: The Mayor is - authorized to 'execute -the Intergovernmental Agreement as set forth in Attachment I . SECTION III : City staff is authorized to take any and all steps necessary to carry out the purpose and intent of the agreement referenced herein. PASSED AND ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, THIS DAY OF 2010 . SIGNED AND ATTESTED TO THIS DAY OF , 2010 . JOHN S . INSALACO Mayor ATTEST: KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM: R. JOEL STERN City Attorney RESOLUTION NO. 09-58 PAGE 2 OF 2 { 1 ATTACHMENT I INTERGOVERNMENTAL AGREEMENT REGARDING REIMBURSEMENT OF OVERTIME AND EMPLOYMENT RELATED EXPENSES INCURRED DUE TO PINAL COUNTY LOCAL LAW ENFORCEMENT AGENCY PARTICIPATION IN THE 2010-410-024 GOVERNOR'S OFFICE OF HIGHWAY SAFETY CONTRACT FOR THE HIGH VISIBILITY IMPAIRED DRIVING ENFORCEMENT PROGRAM RECITALS WHEREAS, on November 20, 2009,the Pinal County Board of Supervisors approved Pinal County's participation in the Governor's Office of Highway Safety("GOHS") Contract for the High Visibility Impaired Driving Enforcement Program ("HVIDEP") by approving and signing Contract Number 2010-410-024 in the total amount of$97,500.00; and WHEREAS, said contract is intended to fund the reimbursement of overtime and Employee Related Expenses ("ERE") incurred by local law enforcement agencies participating in the GOHS Contract for the HVIDEP; and WHEREAS, GOHS Contract Number 2010-410-024, administered by the Pinal County Sheriff's Office, prescribes the scope, terms and duration of the program and is limited to reimbursement of overtime and ERE incurred by local law enforcement agencies in the total amount of$97,500.00 ; and WHEREAS, the local law enforcement agencies in Pinal County are willing to participate in this Pinal County DUI enforcement program under the terms of GOHS Contract Number 2010-410-024. AGREEMENT The participating local governments agree as follows: 1. Each party is authorized to participate in this Agreement pursuant to A.R.S. § 11-952. 2. Each party has read and agrees to the terms of GOHS Contract Number 2010-410-024, the terms of which are incorporated by reference into this Agreement. ?. Thas Agreement shall terminal ^ C.P,pt.Pmher qn, onj 0, �r as�.^..^.l:tl:er.Paft.Pr uu GvlJv completes reimbursement of eligible expenditures for ERE incurred by participating local law enforcement agencies. 4. Each party shall complete and submit the reports and forms required by GOHS Contract Number 2010-410-024 and the Pinal County Sheriff's Office designee for program compliance. 1 n n 5. Each Party shall at all times provide and-keep in full force and effect Arizona Workers Compensation Insurance as required by law. Each party shall provide the other with insurance certificates or proof of participation in a Risk and Retention Insurance Pool. No party shall allow its coverage to change, be cancelled, nor fail to renew without giving the other party at least thirty(30) calendar days' advance written notice. 6. For the purpose of workers' compensation, an employee of any party to this agreement, who works under the jurisdiction or control of, or who works within the jurisdictional boundaries of any other party pursuant to this Agreement shall be deemed to be an employee of the party who is his primary employer and of the party under whose jurisdiction and control he is then working as provided in A.R.S. § 23-1022(D). The primary employer party of such an employee shall be solely liable for payment of workers'compensation benefits for the purpose of this section. Each party herein shall. comply with the provisions of A.R.S. § 23-1022(E)by posting the public notice required by that section. 7. In addition to any insurance coverage required by this Agreement, each party agrees that it will be solely responsible for and will assume sole liability for its officer's acts or omissions of any kind, while performing any service or activity under this Agreement. In the event that a claim is made against any party for acts or omissions of any of its employees or officers, it is the intent of the parties to cooperate fully in the defense of said claim or claims and to cause their insurers to do likewise, to the extent practicable. 8. To the extent permitted by law, each party(as indemnitor)agrees to indemnify, defend and hold harmless the other party or parties (as indemnitee) from and against all claims, losses, liability, costs, or expenses (including reasonable attorneys fees) arising out of bodily injury or death of any person or any property damage, but only to the extent that such claims which result in vicarious, derivative or other form of liability to the indemnitee, are caused by the act, omission,negligence, misconduct, or other fault of the indemnitor or its employees or officers assigned to this DUI enforcement program. 9. No party is required to participate in each HVIDEP detail,and each party may assign officers or deputies to scheduled details as manpower and funding permit. 10. A party may terminate its participation in this the memorandum of understanding by giving the Pinal County Sheriff's Office thirty(30)calendar days' written notice of termination. The foregoing is approved by the governing body of the local government as evidenced below. 2 Date Date Pinal County by: Municipality by: Chairman, John S. Insalaco,Mayor Pinal County Board of Supervisors City of Apache Junction Attest: Attest: Clerk Kathleen Connelly, City Clerk COUNSEL APPROVAL AS TO FORM: I have read this Agreement and have determined such Agreement is in proper form and is entered into within the powers of and authority granted under the laws of the State of Arizona. Jim Walsh, Pinal County Attorney Date I have read this Agreement and have determined such Agreement is in proper form and is entered into within the powers of and authority granted under the laws of the State of Arizona. Richard J. Stern,Apache Junction City Attorney Date 3 E ) ofAfiachejundion Home of'the ,Supmtit rn Afountain 'ta1z4�P . g Print TO: City Manager's Office . FROM: Joel Stern,City Attorney DATE: February 2, 2010 Agenda Type :Ype : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: Fifth Amendment to Cable System License Agreement between Mediacom and City of Apache Junction (Temporary Extension). ACTION REQUESTED: DISCUSSION/BACKGROUND INFORMATION: The City and Mediacom representatives are in active negotiations for an amended term of Mediacom's cable license due to expire on January 31, 2010..It is anticipated such negotiations.will continue through February and March,therefore additional time is needed to conclude negotiations. Staff requests that City Council authorize this fifth and hopefully final extension of the cable license agreement through April 6, 2010.The copy of the proposed extension is attached. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download 0 5th Amendment to License agreement FIFTH AMENDMENT TO CABLE SYSTEM LICENSE AGREEMENT BETWEEN MEDIACOM ARIZONA L.L.C. AND THE CITY OF APACHE JUNCTION (TEMPORARY EXTENSION) THIS AGREEMENT is made and entered into this_day of , 2010, by and between the CITY OF APACHE JUNCTION, ARIZONA, an Arizona municipal corporation ("City") and MEDIACOM ARIZONA, L.L.C., a Delaware limited liability company ("Licensee"), also referred to collectively -as the "Parties". WHEREAS, an Agreement was entered into between City and Triax Midwest Associates (Licensee's predecessor in interest) on August 17, 1999 and expired on August 31, 2004 (the "1999 Agreement"); and WHEREAS, on August 31, 2004, City and Licensee entered a written amended agreement (the "2004 Amendment") extending the original agreement for five (5) additional years effective August 31, 2004 through August 31, 2009; and WHEREAS, on August 18, 2009, the Parties executed a temporary extension of the expired term from August 31, 2004 through October 31, 2009 so that the City could verify system repairs and while negotiations were pending for an extended term of the 1999 Agreement and 2004 Amendment; and WHEREAS, on October 20, 2009, the Parties executed another temporary extension from October 31, 2009 through December 31, 2009 to provide more time for negotiations; and WHEREAS, on December 30, 2009, the Parties executed another temporary extension from January 1, 2010 through January 31, 2010 to provide more time for negotiations; and WHEREAS, the Parties desire to extend the term again retroactively from February 1, 2010 through April 6, 2010 since license renewal negotiations are still pending. NOW, THEREFORE, in consideration of mutual promises contained herein and other good and valuable consideration,the receipt and adequacy of iuhich is hereby acknoYYle{ddaGd, t1,G 1 429 files agree as set VI LlI UWIVYY: AMENDMENT OF AGREEMENT: The Agreement executed by the Parties on August 31, 2004 shall be amended as follows: n n A) Section 2, Grant of Authority, subsection (D) Term: This Agreement is temporarily extended effective retroactively from February 1, 2010 through April 6, 2010. B) All other terms and provisions of the 1999 Agreement and the 2004 Amendment executed by the Parties shall remain in full force and effect until either is terminated or is extended by mutual written agreement. n IN WITNESS WHEREOF, the Parties have caused this Agreement to be signed by their duly authorized representatives as of the day and year first above written. MEDIACOM ARIZONA, L.L.C., a Delaware limited liability company By: BRUCE GLUCKMAN Title:_ Vice President. Legal & Regulatory Affairs CITY OF APACHE JUNCTION, an Arizona municipal corporation By: JOHN S. INSALACO Title:_ Mayor ATTEST: KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM: RICHARD J. STERN City Attorney 2 STATE OF NEW YORK ) ) ss. County of ORANGE ) The foregoing was acknowledged, before me this day of 2010, by Bruce Gluckman on behalf of Mediacom Arizona, L.L.C., a Delaware limited liability company. Notary Public My Commission Expires: (seal) STATE OF ARIZONA ) ) ss. COUNTY OF PINAL ) The foregoing was acknowledged before me this day of , 2010, by John S. Insalaco, the mayor of City of Apache Junction, Arizona, an Arizona municipal corporation, who acknowledged that he signed the foregoing instrument on behalf of City. Notary Public My Commission Expires: (seal) 3 ROLL CALL VOTE NOTES: nvu ITEM # MEETING OF r MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER WILSON COUNCILMEMBER SERDY COUNCILMEMBER COLEMAN VICE MAYOR ECK / COUNCILMEMBER BARKER V COUNCILMEMBER DIETZ MAYOR INSALACO UNANIMOU IN FAVOR OPPOSED ABSTAINED TOTAL r CONSENT AGENDA ITEMS NO. 1-5 I MOVE THAT THE ONSENT AGENDA BE ACCEPTED AS PRESENTED; AND 1 THAT BE APPOINTED TO THE LIBRARY BARD OF TRUSTE4 FOR A TERM TO EXPIRE ON OCTOBER 31, 2011; AND THAT RESOLUTION NO. 09-58, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING AN INTERGOVERNMENTAL AGREEMENT WITH PINAL COUNTY-FOR REIMBURSEMENT OF OVERTIME AND EMPLOYMENT RELATED EXPENSES INCURRED DUE TO PINAL COUNTY LOCAL LAW ENFORCEMENT AGENCY y PARTICIPATION IN THE GOVERNOR'S OFFICE OF HIGHWAY SAFETY CONTRACT NO. 2010-410-024 FOR THE HIGH VISIBILITY IMPAIRED DRIVING ENFORCEMENT PROGRAM, BE APPROVED; AND THAT APPROVAL BE GIVEN FOR THE FIFTH AMENDMENT TO THE CABLE SYSTEM LICENSE AGREEMENT BETWEEN MEDIACOM AND THE.CITY OF APACHE JUNCTION FOR A TEMPORARY EXTENSION FOR ADDITIONAL NEGOTIATIONS TO EXTEND THROUGH APRIL 6, 2010; AND THAT AUTHORIZATION BE GIVEN FOR THE MAYOR TO SIGN THE AGREEMENT. PeAer�E� n n °, r GO oj'A )ejundion _pad ^. z Hawe of the SuPerdition Alounlains Print TO: City Manager's Office FROM: David Fern, Public Works Director DATE: February 2,2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: PRESENTATION OF 25-YEAR SERVICE AWARD TO THERYN HANSEN, PUBLIC WORKS ADMINISTRATIVE ASSISTANT. ACTION REQUESTED: DISCUSSION/BACKGROUND INFORMATION: Presentation of 25-year service award to Theryn Hansen, Public Works Administrative Assistant, for completion of 25 years of service with the City of Apache Junction. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download No Attachments Available QACkf GO oj'Apache ncdon Nome of'Me .S upeistit3on 11 l owitc ins 8 Print TO: City Manager's Office FROM: Director of Parks and Recreation DATE: February 2,2010 n _ Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: PRESENTATION OF CHECK BY THE SUPERSTITION MOUNTAIN PROMOTIONAL CORPORATION. ACTION REQUESTED: No Recommendation DISCUSSION/BACKGROUND INFORMATION: The Superstition Mountain Promotional Corporation is donating funds to support Parks and Recreation Department sponsored events. FISCAL IMPACT: OPTIONS/ALTERNATIVES: n RECOMMENDATION: ATTACHMENTS: Click to download No Attachments Available PpACk�� G Y GO ofApache in��t�aa Name qj the .S upei sizt'on Ill owiterin.y PIZ00 8 Print TO: City Manager's Office FROM: David E. Fern, Public Works Director DATE: February 2, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Additional Item Outside Scope of Identified Council Priorities TITLE OF AGENDA ITEM: PRESENTATION OF CERTIFICATES OF APPRECIATION TO ADOPT A STREET PARTICIPANTS. ACTION REQUESTED: DISCUSSION/BACKGROUND INFORMATION: The City of Apache Junction would like to recognize all the volunteers_that help the City keep our streets free of litter. Certificates of Appreciation will be presented to the Adopt A Street participants by Mayor Insalaco. FISCAL IMPACT: OPTIONS/ALTERNATIVES: n RECOMMENDATION: Presentation. ATTACHMENTS: Click to download ❑ Adopt A Street Memo. ❑ Adopt A Street Appreciation Letter ❑ Adopt A Street Certificate - AC 4 ?� Public Works Department City of Apache ,.,..;;1zo� Junction Home of the Superstition Mountains Date: January 20,2010 To: Mayor and Council Members Through: George Hoffman, City Manager From: David E. Fern, P.E., Public Works Director Subject: Adopt-A-Street-Program The City of Apache Junction would like to recognize all the volunteers that help the City with additional-resources for the "Adopt-A-Street Program": This program was developed about 18 years ago, and has been one of our most successful volunteer programs. One of the City of Apache Junction's aesthetic improvement goals is to keep our streets free of debris and litter. The Adopt-A-Street-Program encourages groups, organizations, families and businesses to pick up litter along a specific length of street. Appropriate recognition signage is erected by the City showing which group or individuals have volunteered their time to assist in this effort. The minimum length of each street section is usually approximately one mile. Shorter lengths are sometimes permitted in heavy litter control areas. The City also provides safety training for those working within City right-of-ways adjacent to traffic and provides equipment and supplies needed for the trash pick-ups. Once that training is completed, the City issues a permit for two years with the requirement that the group pick up trash on that segment of roadway at least three times a year(or as needed). Over the past year alone, these volunteer efforts have saved Apache Junction approximately 750 hours in labor time. To show our appreciation, we will be asking the 19 volunteer groups (representing about 130 individuals) to come to the February 2"d Council Meeting where they can be named, congratulated and presented with individual Certificates of Appreciation by the Mayor in front of Council and attending citizens. 575 E. Baseline Avenue, Apache Junction,AZ 85119 • Voice(480) 982-1055 • FAX (480) 983-5752 or(480) 982-8005 n n ACC y Public Works Department City of Apache U o M Junction RIzo Home of the Superstition Mountains n February 2, 2010 Dear ............. The City of Apache Junction sincerely appreciates your commitment to keeping our streets litter-free. By participating in the City of Apache Junction's Adopt a Street program, you provide an invaluable service to the community. While the City of Apache Junction promotes a litter-free environment, you know firsthand that a litter-free environment is not easily attainable. With your work, the Adopt a Street program continues to be a viable means of litter mitigation on our streets. Your work is not going unnoticed, as the lack of litter on our streets is noticeable! Thank you for your contribution to keeping Apache Junction litter-free. Sincerely, n City of Apache Junction Public Works Department I 575 E. Baseline Avenue, Apache Junction,AZ 85119 • Voice(480) 982-1055 • FAX(480) 983-5752 or(480) 982-8005 Certificate of Appreciation This certificate is presented to the Adopt -A- Street Participant in recognition and appreciation of your participation in the Adopt A Street Program and the invaluable service You provide to the community of Apache Junction. ---------------------------------------------------------------- -------------- Mayor of Apache Junction Date G } GO ofe Juncdon Home of the Su en-fition Alountains �RIZO 8 Print TO: City Manager's Office FROM: George Hoffman, City Manager DATE: February 2,2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: MANAGER'S REPORT. ACTION REQUESTED: DISCUSSION/ BACKGROUND INFORMATION: FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download No Attachments Available �/ Av F r 1GO ofc. eJunction p U z Home 0�the . t1peixflf on AlDbl12t67in gP120 gM Print TO: City Manager's Office FROM: Tracie Curtis,Supervisory Librarian DATE: February 2,2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: PRESENTATION AND DISCUSSION ON THE UTILIZATION OF VOLUNTEERS IN THE CITY'S LIBRARY. ACTION REQUESTED: DISCUSSION/BACKGROUND INFORMATION: Tracie Curtis, Supervisory Librarian,will provide an overview on the utilization of volunteers in the City's library. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: n ATTACHMENTS: Click to download No Attachments Available P7ACk�� _pacbe ju,nctio n Hotj�e GO oj'A ql*Me S'upow ition!l lounkiin s• -ar2o1 AA Print TO: City Manager's Office FROM: Jeff Bell,.Director of Parks and Recreation DATE: February 2,2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: PRESENTATION AND DISCUSSION ON THE UTILIZATION OF VOLUNTEERS IN THE APACHE JUNCTION PARKS AND RECREATION DEPARTMENT. ACTION REQUESTED: DISCUSSION/BACKGROUND INFORMATION: Staff will provide an overview on the utilization of volunteers in the City of Apache Junction Parks and Recreation Department. FISCAL IMPACT: OPTIONS/ALTERNATIVES: n RECOMMENDATION: ATTACHMENTS: Click to download No Attachments Available PUBLIC HEARING n 1. For APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR THE HITCHING POST PIZZA PUB 2. Will CITY CLERK KATHLEEN CONNELLY speak to the Council? 3. Will the applicant or spokesperson please speak to the Council on this item? 4. Is there anyone from the public who wishes to speak on this item? (Are there any "Request to Speak" forms?) 5. If not, this hearing is closed. 6. Is there any discussion? 7. Call for a motion. 8. Call for a second. 9. Roll call vote. n `f1. YE Eck 'pg..t ��jj GO oj'A ache Junction ' Hame of'1he Superstition Alowit6iins ' 8 Print TO: City Manager's Office FROM: Kathy Connelly, City Clerk DATE: February 2,2010 I Agenda Type : Regular Agenda Council Priority Focus Area: Required by Federal Law or State Statute TITLE OF AGENDA ITEM: APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR THE HITCHING POST PIZZA PUB. ACTION REQUESTED: Recommendation for Approval I' DISCUSSION/BACKGROUND INFORMATION: Application for a one-day extension of premises during Lost Dutchman Days on February 26, 2010, requested by the Hitching Post Pizza Pub. State law requires the Council hold a public hearing on the item and make their recommendation for approval or denial to the Arizona Department of Liquor Licenses and Control. FISCAL IMPACT: Budgetary Approval Not Required OPTIONS/ALTERNATIVES: n RECOMMENDATION: ATTACHMENTS: Click to download ❑ Cover Memo ❑ Application ❑ Aoolicant letter 0 Department Memo ❑ Police Dept.Rec. ❑ Fire Dist. Rec. 0 Planning Rec. r� �C 6 (wne of the ,5upe-istition Xrourztaitas zoo JAN UARY 21, 2010 MEMORANDUM TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH: GEORGE R. HOFFMAN, CITY MANAGER THROUGH: KATHLEEN CONNELLY, CITY CLERK ; FROM: SUZANNE HENINGER, CITY CLERK SECRETARY �,,V SUBJECT: AGENDA ITEM FOR FEBRUARY 2, 2010: APPLICATION FOR AN EXTENSION OF PREMISESIPATIO PERMIT FOR HITCHING POST PIZZA PUB An application for an Extension of PremisesiPatio Permit has been submitted by Mr_ Mehmood Mohiuddin for Hitching Post Pizza Pub located at 2341 N: Apache Trail in Apache Junction. Correspondence has been received from Police Department, Fire District and Planning Division, a copy of which is attached. Please note the conditions on the Planning Division's correspondence. Senior Planner Rudy Esquivias stated there were some issues that need to be addressed regarding parking. The next step in the procedure is for the City Council to hold a public hearing on the application and make a recommendation for approval or denial to be forwarded to the State Department of Liquor Licenses and Control. KC/jrm Voice 6180)982-8002 • PAX(480)982-7018•TDD(480)983-KI95 •w4C<«,ajcit�,net 300 E.Superstition Boulevard, Apache Junction,AZ 85219 ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL, 800 W Washington 5th Floor Phoenix. AZ 85007-2934 www,azliquongov (602)542-8141 APPL,ICAT[ON FOR EXTENSION OF PREMISESIPATIO PERMIT THIS APPLICATION MUST BE RETURNED TO THE DEPARTMENT OF LIQUOR Permanent change of area of service—Give specific purpose of change: r 1 M Temporary change for date(s)of: february 26,2g10 1. Licensee's blame: MOHIUDOIN MEHMOOO Last First PAar�Te 2. Mailing Address: 2341 N APACHE TRAIL, APACHE JUNCTION, AZ 85119 city 713te Tip Business Name: HITCHING POST LLC LICENSE#: 12113177 4. Business Address: 2341 N APACHE TRAIL, APACHE JUNCTION, AZ 85119 City COUNTY Stat€? Zip 5_ Business Phone: ( 480 ) 983-8800 Residence Phone: ( 602 } 214-5635 6. Do you understand Arizona Liquor Laws and Regulations? 13 YES 13 NO FAX#l•` { 480 ) 983-6396 7. Have you received approved Liquor Law Training? ® NO 0 YES When? MAY 2009 a_ What security precautions will betaken to prevent liquor violations in the extended area? Pacific area will be blocked of with Mello tape and we will have security guards can duty. 9. Does this extension bring your premises within 300 feet of a church or school? E3 YES 0 NO 10. IMPORTANT. ATTACH THE REVISED FLOOR PLAN CLEARLY DEPICTING YOUR LICENSED PREMISES AND lrlr'HAT YOU PROPOSE TO ADD_ ****After completing sections 1-9,take this application to your local Board of Supervisors,City Council or Designate for their recommendation. This recommendation is not binding on the Department of Liquor. This change in premises is RECOMMENDED by the Ideal Board of Supervisors,City Council or Designate: 1 (Authorized Signature) (TiVe) (Agency) I, 1-- .Mr. '� f' �'r% -9 i/ being first duly sworn upon oath,hereby depose, swear and declare, (Print full name) under penalty of per}ury, that I am the APPLICANT rmakirjfha`f&18r oing application, I have read this application and the contents and all statements are tru c ect altd complete rl dtatE County of X /, . 5( tIBED fFt MY E�RESEhdCE AND S'�tQRN TQ bVora me this date -der 8FIA69rih r Gay MOF;lh J Year My commission expires on: 12) l o I -( ' natureof KQTARYPUBLICjC c Investigation Recommendation Approval ❑ Disapproval by: Date. Dii-Wor Signature required for Disa royals Date: PP __ _ i.wnroso wri *Disabled individuals requirin^.speciai accommodation,please call the Department(602)542-9027. r 11 S .r I ;f�•�J-j•I. i Ar ,a ` I 'k tJR-Yf J � n � C �. lei- i ll f` f } U = lfl t rc cr, t cj 5uperstrtion ��fountains ZOt� (�3 January 12, 2010 Mehrnood Mohiuddir: Hitching Past Pizza Pub 2341 N. Apache Trail Apache Junction, AZ 85119 Dear Mr. fvtohiuddin: Re. Application for Extension of Premises/Patio Permit for Liquor License Please be advised that your application for Extension of PremisesfPatio Permit for a temporary change of area of service for the liquor license for Hitching Post Pizza Pub for Lost Dutchman Lays on February 26, 2010, has been scheduled for a public hearing. The public hearing will be at the Apache ,Junction City Council regular meeting on February 2, 2010, at 7:00 p,m., at the City Council, Chambers, 3€0 E. Superstition Blvd., Apache Junction, at which time a recommendation for approval or disapproval will be made to be forwarded to Arizona Department of Liquor Licenses and Control_ it is strongly recommended that you attend this meeting in the event that council has some questions on this application. If you have any questions concerning this matter, please contact my office at Sincerely, Kathleen Connelly_ City Clerk Voice(480)9927-8002 • FAX(490)932-7018•TDD(490)9U-0095 •�utsw.ajcity.net 300 E.Supemthion Bouieaard, Apache Junction,AZ 8522 19 r � r t Y: Home gj'the ,�gt €�tstition 11taicnt ifis JANUARY 12, 2010 MEMORANDUM TO: DEPARTMENT OF PUBLIC SAFETY PLA,NNING DIVISION APACHE JUNCTION FIDE DISTRICT r THROUGH: KATHLEEN CONNELLY', CITY CLERK��t-V FROM: JAN MASON, DEPUTY CITY CLERK,-. SUBJECT, APPLICATION FOR EXTENSION OF PREMISES HITCHING POST PIZZA PUB Mr. ft?9ehmood Mohiuddin has submitted an application for a temporary extension of premises for Lost Dutchman Days on February 2.6, 2010 for Hitching Post Pizza Cud located at 2341 N. Apache Trail... Apache Junction, Arizona. Please conduct the necessary inspections and submit your recommendation by Wednesday, January 20, 2010, in order for this to be heard at the city council meeting of February 2, 2010, •`voice(48t1)91SQ-8002 - FAX (440)98?-7018 i TDD(.480)983-0095•w%k,w.ajcitv.net 300 1 . Superstition Boulevard, Apache Juut:ion,AZ 85219 f 1 l 1 POLICE Apache Junction Police Department z Interdepartmental Memo 4 IZON f ) DATE: 01-13-2010 TO: Arnold Freeman - Patrol Commander THROUGH: Brett Jackson - Patrol Lieutenant FROM: Phil Freeman - Patrol Sergeant SUBJECT: Extension of Premesis Application - Hitching Post On 01-13-2010 1 completed a review and Inspection of the Hitching Post Pizza Pub located at 2341 North Apache Trail. Upon Inspecting the premesis and the application the request is acceptable without conditions. The procedure as goverened by Arizona Revised Statutes Title 4 Section 207.01 A-D, Submission of Floor Plan Required, and Arizona Administrative Code R19-1-311 Patio-Outdoor Use Permission have been properly attached to the request. The site itself is ok, security will be present and the area clearly marked. There is only a business and chain link fence to the south and south west and that should not be an issue as far as noise and the permit is for only one day (Friday). Based on the above information the Apache Junction Police Department approves of the request for the extension to be sent to the Arizona Department of Liquor License and Control per procedure. 1 Apache Junction .dire Dis trict v.. 565 NofThIdaho Road, Phone(480,1 962-4440, Fax(4 0) 982-0181 r MEMQRANDUM TO: Kathleen Connelly,City Clerk City of Apache Junction FItC3Nt Dave Montgomery, Deputy Chief?fire Marshal DATE: January 7{},2010 I SUBJECT: A lication For°i`cttt[>ocnry 1ij,tensi�a�{F�premises Hitching Post Pizza Pub,2341 N.Apache Frail Apache Jet 1Z `T`Ile Apache Jcmcti�-)q Fire District has reviewed the submitted documentation for 2341 N. Apache Trail as related to events to he held on Feb.mary�26" 2010, W would recommend approval of this application,hasud,as always,on good practices For the general safety of all patrons and erri'ployees. Applicant shall ensure that all local fire and life safety codes and ordinances are. adhered to for the duration of the:event, 4-1iank you for your notification on this matter_ Dpni A'f I'N: Application Suzanne.Han!Ner From-, Rudy Esquivias Sent: Wednesday, January 20,2510 4:25 PM To- Janet Mason;.Carlena Lawson;.pave Montgomery; Fred Baker Cc. Brad Steinke; Jerald Monahan;.Joel Stern; Kathy Connelly,Suzanne Heninger; Todd Kennedy;Yanet Ochoa Subject: RF, Hitching Post Pizza Pub Extension of Premises All: Please be advised that the Planning Division does not abject to the request from the owners of the Hitching Post for a One-day extension of premises during Lost[dutchman Clays,on February 26,2010. The property is currently zoned CB<2 {General Business)which allows'the restaurant and:bar outright. We note that parking on the site is:tight under normal circumstances and the use of the parking lot for the one day event W-111 cause customers to park an neighboring Properties, incltidiflg across,the street(Highway 88). We reconi:mend that the owners inform their neighbors of the event a:h+-ad of time so as to avoid conflicts and misunderstandings; and perhaps even to arrange for overflow narking the day of the event_ 011UL405gr Senior Planneri7_.ctning Admiriistmior City Of Apache Junction 300 f . Superstition Blvd. Apache Junction, AZ 85119 480,474.2645 SERVICE OVEIZAND ABOVE THr, REST ✓from-Janet Mason Sent: Wednesday, January 13, 201.0 11:28 AM To: Carlena Lawson; Dave Montgomery; Fred Baker Cc: Brad Steinke; Jerald Monahan; Joel Stern; Kathy Corinelly; Rudy Es€tuivias Subject: Hitching Post Pizza Pub Extension of Premises Attached is the extension of premises request by Hitching Post Pizza Pub. Please have your department recommendation to me by Wednesday,January 20.as this is on the February 2 agenda. Thanks. Janet Mason Deputy City Clerk City Of Apache Junction 300 E_Superstition Blvd. Apache Junction,AZ 85119 480-474 5CGB ;;meson aa'cit .net Service over and Agave the Rest This message and the information within is intended for the recipient. if you received this email in error, please notify the sender and then delete the email. Emails generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule, To ensure compliance with the Open Meetings Law, members of the City Council should not forward email correspondence to other members of the Council. Members of the Council and other public bodies may reply to this message, but should not copy other members of the public body, r� n 2 r RO �4LL TE NOTES: r o4i . A n ITEM#° MEETING OF MOTION BY: SECONDED BY: �. YES NO ABSTAINED VICE MAYOR ECK COUNCILMEMBER WILSON COUNCILMEMBER BARKER COUNCILMEMBER SERDY COUNCILMEMBER DIETZ COUNCILMEMBER COLEMAN MAYOR INSALACO n UNANIMOU IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 12 I MOVE THAT THE APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES PERMIT FOR THE HITCHING POST PIZZA PUB, SUBMITTED BY MEHMOOD MOHIUDDIN, BE RECOMMENDED FOR (APPROVAL) OR(DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL. n; n PUBLIC HEA NG 1. For APPLICATION FOR A NEW LICENSE,S RIES 14 LIQUOR LICENSE FOR LAWRENCE C. GARRETT VETERANS OF F REIGN WARS (VFW) POST #7968 2. Will CITY CLERK KATHLEEN CONNELLY s eak to the Council? 3. Will the applicant or spokesperson please speak to the Council on this item? 4. Is there anyone from the public who wishes to speak on this item? (Are there any "Request to Speak" forms?) 5. If not, this hearing is closed. 6. Is there any discussion? 7. Call for a motion. 8. Call for a second. 9. Roll call vote. Cis ro�f` io 'IR1ZQts �-t� Print TO: City Manager's Office FROM: Kathy Connelly, City Clerk February 2 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Required by Federal Law or State Statute TITLE OF AGENDA ITEM: APPLICATION FOR A NEW LICENSE, CLUB, SERIES 14 LIQUOR LICENSE FOR LAWRENCE C. GARRETT VETERANS OF FOREIGN WARS (VFW) POST#7968. ACTION REQUESTED: Recommendation for Approval DISCUSSION/BACKGROUND INFORMATION: This is the next step in the application process. The city council must have a public hearing and make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download ❑ Cover Memo ❑ Application part 1 ❑ Application part 2 ❑ Application part 3 ❑ Application part 4 ❑ Notice ❑ Applicant letter ❑ Department Memo ❑ Police Department Rec. ❑ Fire Dist Rec. n 40-1 r z r4 41 el-6�fl(/A P-I rl 44 9/1-t I ' Home oj'the 5'upei-stition AIaa_nt ains z JANUARY 21, 2010 MEMORANDUM TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH: GEORGE R, HOFFMAN, CITY MANAGER THROUGH: KATHLEEN CONNELLY, CITY CLERK FROM: SUZANNE HENINGER, CITY CLERK SFCRETARY,; /-' SUBJECT: AGENDA ITEM FOR FEBRUARY 2, 2010, APPLICATION FOR A LIQUOR LICENSE FOR VFW POST#7968 An application for a New License, Club, Series 14 Liquor License has been submitted by Mr. Michael Ferguson for VFW bast 47068 located at 250 S_ Phelps Drive in Apache Junction. Correspondence has been received from Department of Public Safety, the Planning Division, and the Fire District, a copy of which is attached.. The next step in the procedure is for the City Council to hold a public hearing on the application and make a recommendation for approval or denial to be forwarded to the State Department of Liquor Licenses and Control_ • `nice(480)982•8002 • FAX (480)982-7018•TDL)(480)98;-OG9'; •FR�4w_ajcit�.net 300 E Supetmition Boulevard, Apache Junction,AZ 95219 Arizona Depa" nt of Liquor Ll _ and Control F' 2. F Notita: Effatt€vo Nov.it i "i,R&s[W � k _ � �1 t�s �r � .e .a � eta d tatla � �i�Ekrfi the bitt;rt s midst a�tfend a nett Q.0,. uei°lad z�rssg ffl �*CPJr1w � at atta rt �Imo#€"sve years. Seia rage 5 of th4"Uor tJemming raquiraenersts SECTION N a t This dd l r �TIQ ►a of ownership: � ld}r 0 INTERIM PERMIT Complete Seetrr�nr' ;� `: % F`r �� ,T,Vt� G.Mppete Sectia�r 6 ®NEW LICENSE Complete S €roe � ; t3�� `� �� " � I�htDalwkt,P �-� Comple€e Section 6 1]PERSON Tf�AhdS R(Barb&Ldgci�it � s� �� .�P trrpte�Sectiorl complete sections Z3.4 ff Complete Section 7 g t C7 Lt�C4TCC�t TF t s 1=R(saes a i q fitt s 5 il-FT `CO. �srrrpte Section 7 Complete Sections�, 3,4 1z 1 , � � l�_ ectiorr 8 C r�7SrgTS WILL ASSlGE lFAEr ITii?r �1 � C 4 +. dT c�tta pwe Section 16 Complete Sections 2 3, "91—# ; tIV T Cmpte Sewn 6 Cl }U`RMf4F1EtVT Ccrrrrptete Sections 2, r tfl, f OTHER Main SECTION 33 .Type of ricenase and fees aIj 1. Type of Lrcanse: ! 2.Total des aftached: S APF't lCr 7lCtf$1 FEE �?IN PERMIT FEES(IF APPLIcABLE� R- NOT REFUN5-A8I E. The fees allowed ender A-R.S.44-68L52 wilf He charuct3 for all disho# c retf checks- SECTION 4 App€icant t .OwncrAgenfs Namn : i�5. '�� f •'` ��ti c 4 r,k"�. ore ciarr;:_O L'i to appear on Lcanse) La9t Firs, Mit dla 2. C 1 PartnershiDTL.L.C._ l t" -tar.Uy as I appears on,-irtdo as€nc.w +rt s?`C r :} 3. Business(tame ?t xadly as it a€ arts an the exterior of prp_�r tsesj =" P€'incipal.Street Location {•0;3 ro eza PO Sm N=1>ar} city tom.). Lip -- 5_ Busine-,s Phone: Daytime Contact 6- is ttte business located within the iru:arnaraied limits of the above city or towrrr? EIYES ❑NQ 7- Mailing Addresa: city Stag Zip 8,Enter the amount,paid for a bar, beer and mire,&-liquor store~ license$ (Price of Liceme only) DEPAIRTMENT USE,ONLY � � Fees, ��f� f 1 6 Y nd?ljC�tin:i IT1tPr5CYl�Prr:lr4f AiT¢rit r~hae.na ('-€r c�i �iflf4C+T Pri r.tc I rh D TOTAL OF ALL FEES it is Aftona'StatemqA of Citizenship&A3ien Status For State Ilenei fs comp[enLI YESL 0 NO Accepted Gy: Date:1 Z��Ljc. UG0100as-loos `Disabled individuals requiri g special accommodation, please call(602)542.9027. AMENDMEN1 } LL Arizona DePpOrmont of Liquor Lii 'I'Sand Control�1'�' ..L_ �a•� Li'� L L, '.INLr��i r'.",. 'f "a yK 2` odf L , PE 0 NbUce: I` If CUV.e Nov.1,1997 aA �r6nar� �tfisbd#rs C�fflcats..a(�faoa � t �`lr€flae,d to dayOperation of the busks �must attend a artcitM I*, >iquor tr�►P n «rr�°4r�fflws9��si�rf a€t� it �kthfn tYa6 last Else yo rs, She Wage of #kia Liquor Licensing, rE,ttMts. ' ACTION I This application is fov �� fi ' � �E�Ti(�� p r�M5 e of ownership,. 0INTERIM PEE' MIT.GampleteSe trrn` � IIJT,V1l Ox Complete Swoon 6 NEW LICENSE Cathple Seeuon�,4-1 4 7W14, D�, �6 Y 1�INi�I�1 �1� Comptote Section 6 PERSON TRANSFER(Bars&Ligtaor hAi' 0 PA 6. IP Complete Section,6 Complete Sectforts 2,3,4. f7,r " "�fi�5r� �A r n.. < P �Cl�t�? RAi'€E7r'� Complete Cec�r�r�7" 1 1 LOCATION TRANSFER(Bnarj�a/nc � r!{ yews�t�rr'r`� b �z�]L3 fTyE�r��B1L{ET r'CO. Complete Section r borlt? F t Sections 2,`^t'7r f Yi "fA 3 1 C7 V 11e 7 to section 8 d PROBATEWLL,ASSiGNME Ct 0 51 R1� E+ T Corr, fete Se ttctn?U Complete Sections 2, , F7,dFttST Ci� plete Section 6 I-]GOVERNMENT Complete Sections 2,3,4, 10 00 OTHERF�lairr. G, L SECTION 3 TyPe Of license and fees LICENSE#: i Type cy !Jue aia: 41ec'45e. � 2. Total fees attached: � $ APPLICATION FEE AND INTERIM PERMIT FEES((FAPPLIGAB E) A NOT REFUNJQABLE, ThOffe s allowed under A R.S:44-6852 will be charged for all dishonored checks SECTION 4 Applicant kvlr. Ownerf.Agenl's Name: Fss. 1Cl G�( St`lil tlCQ41 lc�is"7s _ {!c er ora na tin,•op;LY to app�uar rrn iicamel Last first Middle 2_ ./PartnershipIL L.0 : l 1 v1 tFxacf4y as it,4ppews on ArlWa$�4[PC.of,nivies of ofq f 1pxaetfy as if a�7 sans rsrr the��teriar cI'A"li 4. Principal Street Location 15-0 S cks (Ga n�9 trrb PO Box Nis _eFy city County Zip 5_ Business Phone. {l r'�7f' f f Daytime Contact. 00 F l*71— q B. Is the liu iness located within the incorparlted limits lathe above cif or icvr s? �4`ES ONO Ma 7. i ) €ingAddiess, � 1;2 0.4,J t �IJr�Z h� �;�,rrr+.a,-,; O - - T/Z ail, f I Staley Zip .Enter the amount paid for a bar;bear and grins,or ilquor stare license$ (Price of License on.lyr) DEPARTMENT USE ONLY � I Fees: _ f ` pf i ��- f_,terim n___ta nC`i�i i n�..r_ - r... e„t�f,,.�,r-�..•r��q� n,r.icy �.;a�r<i �iii�irf rcgrRrti TOTAL OF ALL FEES Is Arizona$tateme i of Citizenship&P.lien Status For State Benefits coraplete'� YES/ U NO Accepted by Qate: f iG,## Uc0100W.2009 .Disabled individuals requiring special accommodadon,Please call( a2} 2-9O27. SECTtQb,!5 Interim hermit ;- 1, If you intend to pe mi ,te busl M ess when your application is pending yqu vvill need an Interim Pe k im pair itant tt7 A .S: 4-203.01. 2. Them MUST be a valid I'license of the sarne type yoQ are applying for currently issued to the location. 3. Enter the license.number currently at the location. 4. Is the license currently in use?11 YES El NO if no,how lorig has It been out Of Use, ATTACH THE LICENSE CURRENTLY ISSUED AT THE LOCATION TO THIS APPLICATION. I declare that I am the CURRENT OWNER AGENT,CLUB MEMBER, PARTNEiR-, (Print"uH narre) MEMBER, STOCKHOLDER, OR LICENSEE(circle the title which applies)of the stated license and[or-'atfon. State of County of X— The fore -nt was-acknowledged b--W,:p me this going instrume My czrnmisslon e,,pires can: F. -b-a-y—day of MDnth Year (S4tiaturra of NOTARY PU BLIQ SECTION6 Individual or Partnership Owners: EACH PEPSON LISTED MUST SUBMIT A COMPLETED QUES11ONKAIRE(FOR-W LIC131,011,AN'APPMANT-TYPE FINGERPRINT CARD,AND S24 PROCESSING FEE FOR EACH CARD, 1. InclMdual: Last First 3fitllt %OWRP-a Mailing Address City smtp Zip Partnership Name: (Only the First partner listed will appear on license) GanerarLimited Last First %[homed 1A a i 1 i1 g Arj d mi E City stat8 Zip, El El (A r—,A.CP.ACIDMONAL 5HEFTJ IF Is any person,1-11ther flhan'he above,going to "n'the of Ih-- 01 YEES El NO I I Yes: give name,current address and telephone number of the person(s) Use additional sheets if necessary. Last Rrst N,!iddi e Maisim Ad ,ess Ca ly,State-Z10 hurt-4 Telery, 2 '"FCf i1 Conpwatjcs iLJM t*d 1 abititr Co.: MR PEfWN trmA ftd n gClMAT A Gt UKETED QUESiTlt?t NAIRE(FORM L1W10),AN`AP?LICANT"TYPE PIN0WZ'6±W CARD,AND IS24 PROCESSING FSE FOR EnH CARa, ❑ CORPORATION Camp;qta questions 1,Z 3,6,6, 7,and 8. El L.LC. Complete 1,4 4,5,6,r,and S, 1. Name of Co" Mtbn ,'L,L.�.: (Exar iy as it ri�?p aCs orz AraldC s of inrpr} GC n tr A f'o 2. bate Incorporatedforganized: -- State where Incorporat €fir €ized- .a- 3, AZ CbrPQreffon Commission File:too,: Bate authorized to do business in AZ: =4. AZ LLC. File NO: Date authorized to do bu mess in AZ: S, Is CGYP.1t..L.C.t on-profil?0 YES 13NO B. List all directors,offloars and members in Corporation/1..L.C.: List First Wdle. Tip . Wirfnq Addargc—s City State zip I {ATTACH AODITIGNAL SHEET iF t4F-c5SSAf Yj T. List fraC+h lr e, who are=ntrjl-1ng pertsons.or•rho mn 10%or more: Last Firt b1 JG1 14 own--d MaffN Ad&et3s CAA st6t ?R I i (ATTACH ADDITIONAL SHE T NF t` C ESSAIW 8. If the corporatioTtit.,t.,C, lr owref bl+another entity,attar a p entege of ownur5hip dia-rt,and a directortofneerimember disclosure for the parent entity. Attach additional sleets as needed in order to disclose personal identities of all owners. SECTION CIub Applicants: f ) EACH PERSON LISTED MUST S1 RWT A COMPLETED QUESTIONNAIRE(FORM LIC9101 AN"APPLICANT"TYPE FINGERPRINT CARD,AND.V4 PROCESSING FEE FOR EACH CARE}. d ^.• C � date Chartered: (Exavidy as ii a,Fr ars on C$Ub Chary rr ayia as) (Attach a OVy�f Club Charter or L} wv} ?, Is ckjb nvn-profit? OYES ONO 3. L st of Cer and directors: t.ast =irtt f�trddl� the �n�ilF idrr _ Gtty "'a<e Zip (ATTACH ADDITIONAL SHEET IF NECESSAf f} 3 , �y � j��' nrA1 )i r N )M� CorporatiorufUmIted Uability Co. EACH FP€RSOO LISTED MUST St]BLUTA COMP 'rED QUESTVH AIRF rORM LICQ110 i},AN'APP i0A$T-TYPE FMO PRINT CARR.-AND S24 PRO E$SING FEE FOR EACH,CARD. 0 CORPORATION Comp We ques€fons 1,2,3,a,6, T,and& E3 L,L.C. 0a,mpla�a 1,2,4, ,6,7,atta$. ' lj _, z Li 1. i IM6 of CorpraratiorUL:.L,C. - - - ........... ( ctty as it appeats can Aff iclns of InoarNra on orAtdes of Organization) 2. gate lnoarporated/Organized,: State where Incorporated Orrgariized: 3. AZ CaToration Commission File No:, Date aufl,orized to Eta business in 4: AZ L.L,C. File No: (date authorized to do business in : n 5. Is Corp.iL,L.C. Nori-profit?LD,YES LiNo 6. List all d1re—&ors.,officers and members in Corporation;UL.C.: Last_ _ Firs#... Trile tviailin. Mdress City State Zip I OTT CH 1001TfONAL SHEET IF NECES SARY) i Last stockholders who are controlling.pens ns or�- ho own.10%or+^.:lore; Last. =ir5! A! '!r= %Ovv 'ed ruff-mqAddress C'.y Smote ZJP i i 3 ,,ATTACH ADDITIONAL SHEET IF NE<_ESV-%R') 8. If the Corpora- tiorVI_.L.C_is owned by another entity,attrlC-, a percentage of ownership chart and a d1reCtorlo icerlfltember disclosure for the parent entity. Attach additional sheets as needed it order to disclose personal identities of all owners. — — — ® ,..'« .SECTION 8 Club applicants. EACH.PERSON LISTED PAUSTS'UMUTA COM+MEM]OUP-r ONNAIRE(FORIA i,rri0101i,AN"aAPPUCANT"nPE FINfGERPEII T c ARD,ANO$24 PRriCESSING FFE FOP.'EACH CARD. t. Nam-a-of(--Iub,. I~Conu-V V f-W�bS�� 7`�4�' I7aee Chadered: /047-?2- (Lcaetly as it tipptars nn Club r'hat'Lr of B'e.WAs) (Altach a ocpy of Club Qy.a,-ter gr EYfays) °. Is Club non-profit? YES L1 plo 3. List officer and directors: L-:;A Fast i.tW1! i:i_ -*r e �>� .g!ti•�..+ —+ v�rpvr ra.w�xir a r ri f ♦ U �a� ��--1F7fl�ri �h'CJy N L + r lot 201 �-+ }} lrlp WCn cif, i .Gra. 71JS v5o> , MIGc%4,d, lit flia�, �Pa�y'-'Stlad e r-x'-j+e•� V TTACH r"..DQITIONAL SHEET IF NECESSARY) 3 i AE-qT10N9 Probate Will i Assignment Q Divo rce Decreeof an..existing liar or Licl4jcarStora l;.lcarlse. . 1. Current U nsees Name, (FmctfY as it a ..ars of liaise) Last I�tRdclle 2. Assignee's Narl . ' Last F rst I License Type, License Number; Gate of Last Renewal: . k fA011 TO TttGS APPt I +Tl 3 A G1=R Ott 1�D COPY Or THE Vs LL,PROBATE DISTRIBUTION INSTRUMENT,OR DIVORCE DEGREE THAT StyECIFIO LLY DISTRIBUTES THE LIQUOR LICENSE Tyr THE ASSIGNEE TD' HIS APPLICATION. SECTION 1Q Government,(fQr.cities,towns,OrcoUntfes Only) 1. Govemm- entai Entity. 2.. Persr rYdesigrt : Last Fiat middle i`.wla t Pha.--Nurnt*r A ael`-A TE LICENSE MUST BE OBTAINED FOR EAC34 PREMISES FROM WHICH SPIRT['UOUS LIQUOR IS SEPVta SECTION 't 1 Person to Person Transfer; QuestiOns to be 1*ompleted by OURRENT LICENSEE(Bars and Liquor Stores ONLY•Serfes 06.07,and 09). I. Current Licensee's Name: En it : (FxaGt3} as itag ars cn 1[t } LastFirst F,4id fP (indo ,.,g�r4. 2. CorporationL.L.G,t*l m (�Xathty as it: p--amfi on license) 3 Current Business Name: (Exadity Fs it Farr an li n;:e) 4. Physical'Street Location of Business: Street uity.State, Zip 6 License Tyne: License Number. 6_Current Mailing Address: Street (Other than business) City, State,Zip 7_ }-lave all cre-ditors, lien holders,interest holders;.etc.been notified of this transfer? U YES CI NCB 6_ Does the applicant intend lo operate the bustaess whtl ti is application is Mending? OYES ONO If yes,complete 5ectiotr 5 0;this application,attach fee,and current license to this application, 9. 1, hereby authorize the department to process this application to transfer the (Print J ult narrw_) privilege of the license to the applicant,provided ttfat all terms and cariditirnsof sale am-met_ Based on the f�ifrlirn�rf�f aF ese conditions, i eert f/that the applicant now ravrns or will own the property rights Of the license by the date of issue. declare that I am tha CURRENT G4"MER, AGENT: MEMBER,PARTNER (print Full nafnQef STOCKHO LID EfR,or LICENSEE of the stated licer se. c ha e,read the sbcve section 11 'grid, -firm I at all F e ate m , is are true, correct., and complete?. nf rn of r,..,.,.., a (Sigrca+.urn of ciJka tdr ttr tv t The foregoing instrument was acknowledged before me this day r;f Day Pa Wth Year MYr_orr�€T7issic�t7 expires on: (S;Vnalure of NOTARY PUSLICj 4 ()) n ram--, DEC 1 .,. VETERANS OF FOREIGN WARS OF THE UNITED STATES LAWRENCE c. 'GARRETT POST 7968 - APACI M'CnON,A IZON . - n BY-LAWS ARTICLE I I;AI SECTION 1. T I S SUBDIVISION OF TEE DEPART :qT OF ASIZONA,DISTRICT 10,VETERAINS CE FOREIGN WARS OF THE UNITED STATES SHALL BE KNGWW AS LA 'RE.NCE c. GA TT POST 7968,APACHE JWC'TION,ARIZONA.,FMREN.kFTER REFERRED TO AS THE POST. ARTICLE IT Q:BJ CTS SECTION 1. THE OBJECTS OF THE POST"SI- LL ICE AS SET FORTH?Id THE_ NATIONAL c,atrAN`L�B�-�L.AwS;TOGETHER�dITII T BY-LAWS OF T .I�EI'ART?v�IwT C3F AR 1ZONA, ARTICLE III SECTION L, COVET-NINC BOD�T THE POST SHALL BE GOVERNED BY ITS ELECTED OFFICERS WHO SNAIL BE ELECTED BY TIME POST NMMBERSHIP AT TIM 0-r POST NEETNG HELD IN Tlffi moNTH OF APRLL. THE POST SHALL CONFORM WJTH SECTION 21.7 OF THE NATIONAL BY-LAWS (NONffNIAnONS,ELECTION, INSTALLATION AND TERM OF OFFICE) SECTTOIT : ELTGIBTIM OF OFFICE ALL VfMaERS IN GOOD STANDING SELL BE ELIGIBLE TO ANY OFFICE IN THE POST,PROVIDED NO MEMBER SMALL HOLD TWO(2)ELECTIVE POST OFFICES AT THE SAME TIME;BUT MAY HOLD ONE(1)ELECTIVE AND-ONE(1)OR MORE APPGD 'I VE OFFICES. POST OFFICERS ELECTED OR APPOINTED MAY HOLD OFFICES Its A HIGH BODY,SUCH-OFFICES MAY BE HELD CONCURRENTLY. ALL POST OFFICERS WILL CONFORM WITH THE NATIONAL BY-LAWS, SEC-RON 219- ALL ELECTED AND APPt]INM OFFICERS MIDST FURNISH PROOF OF EL.IGMIL!w_ _ ll\IT0 TIC VEI RAENS OF FOREIGN WARS. A COPY OF T'FIEM DISCHARGES WILL ;BE FURNISHED TO TIDE POST ADRnANT FOLLOWING ELECTION TO OFFICE. ARTICLE IV SECTION 1. MEETINGS _ REOL LAR POST MEETINGS SHALL BE-BELD ON TB E 4t"MONDAY OF.EAC14 ,MONTH DURING THE YEAR FOP,THE TRANSACTION OF BUSINESS AND ANY MATTERS PERTAINING TO TIE POST OR THE VETERANS OF FOREIGN WARS THAT MAY COME BEFORE rfS BODY. TIME AND PLACE SHALT.BE SET BY THE POST COMMANDER AT EACH PRECEED NG METING. SECTION 2. QUC?RTJIyI SIX(6)POST IEIVIBER.S,IN GOOD STANDING, SHALL CONSTITUTE A QUORUM FOR T14E.PURPOSE OF TRANSACTION OF BUSINESS. i ARTICLE VH CONTROL OF SI_?BSIL'►I.A,RY u ITS Any activity,unit or clubrwms sponsored, conducted or operated by the Post, incorporated separately from the Post or unincorporated,shall be at all tunes under the direct coot l'of the foist. Sec- 2. All funds derived frorn any of the above shall be in the custody of the host Quarterrrtaster. Sec, a._ All money,property and assets of every kind as well as all records in connection therewith used:, held and owned by any o f the above activities is e property of'the Post and rttiist be placed in the case arld custody of the Post Quartermaster, See, 4. For proposed ofthis Article,the Ladies Auxiliary to the Vateraw of Foreign Wars, the Mens Auxiliary to the VeteraRs of Foreign Wars, the Military Order of the Cootie and its Ladies Auxili i' are governed by Articles XJ and XII and restively of the Rational By-Laws and l anual oI' Procedure of the Veterans of Foreign Wars and their respective By-Laws,Mules and Regulations. ARTICLE VBI EXPENDfTURE OF FUNDS :rev. l. Expenditure of furids shall be made only after prior authorization by the Fast and on proper voucher drawn by the Adjutant and approved by the Commander. All checks for the expenditure of Post funds shall be numbered in sequence, the number of each che-bk to correspond with the voucher authorizi nul the same and in addition to the signature of the Quartermaster-,shall 6e countersigned by the post Con,mander. Sec. ?. The adoption of t1us Article shall onstitute authorization by t be host, for the payrracr t of bills; when and as due, for monthly rental', public utility service,postage,janitor service and far janitor's sUpplizs and minor emergency repairs authorized by the House Comrrrittee, provided that the arnounts to be paid for monthly rental and for jalxitor Service shall have hoen previously established by the Ur, a. tlo other pa;frnen.t or expenditures shall be made exc pt on the specific autho ization, of tile- Po = in each and every case. Al "I')CLE IX COMPENSATION See.1. No compensation shall be paid to any officer of this Lout for his ser,,ices as such of jeer, except as hereafter may be provided. ecmbo 2 Martin eta f ��mcs B. MauerAdjutant Commander REW The azendinentFW VA9 Dj& '% ve11 4't a 'gEveZal Meetilag on 8-11-200 DELETION(S)AND/OR EXCEP- TION(S) LAL tSTZW ADJU A r GOMFIAL POSTFUNDS_WI LL BEEXPRNDED ONtY UPON A MAJ- 0Rr 0 OF TIE- MEMBERS PRESENT AT A:RRG1.jLAR.bffiETlNG. _ON2 TEE POST QUARTERMASTER IS AI TTHORIM E)MENDITIMS FOR ALL REC yRRIl G SILLS. SUCH E ENl7I I' US WILL BE REPORTED AT TIDE NEXT POST MEETING. ARTICLE vl A1h -NpRq(3r By LA S SECTION ]. Tl-IESE BY-LAWS MAY BE AMENDED BY A TWO-TFI.II S (2/;)VOTE OF THE KENMERSHIP PRESENT AT A REGULAR POST MEETING. NO AMENDMENT WILL BE n 'CONSIDERED D UNLESS A COPY OF SAME FIRS BEEt4 FOR ARDED TO THE POST COMMANDER AT LEAST THIRTY(30)DAYS PRIOR TO THE MR-pl lo. SECTION� THESE B Y-LAWS OR ANY AMENDMENTS SELA LL NOT BECOME EF CT rVE UNTIL REVIEWED AND APPROVED BY THE COMMANDER-IN-CHMF. 00-- yr y I 5GT10Nf 12 Location to Location Transfer.(Bars and Ligt9brStore,CStNL.1f'j APPI ICAwsCANNOT OPERATE UNDER,A LOCAMN TRANSFER UNTIL IT IS APPROVED SY THE STATE 1, Current Business: Name , ^ r�rr.�.. .� Lidr':Lei, i�r111�j`-t (r_eacfPf as it appears on lic)eanm) Address 2. New Business: Marne (Ohysical Sint Location) Address S. License Type: License Number: 4. What date do you plan to mover ` hat date do you plan to open? SECTION 13 Questions for all in-state applicants eft dim a aunlvinn for porrer me t, iro _I€�(mote and restaurant licenses(series 5,11,and 12): ,R 3.§4-207(A)and(B)state that na retaitrrs license shall be issufA for any pr m; ws;ikh are ai the tire the Cf^�rrss apptiea�n is received by the.direct0r,Whiri three hundred(300)hori<onial f6et of a ch=h,within three hundred(3001 horizantal feet of a public or private,s0ool building with kindergarten p;ograrm or grades one(t)through 02);)f vrithin three hundred y3DD)hnrzanal feet of a fenced recreational area sdjacent to such school building. The above paragraph DOES NOT apply lei: a)Rastaumnt license f§4-2�5,02) c)Goveinment licnanse(§4-205M) b)Malinotel license 4-205.01) d)F-n�ticed playing area of a gulf course 4-20(E)(5)) 1. Distance to nearest school: L Marne of school Address City,state,;71p 2. Distance to nearest church: it. Name of church Address City, State,Zip —_ 3.1 am 11he: 0 Lessee ❑ Sublessee El C]v-rner © Purchaser(of premises) 4. le the premises is leased dive lessors:Name Address _ �.�..City, f3taie, Zip Monthly rerrtaUfease rate What.is the remaining.length of the lease_yrs_ Mos. 4b_ What is the penalty if the lease is not fulfilled? s or rather (give details-a&tacb adr7ltional sheet V ner._gj^,ary) 0.What is the total business indelatedness for this licerse-Iocation excluding the fease?S Please list debtors below if applicable. - Last first Middle AmcuntChmed Maifi , Address ciiv Sate Zip (ATTACH ADDITIONAL SHEET IF NZrESSAP.Y'1 6, What.type of Business will this license be used for(be specific)? S , nN E i EC TION 12 Location to Locatiort Transfer,(Stirs an(1 Uquor$tom ONLY) APPLicANTs CANNOT OPERATE UNDER A LOCATION TRANSFER UNTIL IT IS APPROYEI?aY THE STATE. t. current Busiae : Name T_XaA,as it.appears on licer^a e) Address 7- New Business: Name {PhyslL-al Street Location) ,address 3. License Type: Licznse Number: 4" What data do you plan to moved What date do you plan to open? SECTION 13 QUestlons for all in-state applicants e?M19ding than 1yjLtg Lar,gove[amenL.hofftltmptel, nd re stauwar fi ns.s(series 5,11;and t2)< .kR-8"§4.2`01 r(4)a.nd( j state that nc,tetAers Stull be issues fnr any prernis%whit are at the time the license application is reerpelvad izy the director..within thmae.hundred(MO)hoftantal feet of a church,vothin three hundred(300)horizontal Net of a public or prate school builditrg with 1ardergarten programs or grades one(1)through(2)or within three hundred(WO)fie onal feet,if a fenced rec--eational area.adjacent to such s&.of building. The abcv'e paragraph GOES NO`E•appl},to: ai R bukurant he-nse(§4,205..02) ci vc4errrrrrnt lir nap( 4-205,03j W HoteftDtel license t§4-205 n11 di Fenrad playing area of a aclg mu-se4-20;(131(5).} 1. Di Stan-_e to nearest sGhcal; _fa,, Name of school 0V� address 10 �, S4M: City"$late,Zip f a, ljistari�to ne-a:ra5t church: A2 S,_-o, ft. Name,of r_humh 5V 6jo .5 tr. , 4 (�'.?.�o.-" Addressboa C`'• r`��s� City; State, dip .3,€am€he: Lessee O Subiessse 0 Owner 'Purchaser(cif premises) 4. If the pMmisaes is leased give lessors:Narne � Iqj C Address 12 7 f 9 Gxl �y�J�� city, �ta_K Zip 4a_ Monthly rate Z jr,: cf— What is the remaining length of the lease yrs, mos. 4b- What is the penal),if the lease is not fulfiileid? or other {dive si�t�fi� ��rf�ii.oft�i shut rf ner�„gga�'�i 5.'Alhat is the total business indebtedness far this kensel laeation excluding the tease?9 f,7_Z=5r Tease list debtor below if applicable Last F;rsi Middle cmtnml Ovmd MaRI . A'klr%s City State Zip lE (ATTACH A[)Z)MONAL SHOT IF NECESS PY) 6- What type of business will this license be used for be specific)? e,�� 4/��l�G t i i 7,Has a license or a transfer Ficense for the PferrW,"on this application been denied by the state within the past ona(1)year? YES W NO If yes,attach eXpianation. 8.Does any sPiritUOU-S liquor Manufacturer,wholes aler,Or employee have any interest in,your business? OYES KNO 9. Is the. premises;currently licensed with a liquor license? 13 YES Nt NO If yes,give ficense number and licensee's name: License# (exactly as it appears on license) Name gQTJON 14 Restaurant or hoteUrnotel license applicari ts: -ISTffe-rr,-an existing restaurant or hotelimatel liquor license at the proposed location? 0 YES NO if Yes,giv-Nb_e name of licensee,Agent or a company name: Umtfirstand license A 2- If the answer to Question 1 is ,You may qualify for an Interim Permit to OWate W J our application is pending:consult A.R.S.§4-203-01;and complete T1ON 5 of this application. 3. All restaurant and hotellmote(applicants m 11 completa a.Restaurant D . ion Mari (.Form LIC01 14) provided by the Department of Liquor Licenses andControl. 4.As stated inA.R.S. §4-2.05M.G,2,a restaurant is to -i ment which derives at from the zale�,offMj- Goo ssrevenueis the revenue from all � least 40 percent of its gross revenue -1/mGt,E sales of foo�j and spirituous rftuous liquor on the licensed aurarit ll premises. By applying for this El hotp minimum of 40 percent farad sales based oi�, Tib��Ee- I certify that I understand that I must maintain a se definitions and �ve included he Restaurant Hotel/Motel Records Required for Audit(form LIC 1013)wit h JArs application. ap I'c 's s Ilty to con art me As stated in A.R. 4-2{) I understand it is my responsibility to contact thee Ile ct Dolmen(of Liquor Licenses and Control to schedule ion when all tables and chairs are on site, kitchen equiprne'Mand, if ap0cable,0 tio barriers Jc_ are in place on I ��IQ-n-sed promises. With the exo-ption of the patio barriers, these items 01115%'910t required to�.e properly installed fur , inspection. Failure to schedule an inspection will delay ISSU-an,,^�,e of the license_ u are rat eb I � dy for your inspectiQno'daYs after filing your application.,rifease- request an extension in,writing, specj�,y vo'h"!'N�C" , necessary, and 04'new inspection da te ate You are requesting. To--hedule-your site inspection vis;tAWN.azjiqu0,- Xormation'tab_ ectio _q-ovNd din the 'ck o applicants initials SECTLON_15 Diagram of premises: (Blueprints not accepted,diagram must 4�e on this form). 1.Check ALL boxes that apply to your business: Entrance&Exits � Liquor storage areas Patio: Contipous IN SeMce windows Drive-in wridows .i El Non contiguous 2- Is your licensed premises currently closed due to construction,renovation,or redesign? ClYES 5 NO If yes,what is Your estimated opening date? of-01-Uto montNldaylyear 3. Restaurants and hotel(irnotel applicants are required:to draw a detailed floor plan of the kitchen and dining areas indluding the locations of all kitchen equipment anti dining furniture. Diagram Paper is.provided on page 7. 4. The diagrann (a detailed floor plan',,you Prrjvide is required to disclose only the area(s)where spirifous liquor is to be sold, Served, consumed, dispensed, possessed,or stared on the Premises unless it is a restaurant(see rj above) 5. Provide the square footage or outsi(se dimensions of the licensed premises- Please do not include non-licensed premises, such as parking lots., living quarters, etc. As stated in A.R.S.§4-207.01(8),1 understand it is my responsibility to notify the Department of Liquor Licenses and Control when there are changes to boundaries,entrances,exits,added or deleted doors,windows or service Vindows,or increase or decrease to the square footage after submitting this initial drawing. At applicants initials SECTLO' _j: Diagram oi-Premisos 4.In this diagram please s4ow only the area where spirt'vous liquor is to'be eeid,served,Consumed, cti .pansed,passe"ed or starert, It must show all entrances,exi , it-l.terior watts, bars tsar stools. hj gip tables,,dining tables,dining chairs,the Idtci eI i dance floor.slage,and game room. Do not Include'parking lots,living quarter;etc- When completing diagram,NorM is up 3 If a le-gible.capy of a rendering or drauaing of your diagram of premises,is attached to this application, please write the words"diagram attached" in box provided below, r i ?r3 = SECTION 16 Signature BJOck hereby declare that l am the OWNERIAGE T tiling this (Pfint fuH name of app}ecant) application as stated in Section 4, Question 1_ I have read this application and verify all statements to be true,.correct and com, te; (signaLtce of a,p9}carit Irsted in 5ectltn�,E7urctlon 1� l � a , t �_ State O l OUn�J�i_ A r r-i;oT+Zt The foFegoing insfpjrnent was ac#�ov iged before me this o AI E;Qjj,. GpfilCrlts iClc ` y co"er `kp i�� E3a Mot) �Yew _ W -ULY 18,2010 rsiss;ar��rplreg on: Day Month Year gigna o of 16TARY PUBLIC. 7 I .............. Co Q v is t rcr ~ [3 Roo J. FA.JC - i IN at I J€ c)fs v1 .41/11 E f'Frc" rsi.trrt� �J r ffiftiox:OEM. r E'o 0— t C�hJ PAR 'i�lE,!`+!`}" F l I ,L.IIC"ES CO MT1 Off. ting- t.1-16or , _ P ` Atten5on all LocaI Gov arning SodIes: Seacial Se—cu"lty and.t3lrthctata Irtf06-'at➢og s CoMdentlaI. This infotmatldan y g.. €aver taw enforcement agencles for the ftllrpo3 o ackd0cfr C. 6W..i tau#must be blocked to be unreadable p r p Read carefully. This instrument I y,+4r6<$4CttlIi4p, ypa or print with BLANK INK An extensive'investigation 01,y }fir bidkbrcund�rrti be cd itdu d False or Incomplete answers could result in criminal pro:getff o 'd.-JI J4RWWa'b'r subsqlt At",t v tion of a license or permit, TO 13E CUri�LETLO B EsLG?C4 tdTFd^.LLiNtt PER54E k, dT f ft"a�4hlVsPr^CH F' t{1`3 v ChtPLETdiSf�Tf tf. FOt 2M Iuti} 7$rJt`41Tt t 'APPLICANT Tr'PE FINE ERPRItdT CAPD WHICH%W IZ 05TA#NED Ar l�l�G:'�7N4akRP€tJNTi�1G MUST RE DONE Hf A 90NA 5101� iAtN ENFORCEMENT AGEWY OR A FiR4GE1RPRIltk'1'1NG SERVICE APPROVFO Ear;U-C. Tl tE DEPARTMENT DOES No PROVIDE THIS SEf;VIC-.E. ff + 4a1 61 t r rg s 4 0�eegsing fag for each fingerprint card submitted. L1 Uor L" f1r�se The fees allowed bar A.R.S §Ft4-6852,aril!be'charoad fGr all di=hdanored chi , z (if tKe Wkafion is currently ticdose.} 1.Check XtontrollingPqrson PAgent Manager(Only) ; appropriate (a:ompfete Questions IA9) (Complete Alt Questions ��14,14a&21) box COntrolling Person or Agent must complete#21f far Controlling Persaa or Ago.nt must Complete 27t 2,Name- G,? VVI t C H za oa1{ Date of 81 Last rf. Middle a Public Record) 3.Saaa:Se`..trity fJumb �® tlteuery Lice€*4n I#. � ,ztet3: 4..''..t zct-.�r j. Nt01a public re.card,) cc ret:cr,- 4-Puce'-.4�ii�: 41G�'�''N�CS l� �It�n4FtS V � , t fia;gnt s�•� Alerg!-it: c2M EyeuA€uc Fair city State Court, (riot couatyj Marital Smtus ❑Singh Dx4irae Contact Phone: 17 -tG 7 -60ri l mm r jj "flame of Current o� Pilo.,t R _ „- t 6F4 a { # r .-,°€ D e of ii ,,. r event:3p�.�: � G E ,. ,� (List all for last S years-Elsa additional.st»'t if rtnccessary) Las: ' Firsl hid dle MaidtJ- trrta P. tic record) '. You__nre tit:bona Fide re-dent of A-fat 4tat(? f�. 0J, a_rtr,A It Arizon-,:,(=?te c f I rJsKjj-,u 8 Taieplhanq number k,o..intac'you during business ho,:r v,-ur any questions reQa ding this locum:tt. g. If you have:been an Arzosta r;si:reltt for less than t;ir (:.)rrloa ti-,-.,subrntt a M'Py of your Arizona ddiwif s I€tense or voter registration card 10 Name of Licensed Promises: 'Fto Premises Phone' �(�`tf 11, PhysiraIl.oc tionofLJoenaed Promise-sA,didmss:� - � €�(etc��5 €`k�s r�.. _ *4c-�vt��'e,' P,:J 8S1 zz3 Str tf+;ldr*s (uctwyl use PO Box�� City'' c curl, n n12. Lis> ourerT pin+ rrFnl or t pe of business dunng the teas:free(5)years.if u:temploved paft of the time,iut,#hose date$. List most.recent 1 st. FROM TO QE$CRI8E POSITION EMPLOYER'S NAME OR NAME OF BUSINESS N',w1h+Ycdr iulanlh;h'enr OR RUSIN5SS (street addrr:ss,city,state zip) UPR`=NT �'d e r �rr ,. f :r �.%',Y.l,(,iC � �i�4 jl'o ATTACH r DDITIC'.`AI SHEET IF NECESSARY FOR-EITHER SEr'T?()hl fi rz ?:• Indicate your r=s=deuce=der 5s for the last five t r Yea r �r FROM � TO R nl.or� Residential Street Address ,: Ilil 1 tent 4 fJ1]Ili{�'ei�•-,T-'r �r 1 LL>VVn I It re+r:tArt "i.al'!l a 1Yn la1 nLbt t-i r GT n-t -ru° M hu' f l In.,� i ��iir i StGAiu k ", t 03103 CURREN r 4 l3 }�.t1n{(' [ !� �k,ac 1 j96—jw L1C 0111A 051209 Disabled Individuals rsquirIng spacial aecomrnodallotks,pieasfr call the bapairttnelmt(6021 542-9 0 77 I If You chocked the ftla»act r box on the front,of.th -fdrn skits to 4 is 14.As a Corlivallino Pear erAgent,v,+ll you be pfiysie lla pressnt and r�ting,ftie licensed prernises7 WYES ONO If you arisvmred YES,how many hrslday �,and,ansviar#W below.. If NOt sidp to#15, 14a.Have you attended a DILC-approved I_iquar Law Tratning Goufse within the past 8 years? (Must providb prod) RYES EINO It t1w answer#o#74a Is"Nf3",course must be completed before issuance of a new license or approval on an exisdfrrg license. 15. Have'you been convicted fined ordered to deposit bail imprisoned niaced on Drobation or parole YES 1 N4 had to oast bond or had sentence sirs es� nded for any violation of,W taw or ordinance within tie past ten (10)years(include only traffic violations that were alcohol and/or drug related)? 16,ArethereAM, administrative lativ citations, compliance actions or consents, criminal arrest, indictments or surTtri°oases-EF�IGIhtG against you or ANY entity in which you are Hour involved? L Yl*� �� 17 Have you or any entity in which your have held ownership,been an officer,member,director or manager EYES X Na EVER had a business,professional or liquor apg icakion or Iicense rdected denied revoked sus erred pizfJI� in this oi-any other state? 18. Has anyone EVES{filed suit r) obtained a iudsimQ-nt R!agirrst you,thF.subject of which involved fraud or DYES [9Na ri s ;�.resentataon? EVER.held ownershira, been a controlling person, been an officer, member, >JYES 2410 direcIpr or, 11on an�r Other Liquor Iicense in this or any other state? If arty arsv,r r to ue kart r i3`YES"Y 3U MUST attaett a signed stateireft.. Give W. l _QL d.�L tt including date:,act nciefi involved, and dispOsiticans. SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED v ;ra -N h�r�by declare that.l am the AP LICANTIR.EPRESEN TAT•IVE ig`ink sc,!J n<,n�s cf,�.,c,c�rlal filM this qu6stjonina ire- I ha A- read this Y5nd all 5tatemT nts ave tale,correct and ccompl'e?tte. r I ---- �.� -------------- --- State qf&Lk. Sxgnahira of Applicvni) Tr foregoing rosin• —rtt ems a&,n medged before.me rigs 0n,Qney' 1. inr !Jay of o C •JaVU l3a(�11!i 1 !�,j,d.Aa uc--e-W coo hid onih Year My o nmission ax _s orb '€1� N(d c '_..3'-vl/11N,31 r (.SignaUnofNOT ;Uq-, COMPLETE THIS SECTION ONLY IF YOU AREA CONTROLLING PERSON OR AGENT APPROVING Ai MANAGER'S APPLICATION 2 L The app!icant rlle�reby authorizes the per.-on named on this questionnaire to act as manager for the nar-led liquor i cense. _ he mar ag: r'f,.:-�nli d znu t¢:r'at Iaa`t 21 y'-EH3 7f ,E. State of Cr3Uner of The ioiag oierg innrup-a,,aie rry-, btlOfe[TIC:this X day of ti i rlaturr of Ccmtrol fin g P or Agent fcirr'P nr e) Mwilh Year - Frinf hJarr {Signahme of NOTAPY PUBLIC Idly commission expires on- Day Month Year i �t r r^ ARIZONA STATEMENT OF MIME TSRIP AND A LIEN STATUS FOR STATE PUBLIC BE FITS Professional License and Commercial License Department.of Liquor Licctnses and Control Liquor License 4: Ownership Name: (as It:tcd on the carrent liquor license applicaiton or renewal application) Title N of tlxe federal Personal responsibility and Work (Dpportunity ReeQnciliati.on Act of 1996 (be IJ_S_C_ § 1621, prcn ides that with certm-D exceptions, only United States citi7mis, >`nited States rt«n-citizen natt2nals, nonexempt "qualified aliens" rased sometimes only particular categories of qualified aliens), n�atrtttttriigr�rnts,and certain aliens paroisrl into the United States are,eltgtb€e to rive state or kcal Public benefits. With certain excer6ons,a professional license and commercial license issued by a State agency is a State.public benefit_ ` Arizona Revi;rcl 4tatsttes ti 1-01 requires, in general, that a person applying for a license must submit daculneritatiort to the licensing agency that satisfactorily' United 9taFy, cicrnonstrates that the a plican€ is lawfully present in the Directions: All applicants mu t complete Sections I, I.I, and IG`. Applicants wl).o are not U-S. citizens or Qationals must also complete Section III. Submit this coremple-ted form and copy of one or more d:ocurnents that e0de')-Ce Year citizenship or alien status with your application for license or renewal. SECTION.I.—APPLIt7t�NTII11FOPQ ALkTIf7N APPLICA,N IS\Ir1ME(Print or type) Jt+L04AL-1 l)ATI La��.[3°I TYPE OF APPLICATION(check one) NITIAL Ad'PLIC A-110 RENENWAL T--�'PE OF LICENSE( ET.1( 1 ,IE CITIZE,IISA tJ i�l . T#{]�11e S�°si ;CTS.3F ]G TI47i�,� Directions Attach a legible copy of the front,and the back ii.fsn4},ofadocu)txrnt from the attached List rat or other ducuxnettt that derrtonstratcs L.S.citizenship or nationality. Name of document provided: L �r�r�� ,,-V Are you.a citizcn or national of the Unite(l States (check one) 01C Yes E. If the answer is"Yee"where+Mere you hors? List city,state(or equivalent.),and countn,. city-b&c- WL� State(or equivalent} fE,r,,� (`uuntry o Territor. Cors.y�c If you are a citizen or national.of the Unites#Suites.go to Sect c,n IV II you are not a eitizerr or national of the United jt3tES;ale3ce CoYri rSke:f- \rPfinnc m anri IG°. DI.i.€2 I/09 Ace 11/0,i/07-8166`1 Page l of 7 Cir ectltrns �,�> carnplet€d by applj4ant,w'hcs are toot citizens art nationals of the united States. Please indicate alien sit by chectcirrg the apprr rriatn b�c AtfaelF a 1 tiilc copy tif the front,and the-backk t"if ante of a dDcmment frE tit the a#ta4hed i isE ii or other dcrcuRtent tfta#.evidences nor s ft�s.AXS.§ 1-501.Name of docvtnent provided, "Qdaltrje€F Alieln"Status(a U,S.C.§§ -1641(b)at?d Q 1. An alien to fully admitted for-permanent residence under the JmmigratiOn find Nationality Act iI A)_ Q ". An alien who is granted asylum under Section 208 of(be INA. Q 3_ A refngec admitted.to.the United States andeE Section 207 of the INIA Q 4_ An alien paroled into the United States for tat least one year under Section 212(d)(5)of the ENA. Q ?. An alien whose deportation is being withheld under Section 243(h)of the INA. " Q G_ An alien granted conditional entry tinder Section 203(a)(7)of the LhrA as in C&Ye't prior to Aprit 1, 198Ur ( n;: 7, An alien who is a Cuban and Haitian entrant(� defined in Se4tl��fl 5t�11(e) of that Refugee Educatidlr' Ass,istance Act of 19S4 ; & An alien who is or whose child or child's parent is a'`battered alien"or.an alien sub eeted to ev-remg-j anielty in the 1.nited:$tates. Nonimmigrant:status(S U.S.C.§1621(a)(2) Q 9. A nonimmigrant under the lminis_ration and Nationality Act i8 U.S.C. 5 1101 ei se�,j i�ont rattii�nt�.. are persons who have tens ariry sta€tis for r specific ptn-posze. Set 8 G.S.C..w 1 I a I(ay 15). :Mien paroled inttt the United States For Less.'rhan torte yc:Rr f,h t -S:C.S 1621(,r(3}j Q 10. An alien Paroled into the United States for test thtrn one Yea under Section 212(d)(51 ofthc ENA Other PersGns(8 Li_$C.,5 162.1(c)(2)(A.)and(Q) El 11. A nr_nimmi<-grant�,vhoss visa fbr imtry ss relined to employment in thjc q-ni.tc.d States,or 12). A citizen of a freely associated state,if section 141 of the applicable compactor free assj-�ciatiun ;fpprOved in Public Law q9 ,39 of 9,M58(or a successor provision.)is in effect[F rerly Associated States include the P.eptablie of tlt> i.Marsnall Islands,llepukalic.{7f Pal u and the federate State,- Of Miceane:s.ia 3 U.S.C.§ 1901 of sett.]; 1.1 A foreign national not phvsicallwv present in the United States. Othen ise Lawfally Present(,'t_lt_S_ 1-30I't 14, A person nt:,t described in cate"Vri.es 1-13 who is Other.'ise laWMly present in the United Mates. PLEASE NOTE: The federal Personal Responsibility, and Work Oppc rrunity= Reconciliation .act may make persons who Call into this catcR-at.?-, ineligible f�;r i1c"atIFe, See 8 U.&C,§ 1621(a). ` _ SiIC ION,YV DECL&Rx.rION Ail applicants must complete.this settion. 1 declare Lander penalty of perjury under the law-s ofthe;ctat.e of Arizona that the ansv�,ers 1 have given are truc and correct to the best of my knowledge. { c"l n A,�,�gp}y /��7^{- S'1:I4..'11Y 1� Attadltment;Utsts A and B Evidence of U.S.Citizenship,U.S National Status,or.'lliea Status. DL1.C": U15/09 AG 1 1/09107-81662 Attachment to Form 1 applicant Statement YVIDENC E OF U.S.CI'TTZENSHIF,U.S NATIONAL STATUS,OR: IEN STATUS LIST A: U.S.C'iT)lZEN OR U.S.NATIONAL 'Notc; In.this.List,theterm-'Service refers ILI the U,S.Citizenship and lrnmigrattion Ser��icie,fcrnmr1y,the U,S, frrimiaration and Naturalization Service(INS). {gntirce:Proposed Rules,Verification of Eligibility for Public Benefits,8 CFR§ 144.2 63 FR 41662-01 August 41,' 19W) and interim Guidance of Venfication of Citizenship,Quali€ted.Alien Status and Elivibility Cinder Title R o€__, the Per-onal Responsibility and Work Opportunity Rezoonciliation Art of 1996( Interinn Guidance'),62 t=R.61344 r z (\uv. 1.7. 1997).Att<achrneat 4] i 1?vidence showing Li.S.citizen or U.S.national status includes the fotlowiitg: s. Primpt,1,Evidence: (1) A Mirth certificate;howin:g birth in one tsf the 50 s..ta€es;the District of Columbia:Puerto Ricer(on or after :. January 13, 19 t 1 1,Oman,the t,S.drain Islands(on or after January l 7, 1917).American Santria,or the Northcm Mariana Islands(on or after 1<overnber 4,1956,Northern M.ariaina I-taiids local tithe)(unless the :applicant was born to forsign diplomats residing in such a.jurisdiction)- (') United States passport; (3) Report iof birth abroad of a U.S-citizen(FS-740)(issued by dho DepaI tentoL State to U.S.citizens); (t C'erii?icate«f'13irth(F4-a t-;t,ssuad by a foreign ser�icv post'1 or Ct riidcation ofF�eport of Bid copies of which am a=aRable frt tr he Department of State; (5i Foral N-561.(_:ertifkate of Citizenship; (6) Form 1.-197,Urnittd States C"itizeii (.:ard(issued by the Service until April 7, 1.983 tc U,S, citizens Hying Tear the Caaadiao or Mexican border who needed it for frequent border crossings)(fc", crly Form 1-179,last issued in February 1974); (71 Form 1-87:3 for priorver-Nions) 'korthRm Marianas Card(issued 17v the Service to a collectively naturalized I.Q.S.citizen who was barn in the Northern Mariana Islands before November 1986); (t;) Statement provided by a C.:.S-consular official certifying that the individual is a U.S.citizen given to an individual bon outside.the United States who derives citizenship through.a paretit but dens not have an FS- 340 FS-545,or DS-I3 0 j or f 9 Form 1-872 der versions),A rnerican Indian Card with a classification code`KJC"and a statement can Oe: back identifying the bearer as a U.S.citizen(issued by the:Service to U_S-citizen members of the Texas Band of Kickal---Dos I iving near the U-SJNMea ican border). rsokiree- tnterirn owdance of verification of Citizenship,Qualified Alien Status and Eligibility Under Title-Bf of the Personal Responsibility and;fit+=..irk()pportutrit} Act of 1996 C'Interiitt Guidance").62 FR 61344 (Nov. 17, 1947),,Attachment 41 b. Sefinradary Evidence lftlte aplritcant carnet present one ofthe dorumen:s listed in(a)above,the following play be reliet-1 t:pon tc, establish US,citizenship or t I.S.stational status; 0.) Religious record recorded in one of the 50 states,the District of Colutnbia,Puerto Rico(on or after Fannam, i3, 1941),Guam,the U.S.Virgin lslancis(on or after January 17, i917),Amtncan Samna,ortbe Northern Mariana h1lands(on or after November 4, 1986.Northern Mariana Islands local time.)(unless the applicant was bong to fbreign d(plo teats residing in such a jurisdiction)within three ti months after girth showing that Pagc 3 of 7 i i .7!DaR i1$Y{&e4156 STATU OF JWNons�r�i�41i: - Vt+tM 09 LMSLE 1191NC G ffYvsr�ai aE vee<i SSW ■+3 ketesr�ts � YT• - - , d�4-3-aak ... '"'"s .. ~ a 1 Rim(W> 57 ERTMCA E F BIRTH E an;�c.rla�sf mn. �teg t�e.a.nmw ... ' •� •o t�zsd �' m 3 surFt stuusr ZI��JYdiK K �.` f8 q6r, :.8�1^.?S.�e3a"g�.,'^aR,BF.''nr+dYa•r.--11 �' � --- `�, 1 97 •. - , �.:� �` �. 'ale a r{qtaaa `1'�:rtrmrtt r��? Fyrp' t #' Ay CGgt3[ c: $x�us� la.fae�td ltet r+ Y - Y'��.••' � 15,:RH t[{•p'17+F�} K-e eth' � tsr Perguaou: .. Betty Zane #rag a Whit �g��F, � n #ares4 �•�i�G1SI$� '��.X�li3.'I.H _ *E.Wv(kar+ IC '�kI2`x Ie7.�rt�i� #+*va�m m fi7sdA nr 6a ka� Bdjjer, a tam apstl b A ¢ tlf 4. a�'mm I- `�' aav9d, �rc4.- ` dwaec ea ._i 114 �r0. § 2ILm.e�rtma®.m�ua a ' rawa .s�ltlsmep.+t_ r ree®r. yrneaae . •.'c II _ k]ibe�agsme bwn 6atlla } '3;.&•�`.i1Z'. I,L,CEJ $ 5 Et 1-1 'fag tletcaeaaa�as- t�€r�m S$�'�g . •�,' V. aa...S E� a RkTti 7taci2dlKd�.1'�.+�#tis�emi�rsi[�xts_ .-... a m3� � x ka�c�ur�.t�•s:��,.�,m�t�w��e.vm�iaeu�. _ �anm,.rmrew�., ... 'E n 7{y ( r iY}' 2k1753�`�-Fs{- i tle `ham GER nFIED COPY OR ASSTRAGT OF VITAL RECORDS z 1 t.;PATt OF ILLINOIS COUNTY OF MrtCON AM 19 M9 3 ^�[¢ahct Fd 53�n:hS,-i-m iay'�(PISrV do hii"i�GR�"'f A Ihz�'CMtmr,�'�7 is � . $4'C Lt'�i• Re^( to 3v'•"..t&LE W'91 -. _ 1 52`ri. .-,- ccpF urninsd raa�d xt-...h,x sn file�r3 tr.� .+,Y ��...- fit Ae Ulf STE.PK:N M.BEAN r1~. COUf4;Y CLERK 1 G-B-rM r. 1 AMZONA4 DEPARTMENT" OF LIQUOR.LICENSES CONTROL 7050 800 W Washington 5dfS, 1NEiF, Lior, y , 400 W Congress #150 Plicienix AZ 85007-2934 Tucson AZ. 857()1.1352 (602) 542-5141 (520) 628-6595 t7s7",4,Ha omr INALS 9F THIS FARM aiR.471M O LC O NOT PHOTOCOPY,DOCUMENT Is COMPUTER!i ANN£f5_ TYPE OR PRINT WITH SLACK INK .. n ` iduai Name[Print} r IF Irdl-id t eat re. TYPE GT TR*°tEN1NG QQNIPL�ETcG TE 1lt1lEP MUST C.t1 CF:YES QR NQ FOR EACH TYPE 0-5 C> t YES❑ NO BAF l Ix YES [] NO ON-SALE l:s ralnirigcompleted YES SIG NIANAGEIAEN T � Yea Q NO OFF SALE ]YES hlGU I I'Y=5 FtL OTHER 1F TRAINEE IS EMPLOYED 3Y A LI�E�IS�t 5 SHNESS NAME .. 1_i'rCIUCIR._ICENS=-Nt M3z5p ptAMl=CF THE LICENSEEt Arizona Business Council for Alcohol Education (ABC) Company or Irsdividua!rlame - 77 .East Columbus Ave. #102 Address Phoenix. - Arizona 85012 �(602.) 285-1 96 arty slat=_ mio Fh c I Cartify the above named itldiv dual has Succe$�i JIIY COMPIPted the spae ed pragram(s). T. J. Kuhn gainer i`:.=_,mi-CPrml r T� in ir Stanahurn hvF` I ine give ore-qenat of completed form to trainee, photocopy and maintain completed docurnent f<]r yot:r rn,,;rds. Mandatory Liq=Law Training for all new applications suWrrikted afi.er Nov. 1, 1997. A_R.S.Section 4 ,Q(G)s•F.j. Completion cf the Liquor License Training Courses is required-Al the issuance of a license, The personts).rer orev'to attenc!bosh the 3asic Liquor 1-3.4 ar d Managernent Tracing,(aiLrhw or-sate or off-sale),gill include Ali of r7e fgGcwing ow w•ner#),,rtcensee-lagpnl or manager(s)WHO A?z<A.G WELLY I VQLVI:D IN IHE QAY TO DAY rase' F A-;'ON Gr TH gLfSlN .G Rcoof of atlp-rdance withion the last 514rs years for tha rer,Vited courses mu ,be subrn'lad trj$hm Depar',men,eefcre the lirenrse ar.rsica:ion is wasiderAd carl`tplotl. Before acceptance of a f,;anager s" uestionneirp andlQr Aq, -nt Change for an.existing Idr_ensa,proof of attandsnce for the 9a5ic Liquor Law and 1Jlanageane:71 s raining(eitlfee cn-safe or gaff-salejwil€be regLlred, uc i"l ra a:t Disabte-d irfc�ividua€s requiting spe 61 acucimrnqda4ons plfca=sa C!f(aO )542.9051 l _J. C a y mil ; > � 1 is rM Q LICENSES floor Ti Attention all Local Governing Bodies: 5crcfal S�G fifty erx..` ate tofu atia Confidential. 'This Information � �. to lt�cal law enforcement agaan�les for the purpose ofjSae€cgrc q�hd t i but,9fsreg#be htaeked t4€3e uttreadable or to 4 n r 4rz i 1 YIC'4+€ew R ea *arefufly. This€rtstful In I8',s�vo k,dobum0b1jJb'j,?`�p6 or prtot WM BLACK€14K. Act a nsive iht sEig>tton of}f r f184,k untlr�+tlIbofbcrfidu� Fa se or Into tiplete an we could result in cl°imlrt%;pre trl xp artdit L t#ta or uka l l ifocat on of a license or pe _{ � ., 3O B CCthAPLETt HY EACH CONTROLLING PERSON,AGENT CJIi't,�,� UGH PERSON C01,4PLETiNG-FHIS FARM MUST 1ST AN `APPLIC'Alfl-TYPE FiNGERPRINT CARD WHICH MAY BE OBTAINED AtT,561t' -FiNGERPRIN T ING MUST 13E DONE BY A BONA,FICrE L4'.N ENFORCEMENT AGENCY OR A ONGERPRINTING SER.Vi�.E HPPRQVEQ B p�W. TtIE I;aInPARTIAENT pC7F5 NOT PRO'gFDE TlHIS SERVICE- 9 Ott c ssln faroach finagEDnrsI card submWad. Ll or L' e �' 1'tta fees allcasnced by A_R S §44-fi852 wr€!1 be charged for all d€shontirRd chetiks P f _ (if ttts location is curre?ttt}r ticartseeF) 1.Check ��Ccrntr6l€ingPetson [Agent [ Manager(Only) appropni to (Complete Questions 1-1a) (Compiete All Cuestictts la�t#14 14a&2,1) beat-- Controlling Pefson or Agent must complete--21 f(?r a Manager Controlling Parson ctf Agettt must complete.9 21. 2.Name: 4 Date of Bir` a=t Nfiidle 3. social severity N'umtier, Drivers License fir: St�ta; J Z : tNOT s pufalle record) �s�xul5#F�rec A. Place,ofBirth: ra,�i'S�j'�Y- fa;a ce 4- Heitght- b'Z" aVeigh_• 200 EyR.s:a! Hair. t V� City stefte Country gnat county) 5. Marital Status [_7 Singlap,h1amed DI , ypvjdoNed Darytirna ContaA Phone. 6. Name Cf Current Or W-7,t Rec-ani Spouse_ t`_`•S'""r-:� t�� +y 1�4V.`..t' t�r�s/ t�c�h' Da}.�or Bt - - (List all fof fast 5 years-Uso additional thee t if nocassary) IastT Ffrsi t0ladle Mair_<en ?. You are a bLona"de-ressdent of'xhgt�wtr�� 1z;�p =�st} If Arizona,date of le a "• 5 Telephone number tee oon,3c v-ou d1j n9 business hoturs qu;r-ations regast:irnq this document. �� &3•k(�€ � `{ _ g. if you have b-n an Arizona re-sid-ant for less than thmc(3)months,submt a copy of your Aritzona dn,er`s license or voter ragisraticn card. 'G. Name of Licensed Premises: 1r°� i +`1 cS Premises Phone; Lf.r�l �=�/yG � 11:f�ysiGal l oe;ate sn QJ Licensed Pmmiaes Address: atmet Andress (Do not U'e PO Box Kr city Cobn y P 1 .Liss our employment or a of business dur-ing the past.five f5)years. if unemplq ed paA of t z time,list those dates. List most rrreen€1sL _. FROM TO RFSCREBE POSITION EMPLOYER'S NAME OR NAME OF BUSIt1E55 mcntmll(ear .MorthNftar OR BUSINESS ;street address,Gty,slate&zit) c 2 2 CURRENT ='?� 7/ r=: 'd L (Sdcl. r lJ Aff.'A H?,QE Ttt�'4;J .L S EET!F I`._GE SI RY 5OR 5-1rHER SE IO 13, indicate our residence aidress for� ast live t.�5) ears:G! 3,fi ,y FPOM TO i Roar or l <i w D .ian Jr eo4 Address Ito tttlYasr [ oriih ear own It rc I&C!,attach additional sheet with,iame,ari&ees and phone number cf landlord Cif+ StatO- r CURRENT (✓� �€ C -� �t' —. f t � � �71€ "6 LtG 0101 0,9 oo Disabled lndlvldvala requlrfrFg s ciel CebrYtirtodaHdtjS,plc e@ tall ttis l]ojtaftn Sttt ;$lizl 542-3027 n (OMI) i If You checked,the atragelr bl?x.on the fr6rit of this form skip.to#1 14_As a C©ntroilin?g Perttan or Agent,will you be pt4sic ally present and operating the licansedpremrm� [1�'ES[]NO you answered YES,how many hm(dr ,and anTiq.RcAda below, if NO,skip to#�15. 14a, Have you atten&-d a DLLC-approved Liquor Law Training Course witti n tti�a past 5 years? (fftst provide proof) DYES QNG if the answer to#14m is"NV',course must be aomplet�d before issuance of a.new license or approval on an exisfing iicansem. 15. Have you beers convicted,dried,ordered to deposit bait.,lmr)d oned placed on probation or parofe ❑YES El NO had to post bond or had sentefice susp2and d for any violation of ANY law or ordinance within the past ten 11 bI years(include only traffic violations that were alcohol and./or drag related)? 16,Are there M administrative la+y Citations,Compliance actions or consents,criminal arrest, indictments YES ❑NO ' 1 or summonses PENQjtjQj against you orANY entity.in which you are now involved? 17, Have you;or any entity in which you have held ownership,been an officer,merriber, director or manager DYES C NO EVER had a business, professional or liquor aRplicaiiola or lip t 1 � nir revi�ked su r r,ded or fined in this or any other state? 16. Has anyone EVER filed suit or obtained a Judgment against you,the subject of which involved fraud or DYES ]P40 misrepresentatifan? 18. Are you-tJQVor have you.FV heist .w hin, been a controlling person,been an officer me rtler, E5 0 NO? i Qr s?n r on rjy rather fiqubr license in this or a.ny other state? If any answer to Questions 15 through 19 is"YE—S"YOU MUS attach a sinned statainarit, t Give complete det;3ils including dates, agencies involved.and dispositions. is SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED1.4 ?g I, hereby declare that I am the APPLICANTr'REPRESENTXPVE €pnot ruR name ufApphcant) fair g thi4 questionnaire. I have react this qua---tionnaire and all statements are true, correct and complete. — — — State 6f Counbi of y (Sinnati.re of Apftliranl) Tim forearinc instrurro nt eras ackncnyledged before me this day of Month Year ,/� (��}y oorz>,-n:ssian ex��irr�s rrt: 1 flay W-_-itrt `!ea; (5lgnature of NOTARY Puri icl COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLIiVG PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21. The applicant hereby authorizes the person darned on this questionnaire to act as manager for this narned liquor license. The manager name-d roust be at least 21 years of are. St tP of Coun�r o` The fcaeacing instrument ways a(:Y:"�Oedpar+K-t�_ me This X day of Signature of Controlling Person or Agent(circle one) tvtx�4h Year —Part Name (signature of NOTARY PuSLICC) My commission expires on: Day Mlanth Year AM EN. DM ENT - I. r Rzzaa Q :of ° LICENSES CONTROL r � 1 Ph liC, Attention all Local Goveming Bodim; Social Secdrity arlc @irt ttlate.lnforTrJatloi 1s.•Confldential.. This information may be given to local fear enfo.rce;ment agencies fbr the purpose 0563ak'Tr& id octet ks onlyz'but dust be blacked to be unreadable prior to pasting Read carefully. This instrtti:'il�nf PTA-S.W. ocurr o f g,or print with BLACK INK. An e3itbnsive inirestigation of Y4fit back9, 'unit Wii(be7oa�ldu��l False or incomplete answers A could result in criminal prosecudpu aril fife anlai or srrbsequen r o�cation of a license or permit ( ) TO BE COMPLETED BY EACH CONTROLLING PERSON,AGFt�T,CAR l�i� �� if I t MUST'APPLICANT-TYPE FINGERPRINT CARD 1hHII^H MAY DE OBTAiNEV, 7 bC4--' ,F GERPRtNT NG Wo-B DONE BY BONE FIDE U,,4 SUBMIT. AN LNFORGEME14T AGENCY OR A FING-ERPRJNT11 IG SE�RV14E AMRQV=Lt W b 0. THE DEPARTMENT DOES j�;T PRraVIIJ^THIS SER s'10E: Effeollve 40101107 there is a$24 00 processing fee for each fingerprint card submitted Liquor License The fees allowed by A.R.S.&44-6852 will be chMed for all dishggjsjr O gim _ (tf the(bcathan is currently licensed) 1 Check ' Controlling Person M Ej Agent I] Manager(Only) appropriate (Complete Questions 1-191 (Complete All Questions except#14,1Aa&21) box —10, Controlling Person or Agent must complete#21 for a Manager Controlling Person orA entmustcom.iete#21 2. Nat718: �t I) -of Birth. Last a u !c record) 5 Setaal S--a-jnty Numb---.. EJritiers.Lacer?se#, state: f� r a public recordi s^ __.._. 4. 1712ce of Both: r 9-f.t..,s,rl{t K- Heigh, `2'jr WQight:Z5Q Eyes;Jtu� Hair, rint}0t ` r Y Stale Country, (not county) 5 MWital S ta uS 0 Single jr��Marrield d Divorced.r y Vtrdc;•,ad-. h ?•9 _! Ca',i'tinl€Contact Phone: n h3a rt of C:rr•n,cr tvlust R nt S{�ou e ` �'.c ' _.r., 2 ( ; j,Zm'Y t Mt T- LTat of Bi (List 5t€for fast S years•Use additional sheet if necessary), 1.+wt Fiis� Middle MaLlazi INCO) a pu rc reGQr T. You area bona fide resident of what states r Y l '?!r;..nJ� I f Arizr�ra,rJ 3t��. ;�5irlen f iv. 2 8 Telephone number to(c>nta7,t jnu during business hour,3 for any ques.ions regarding this dac ijnsnt, q k 9 If you have been an Arizona resident for!ass t han three )moaths.subnit a crjFy bf y-o,r Ari._ona driver's license o.-voter rF4gistration car-. 10- Name of Licensed Premises: V f✓o Premises Ph4)ne.- i t.Physii al Lpcatkon oP Li eased Pcerrlisbs Addr?5s': :5 L f .f�LC.VIa; ileei Addre5$ (D0 rtet isa PO HOT;T city aunty Zip 1?.List your em lu rnent or t e or business during th>° .ask fwo`' �ears..It tinemplo"ed taart 4f the time,list those dates. Llst.most recent 1st �I FR07fxli To DESCRIBE POSITION Empi-oyEk,s 14AME OR NAW1E OF-BUSINESS f Jti9 zthr'e rr F,ionitu"(ear CAR BUSINESS a5 fsb��drF=S illy,,sake•&zi,Y (4 tr-, —�2- CURRENT _.�,..,....,...� ?fi g 0Z ?mac z_i It. 3 Ls,ATTACH ADDIT;ONAL SHEET IF NECESSARY Fig R EITHER SECTION`, Ind ate Our fesidenc*address to the Iast III VC, 5 ye ars: (r FROM Tn a £:a_ ReesM,ii--j AA bone l I Mor*,JYeer hla,tity,'ear Own If rented,attacl,additional sh¢tt rAth name.address and hoes number of lan icm City State Zip C E2EFJT T �h r LIG GI GI pSt2005 Disabled individuals requiring spacial accommodations,p€case call the Departrn,int(602)592-gd27 I . n n If you choked the Manager box on.the*45nt of this form.skip tp#(1.6 14.As a Controliln�.PeMn or Agent,will you be physically present and operating#La licensed premis 7 ES[—]NO Ifanswered YES;hour many hrstifay?.. artd aanaggr MAa betnw. If NO,skip to#15, 14a-Hive you attended a Dt-LC-approved Liquor i.awTraining Course within the past 5 years? (Must provide proof) S QNQ ff the answer to#1.4a is."NO",course must.becompleted before tssuance of a now license or approval on an existing f icens!e, 16. Have you been rMyigted fined ordered to deposit bail imprisoned ala=d on probation or parole, YES, 0 had to 12ost boad.9f.bad sentence suspended for any violation,of A�E law or ordinance within the past ten(1 D)yearn-(include only traffic violations that were alcohol arbc or drugs related)? t ,Are there Ah1`f actrninistt klvo taw citations;compliance actions or consents,criminal arrest,. indictments El YES 9 NO or summonses PENNING against you or ANY entity in which you are now involved? 17. Have you or and'entity in which you have held ownership,been an officer,member,director or manager AYES E��O EVER had a business, professional or liquor application or license rR"etted,,�'g�Ied, revoked.suspend car i eq in this or any other state? gg 18. Has anypne F_vR fled suit or obtained a judome it�aains. oi_t..the subject of which invofvetl.fr ,, r [l `ES J`Nt m isrep rese ntatior;? "cl 19, Are You NOW or have_ ou EVER held gwners. i ,been:a controlling person,been an�r4r, em mber, GYcl LVON/0 a...ell, n other li u1 r li, 1 in this or any other state? t`r loq If any Give answer ttli"i ri OMs, agencies va lS�JSt�Timtl SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED .;. il f 042 herEL,y d,�flare that I any the APPLiCANT1REPRESENTA T IVE • sprint fug name ofFp•piic.9Rt) ire. I have read this questionnaire and all statements are true, correct and complete. = '— _4�- '� --- —..---- State ef. County of —4nJ (�igngtur of r� pllcant} 1 .. - The f�-rg rn3 In- ncr�t,Val ar, ,wri�.i��aca��thi CHRISTIE♦trt Vl�t � c �of + +F NOtary Public-pri h4o,tf Year Nly commission oxa On PINALCC�iU� rY 1 - : o t1i Y1 k@I1' 3G ear {SignattmQMOTARYPUBLP a COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21. The applicant hereby authorizes the person named on this questionnaire to act as manager for the nar ed liquor license. The manager named must be at least 21 years of age. State-if County of I e1�far e5o'"g,3i+�1!4iil. t It vices ack IrSMco.3E:J i;-t'i a r14 Leis x d_,y of Signature of Controlling Person or Agent(circle one) F;ton h Year — rc fgnature of NOTARY PUBLIC) F'Lird hiame My cixi-Imission expires on-, Day Month Y'aar S Date: December 11,2009 To Whom It May Concern: I N-vas listed as a Controlling Member under Surrendered license 14113003 ,Located at 725 W. Apache Trail#35-37,Apache Junction,AZ 85220(aow$5120), I am currently listed as a Controlling Member under license. 14113007,located at 725 W.Apache Trail#2/3,Apache Junction,AZ 85120. T--<9 NI Roge- oven( 7133 F—NianAa—e� Gold Canyon,AZ 85118 ARIZONA DEPARTMENT p� F } CENS tit `{ 4 f �1arw , s �.l ..w Rill°, b; lt } j Attention all Local Governing Bodies: Sat:tal Security aqd Bfrth¢ate I rfarir atfol ti.Qon€EdentiaL This Informar may en t lo-c E law enforcement agencies for the purpose Qf hacltg it,nd h c{cs enly but 4nust fig blacked to be u reada astdc; ,. or,any ptt#ak��via+nr. Head carefully. TitiS intitr n n u_a swgrri i0AUM01) fyyFr�car Pram with BLACK INK, An extensive investigaharo trf3r tte ba kt�t u(id Wtil Gt itdtta fed False or Iricotnplete answers eduId result in criminel pro06636 hn and, 6 dttrtrd:l:Or,sc4bsr rey4eatldn of a license or pertrtit f 0 RR GO>MPLRTFD PY EACH CONTROLLING PE-R$Ui+l,.Atat-!. T. "RKICITPERSON COMPLETING THIS FORIA MUST SUBMIT AN "APPLI� ANT"TYPE Flr4GEl�PR PRINT CAPO VMICH MAY BE C~STAI J D WINGE�P Lil t G RPR9NTIt1G MUST BE E}Ct1E BY A 9�J�L�t FIU�LAW ENr-CE;CEMErtT AGI;N(;Y Oq A FttJGr=RPRINTi.iG SER?liC,E,kFPPC,+rEf}g d©LAC_ ITiE DEPARTMENT DOES RQ1 PPOVIDE THIS SERVICE. Effective 14U01107 there is a S24 00 Processing fee for each fingerprint card submitted L q uo L(ti � # Tice fees allouved.:#Y A�� 4"d•-fi�� .�t.�ig. ! {15{�� ..�,� � � / '�-""'`�Y _ .,.,....ern..:.,- (if t}ke 10ta6an is currently iicensed) 1.Gheck (Controlling Person L]Agent [j Manager{(}nty} appropriate (Complete.Questions 1-191 (Complete All Questions exec #14,14a&-21) box Controlling person or Agent must completa#21 fora Managor Controlling Person or Agent must complete 21 2. Name: Zlo Date UfBi Last First Ia4ddl� a n rrri 3 ",c,6al Secufity Num. Df;rars License#,� M AZ' Z' (hQ-T a pvrb iic record) T ii putti is rgcard) r 4_Plar;2 of RirthArA-ItS Te4�Sh(lto Height:r5�:f/19 1--_•tent: - Eyes:/{.4.Z Hair: C"'y State Coun (not county) b. falarital Status n Single 61arriad 0 Divorced❑Widmv--d Daytime Contact.Ptrone: 6, Name of Current or Mwst Recent Spouse. r.�fAe49 4 Y a494'�,Ed//� ef?L1,aate of Bim (List all for last 5 yoars-U o additional sheet 0 nLeessaryl ( st i"first r6ddb_ zn:xen ryOT a putsiic reVa T You We a.bona fade reSidL-Rt of What s'?t ? Az r Ef Arizona_date of re,;denCy: cw� 1-1—'—Phone:1urrFher to cC•ntact you duo:ng nosiness houm for arty questions regarding this docum-ent. Fj If you hove teen an Arizona resident for less thin three{})m•;onths,$Libmit a copy of your Arizcma drlvaes Hcense or voter r:sgistration card. 10_ Pla.rna of Live.nsed PrtmiSags: Promises Phon0; yea 11-f'ttysie.l Lo.aaien cf Ls�nsed Pt>rmise3 Address:.�;�i�__�l ,Y/7`.r'��f�� Q,if/lf.�, � � ,0' If�/�I�.iG�y"1,�� Sir--ct Adr res (Do not use P O Bar. ) t r County ' uF 1 1 12, list your w plovrnant or t of b sirzess during the pastfive(5)years.If unemployed part of the-time,list lane date-S.,List most recent 1st_ FROM TO bf SCE;3RE POSITiON EM1aPLOYER`S NAME OR NAME OP'BUSINESS t Mon-dYear Monihtl'•e,rr OR BUSINESS (streel utfdrees,city,state&zip) { vl--Pees CURRENT 77 r- e QA l dt ~,7 2 4 '1 ,I1— ( � ur4'fu,trtcf.¢!?j _ ... f 1�(G}r� C= c <7�f I�r Avz j""re -3t/ l't {pvr L &S3.a Al 1A H ADIJI IIONteL SHEE f ;F NECESSARY FGR EITHER.SEvTIONIN 1?,. Fndi ate•�aur;esldertee address for the last Five i5) ear. T r— 7 __..__t - _ - I FR(4R11 T!1 I Rnnt O•`,_,,...... 'Re .r_ntiar Street ,,yy a.c_,_ 4 � •.• 1 r r�G�R1..1 lit©t JU CGl/1U,11 GS3 ?&nthrfear I Month^:ear Own if rand,atlach additional sk-�el lmttt nafi2,address and one number qi?andIcrd Cif Mate Jo CURRENT d�&N 1221 S e A C w C,? ��XT�� S'5rlA t.IC 0101 OS12009 Disabled Individuals requiring sp0claf accommodations,please call the Departmrattt(502)542-9a27 n n If you checked the Manager box on the-front of this.for rrt.skip to#j$ 14:As a Controlling Person or Agent will you be ph sicaEly present and opera�ng the licensed promises? [ ES DNQ If yeru anew+r eed YES,how many hm1day? ,and answgr.#Aft heIMy_ If:N0,skip to fa 14a, Have you attended a 6LLC apprav ci LJquor Law Training C purse'within the past 5 years? (Must provide pmof) EYES[]NO If the answer to#14a is"NO",course must be completed before Issuance of a new license or approval on an azisting license. 15, Have you been convicted road _Q eyed to deposit bail itnp saned placed on probation or p role. YES O'NO had trnfit_bond or had serlgrrca suspended'for any violation of ANY law or ordinance",within the past. ten (10) years(include only traffic violations that were alcohol and/or drug related)? 16.Are there y administrative law Citations,com liance actiOns or consents,criminal arrest, indictments or summonses PENDING against you orb entity in which you are now involved? 0YES z NO 17, Have you or any entity in which you have held ownership, been.an officer,member,director or manager C]Y�S �O EVER had a business,professional or liquor apgficafiQn�Oicense rejected denied revoked suspend or fined in this or any other state? 18. Has anyone 1= 1=R filed;t3it or obtained a judamr_nt AaEjjLqst.you,the subje.t of which involved fraud or I ` r esentati ? I ES 'sa r'rco � on. 19. EVEC held fi reetcir o qynershrp, been a contralli�r�person,been an oi•�i�r,jj�mber, NO c r , on"art other It uor li q s.A in this or an/other state? r,?: If an answer to t• y ash�t is"YES,, . LI attic i a si+the `' LK cornplete details including dates,agencies involved,and dispositions., _ SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED Y,94_ 7 hereby declare th1 it I am.the APPLICANTIREPRESENTATIVE (pant full narna&Agpnf�ant) tiling this questionnaire. I have neap this questionnaire and all state ments era true,correct and cornplate, , State a � County of ire of Applicant) The forgoing Inst jrner was,roc twviedaed belorree m,-,nits, GHRIS ° y°f Notary Public � :Arl� a, t l mt My convnission ex-pi C,n: P:INAL COUNTY Otll �� r r.. . w' 47t3;2"J1teat {• cure of NOTARY pup COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON pR AGENT APPROVING A MANAGERS APPLICATION A ION 21, The applicant hereby authorizes the person named on this questionnaires to act as manager for the named liquor license. The rnanage_r rta nc'd must be at (east 21 'years of age. State of _,—r:ounty of Rid horegoiny ins-rument was aci nowiz gerl betr*P rr:.this X Sig n3ti-Ire of day of Confr°!ling Person or Agent(circle ore) _ 6.7gn1h Year Prinl ear ti `�— (Signature of NOTARY PLi13LIC) fvfy commission expires on_ flay Month Year n n If YOU Checked the Manager boar o4 the front of this tarn skip to#15 14.As a Controlling person m�Agent,v:lif you be'physlcally_prtent and: Peraf ng ha licensed prernfses? �YEs ENO If you arm%larad YES,how many hra(day?_� and anMr#14A i�irr�o-ar. If NO,sklp to�15. 14a.Have you attended a nLL.0 approved laquor Lava Training Cour,sa,.,tivithin the past 5 years? Must provide pr000 I,]YES(.NO ff.tfie answer.to#14a Is ,No,, 00ars&must bs cmpleted before issuance of a,new license or apprdval on an existing license. 15. Have you been convicted fined ord r ct to deposit bait imprisoned placed on r,robatbn or ap ralg, had to Mast bend or had sentence susperl ft for any violation ofANY law or ordinance within the past 0 YES O NO ten (10)years (Include only traffic violations that were.alcoho[and/or drug related)? 16.Are there AN dministrative lmv citations, compliance actions or consents,criminal arrest, indictments 0 YES �1 � f 1 or summonses€'Eh3DIN against}you orANY entity in which you are now Involved? 17. Have you or any entity in which you have held ownership, been an officer,.member,director or manager OYES �]NO EVE;had a business, professional or liauorapa€irtion or license rejected denied r �rgked suspended or fined in this or any other state? 18. Has anyone -1Z lied suitor obtahi d a jt�rijr ent a+7ainst you the subject juct of which involved lieu _ r. ❑ti'ES NO misrepresentafiran? 19. Are you NOW or have you EM held ownership, been a MaIlll[ing person, been an o i ar,member, jYES ❑NO or manager on any other[it yor license in this or any other state? ^; If any answer to Questions 15 through 19 is"Y "YOU MUS1 attach a si n d statement. , r,r� GM,-c�rrrlpl g details including dates, agencies involved, and dispositions. SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED r:. 20• I, f"'' r'` a•r`f � � � hereby declare that I am the APPLVDANTtPEPRESENTXrlVg ;Print fuif rnatnc o(Applicant) .filing this.questionnaire_ I have read this questionnaire and all statements are true, corre-ut and complete. g - --.....,..__ _._._,... State of �Ccrustiy of _ (Sgnature of.-Applicant) The 3oregoing instrument via$aukriowtedged beFfare me this T— day of Month _ Year My corn mission expires G'i �i Day kgnnUt Year (SigmIum of NOTARY P1j3j,t01 COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR ANENT APPROVING A MANAGER'S APPLICATION 21, The applicant hereby authorizes the person named on',his questionnaire to act as manager for the named liquor license. The manager named must be at feast 21 years of age, State of _. County of The fore'•golnnl ir'drr imeni uac era a i «f -• -�-ya Lie=rn-tl cg X day of Signature of Contro fir?g Parson or Agent(circle or-} T,gonlh Print Narna (Signature of NOTARY PUBUGj Ply commfssic•n expires on; Day Month `ear sN "MENOI�' To Whom.1t May Concern: 1 was listed as a Controlling Melnbe-r uncles'Surrendered license 14113003, located at 725 W,Apache Trail#35-37,Apache Junction,AZ, 85220 (now 85120) I am currently listed as a Controlling Member under licen je 14113007 ,located at.7 .5 W Apache Trail#3 .Apache Junction,AZ.85120 Cran�'Lee Hatfield 1721 S.Royal Palm Apache Junction,AZ. 85119 01, t' 'J _r,; ----- o WX -�S Attention all Lrxai Governing Badi Social ger<i rity an onfidenfial. This information ma local law enforcement agencies for the ptttp*ose of�raek�r�0 etiacks(in" but"tTsust be blocked to.be unr�eadia'we p or to 0 4i g Read carefully. This rnsttiim{n ls- vrtprn doapplett i r e pr prfr�t wi#�BEA K If K An extensive inrrs#sxrgatipn noutr hacotlitffutll f>e otyisft led Fais or Incomplete answers ' 1 caerid recut#fit crilnina[pro pu#fpq artd f1 K d Fat r u6s >�-6-0 ovation of a iiG�nso or permit, T Ca Sf-C£[?Mt'L Tt d BY EACH CONTROLLING.AEsR�N,AGEtdT GR'Fyt1 �5� ,fkH PE12WN COtAKF-TINE'tHI$FtORM IAU:�'T SUBMIT AN -APr ILfGAl t 1"TYPE FINGERPRINT CARL)WHIClf MAY LSE oBTAINED.AT.Xf,C�FIt4 RPNINTI.~JG must' Dow BY A 1 40 P10 f 4l^1 `t-KrORC'EMEhIT A.GEht:Y CAR A,FINC-3ERPitNTING 13 R=E APPRC�Et)B),'[7t:1•C. 114E DEMRTMENT DOES NOT PROVIDE IIAI$SERI�ICE. Effective 10101107 there is g$24 00 proposing fee for each ffngorprint card submitted U uor:�M U Tate fees allow ed by A R S A4 6862 will be charged frxr all dis,qn. rid cb, � lff the locadart Is currently licaased) 1.Gheek Controlling Person []Agent E] Manager(Only) appr©prlate (Complete Questions 1=19) (Cantplate All Qu$stiorls excel#14,.14a&2t) box —,- Contm. lling Person or Agent must complete#21 for a Manager Controlling Person.or Agent must complete�2°k 2.Marne- d,j� t �' D to of Firth: t=st First mid a NOT Puhlk-R :arc! -3.Scuiai Serurity�Number License State: 4 .Place:JI 6irG`1: �v�[�Elt7C �rlc ((11f> 'ri' /! teight 1�lzghti Eye:fS/ H�;r. - h" star Coun ,not eau ty) S. Hanta Ststus []Single❑Marred❑Divcjrc,2d❑VV'iduwed Davjme Conrlaut Phone: qf-t;; 6, Name of Current or Most Re ant Spouse: # fit- a c/Jf1 t Date of Birh. (List alt for fast 5 years-Uss additional shoat It naamsssary) Last First MidaID Maidm (NOT a pub5c rec)r njMWJW ti TeI pf;one nucnc r to crn`3ct you during business hours Tor any question_mgarding thf5 document. .215`21L- 12`f g. If you have been an Arizona re::i:tent for less than three(3)months,submit a coE,y elf vour Arizona drivers license of voter:eg siratior.card. 10. Name of Licensed aramises; r _, . r ": i F �� f Premises Phone; 11.Physicai Location of Licensed Pmmises Address: �M i � �1� r��3ti� .fu.rr_�Ert - z- Sireet Address {bo not se PO Eon irj City County Zip 12.List our errs lo*mtent or ty of business durnq the Past f-ie(5)years.If unen ployo p art of the firite_list those dates.. List most recent 1st_ FROM TO DESCRIBE POSITION E4A lt]ti R' t�ANFE.QRfil&Rfl ter B43'Sit�ESS rAonttzlYear Month ye-HT OR.BUSINESS (sireet acidres<,,city,state&ztp) GURRENT / t� . � �:• 'i ECM�`I�•�:✓� � S�f�`t�Ar-Co 1c.•7` Rh tr If- t: zTf� L5 / s l �' � t z✓ G' �.;~%�. 1L r�_ (afe'�e A'T T ArH ADDITIONAL SHEET IF NECESSAPY crap EITHER.SECTION 13. Inch ;e our ze;ideneeaddress for the last five(5)years: 1 l 'I IT.CJtUCI I[IQI rJU Ct;E H4TiirCaS ��•�i I itr�ntr�rfe�r tvlanihlYear Own Iff rented,attach additional.,hem with narne,addfess and hanL nurnter pf landlord Cat• State Zi, r � C? CURRENT Ue y� t}t [ f 821 11114'Yr^' 0 YO / I-i' f1 fG'rT t iC OiEft 5t2UU9 Disablod Individuals requiring special accommodations,pfcasv oalithe DgpartmanL(602)542-9027 � n If you chocked the Manager.bq) care the frortt.of.this,form,slcip tqs#!s. 14.As a Controlling:Frersciri or Agent will you by Physically presprft and"rat nq ttre licensed premises? AYES C7 NO If you ans�rsd YES,how many hWday?�,and answer:#'14.a helmg, If N4;skip to#15. 14a.,Have ygtj attended a DILG-approved Liquor Law Training Course wlihin.the past 5 years? {Must provide proop EIYES NNO If the answer.to#14a is*0",course must be completed before Issuance of a new license or approval on an a Vrt9 license. 15. Have you been convicted fined ordered to deposit hail Imprisoned placed on orobatice or parole 0 YF-S I NO had to no bored or had sentgnce st_fsNn.. for any vlofaticM of Af±IY law or ordinance within the past tan(10)years(include only traffic Aolations that were alcohol and/or drug related)? 16.Are there ANY administrative law citations,compliance actions or consents,orrminal arrest, indictments DYES �NO Or summonses FI RIDING against you orAW entity in which yore are now involved? 17. Have you or any entity in which you have held ownership,been an officer,member,director or manager DYES, EVER had a business,professional or liquor a€anlication or license rejected denied revoked,sus �NO > or fined in this or any other state? eitdod 18. Has anyone EVER tiled suit or obtained a judgment against you,the subject of which involved tr-g d or 7 LYES bi N0 misrepresentation? - 19• s held ram{' .been a g->repine,-saWQq, been an offi er, . . mber, DYES-�1 NO o oth r ltduor license in this or,any,other state? If any answer t nt.. - Give com a i ai s inctM ncr ate 7,agonct ire ,`an ,>spcsftfons: SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED 20. r hereby declare that t am ttieAPPLIGANT/PEPRESF-N TA IVEE a . x (;trim full names of�raltc3nt) Wrrin'gthis questionnaire- I have read this questionnaire and all statements are true;correct and corm:rlete. Sete of r county cf` (Signature of AnfAirarrtl ti -�. The foregoing im=t meni vras aCk vf,!dged.t--fore me this CIlIISTi� 4+ILLE„. m. ® . ct Notary Publre P Pr c�- tit Year My:cmm ssion ex..pises �� ;�P'. FINAL CQU f 1Day Fr ti$r2Jr r" ;RattrreofN TARYPUtBUc) ` } COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21. The applicant hereby authorizes the person named an this questionnaire to art as Manager for the named liquor license. Agra manager ncameo must be at[,-east 21 years Of are State of County of The ';... ..CV—.uAr,.i fjd Mf..,e Me tl;iv X day of Signature of Cantf0l1iny Peron or Agent(r_.irde,ogre) !.1txi h Yuer Pr it i PFaam _ (Signaha-,crf NOTARY PUak,P(} My commission expires on: f�y Month Year I ff you ahookedthe Manager box on the front of this form skip to#16. 14,As a C'orltroflirQ Pamort or Agent"%ilt you be physically pregent and operadno ft licensed promisee? OYES ONO If you ans%trad YES,how many hrsiday? and answer_. 4a ow. _ _ below, if NO,skip to#15. 14a.Have you attended a DLLGC apprDved Liquor Law Training Course whin the past 5 years? {Voust Provide proof} OYES ONO If the answer to#14a Is"W,course meant ba,completed before Essuanee of a now license or approval on an existing Ifeanse. 15, Have you been convicted fined ordered to deposit ball,imprisoned,placed on probation or pamft, C1 YES C1 NO had to post bond or had serYlence.suspended for any viol.ation of ANY la%,v or ordinance within the past ten(10)years(include only traffic violations that were alcohol and1or drug related)? 16.Are there 6-N_Y administrative law citations,compliance actions,or consents,criminal arrest, indictrnent& DYES C:1 NO or summonses RENDLN-Q against you orANY entity in whit you are now involved? 17. Have you or any entity in which you have held ownership, been an.officer, member,director or manager DYES Q NO EVER had a business,professional or liquor application or license relected,depled r—evoked,suspended qrfi:ect in this Or any Other State? 118. Has anyone EVER filed guil or obtained a Women!against the subject of which involved Lfr@ FJYES 0 P10 misrepresentation? 19. Are you N QVV or have you E��E-R held ownership been a czooftolfinu,perso been anoffice member, YES 10 NO diregtor orranageron rty.Mhor liquor licgnse in this or any other state? A If any answer to Questions 15 through 19 Y-Q-UMU.-U attach a a:Qned statement. Give-r ag e cles involved,0MV-!JetP-*dP#§including dates. .11 and dispositions, SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED 2a 1, k-44h" I",( -Tr-,6, hereby declare that I am the APPLICANTREP RES ENTAT1,4i� (Prin"full V1 A.Ppdtano filing this questionnaire. I have.read this questionnaire and all statements are tnia,correct and complete. X Statp of Gounty of ,SLqnature of Applicant) The foregoing instrifirmam Mds ackmWedged before me this day of Morith Far My Comm,fission expires ot): Day mullb Year (Sigmtwa qf NOTARYPIJBLIC) COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'$ APPLICATION 21. The applicant hereby authorizes the person named on this questionnaire to act as manager for the named liquor license. The manager named must be et least 21 years of age. star of County of The foregoing inshirnef-et Was ackflov-ledried before-ny,this X day of Sigiqature of Controlling Person or Agent(rirde orie) Month Pflr$Nam- (Sigrlakire of NOTARY PUBLIC) My commission expires or(: Day Mwoth Year AA E MEN T TR ZIK LC e�4 -7- �P n n Home gfthe Siapeatition .iffountains r O NOTICE The attached application for a New License, Club Liquor License submitted for Veterans of Foreign Wars }post #7968 located at 250 S. Phelps Drive, Apache Junction, Arizona. was posted on the 11 th day of January, 2010, at 10-1 00 a.m. Any person who is bona fide resident of the age of nineteen (19) years or more, residing, owning, or leasing property within one-half (1/2) mile radius from the proposed premises to be licensed may file written arguments in favor thereof, or objections thereto with the City Clerk at City Hall within twenty (20) days after the date of posting. Arguments for, not ob)ections against, shall be filed thereafter. A public hearing will be held Tuesday, February 2, 2010, at the City Council Chambers, 300 E_ Superstition Blvd., Apache Junction, ,AZ at 7.00 p.m., at which time any objections filed will be heard. Kathleen Connelly City Clerk DO NOT REMOVE THIS NOTICE AND/OR ATTACHMENTS. REMOVAL OF THIS APPLICATION MAY JEOPARDIZE CITY COUNCIL RECOMMENDATION. • twice 080)982-9002 • 1',A.X (4-())9$2-7018•TDD(480)993-0095 . w,"v.aicity.net :304))n.. Superstition Boulevard, A(rachc ltntetion,AZ 85219 k gyp" Cliff Home of the Sgjj erstition Alountains January 11, 2010 Michael Ferguson Veterans of Foreign Wars Post#7968 250 S. Phelps Drive Apache Junction, AZ 85120 Gear Mr. Ferguson: Please be advised that the application for a New License, Club, Series 14 Liquor License Submitted for Veterans of Foreign Wars Post 7968, 250 S. Phelps Drive, Apache Junction, Arizona, was posted on January 11, 2010, in accordance with State law. The Apache Junction City Council will hold a public hearing on February 2, 2010, at 7:00 p.m. in the City Council Chambers. 800 F. Superstition Blvd„ Apache Junction, at which time the City Council will consider a recommendation for approval or disapproval which will be fowvarded to the Arizona department of Liquor Licenses and Control, Please note that the City Council frequently, has questions for the applicant. It is strongly recommended that.you attend this meeting in order to avoid any delays in the processing of your application. There is a $50 non-refundable application fee that is due and must be received prior to Wednesday, January 20, 2010, in order for this application to be placed on the City Council agenda. If you have any questions concerning this matter, please contact my office at (480) 474-5068. Sincerely, Kathleen Connelly City Clerk •Voice(480)992-8002 • F�AX(480)982-7018•TIED(480)983-0095-www.aicit;.net 300 E. 5uperstitim Boulevard, Apache Junction, AZ 85219 n n A ; Hoine of the Superstitiort 11fountains Z13 n JANUARY 7, 2010 MEMORANDUM TO: DEPARTMENT OF PUBLIC SAFETY, ADMIN. SGT. PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH: KATHLEEN CONNELLY, CITY CLERK '` FROM: JAN MASON, DEPUTY CITY CLERK_.,-.(,'..x � SUBJECT: APPLICATION FOR LIQUOR LICENSE FOR VETERANS OF FOREIGN WARS"POST#7968 Mr. Mike Perguson has submitted an application for a New License, Club, Series 14 Liquor License for Veterans of Foreign Wars Post ##7968 located at 250 S, Phelps, Apache Junction. Please conduct the necessary inspections and submit your recommendation by email no later than Wednesday, January 20, 2010, in order for this item to be on the agenda for the City Council meeting of February 2, 2010. f� •Voice(490)982-8002 •RNX(480)982-7018 •Tr_ D(480)983-0095•www.ajcity.t t 300 E.Stiperstit°son Boulevard, Apach,!Junction,AZ U219 r, Apache Junction Police Department Interdepartmental Memo GATE: 0111412010 (� TO, Lt. B. Jackson 921 FROM: Sgt. C_Allison,##50 SUBJECT: Inspection of Vr W,250 W.Phelps,rcr liquor license On 1114f1'g at approximately 11,0 hrs_ i did an inspection for an application for a liquor license of the property located at 250 S. Phelps,the VFW Post#79M 1 found the place still under construction, but in compliance with the laws, ordinances, rules and regulations of the State of Arizona and the city of Apache Junction_ In reference to the required signage to be placed in the establishment, it was shown to me that the business owner and employees are familiar with these rules and the placement of these signs. During my inspection a check list was used and attached. All rules that were not established, as in the 1D log being kept, is due to this being a new establishment and this log has not started yet. I did speak with the employees in reference to this and they were all up on its method of recording 10s and placement. At this time I wlll state the business is Compliant to receive the license. Janet soil From: Tina Gerala[.Tjn8.Gerola@affj,o0 Sent: Monday, January 11, 2010 4:13 PM To. Janet Mason Cc: John Suniga Subject: L-iquQF Application for VFW at 250 S. Phelps Good afternoon Jan. Deputy Firc, Marshal, John Suniga is recommending the liquor license fOr VFW Post 7968, at 250 S. Phelps, be approved. to move forward, Please call the Prevention office with any questions you may have a the number below. Thank you and have a g.,eat evening. Tina Gerola Fire inspector II Public Education Coordinator Apache Junction Fire District (480) 9$2-4440 Officd (48e) 215-9387 Cell tSAKE A FIRE SAFE NEW YEAR RESOLUTION! Change the batteries in all smoke alarms Find all matches and lighters, and keep them out of chidren's reach Practice Exit Drills In The Home (EDITH) Know 2-ways out of every room Identify an outside meeting place for your family & stay there together Suzanne Heninger n n From: Todd Kennedy Sent: Wednesday, January 20, 2010 1:58 PM To: Fred Baker; Yanet Ochoa Cc: Suzanne Heninger Subject: RE: Recommendations needed for Applications Suzanne, Planning has no issues with these. n Todd C. Kennedy Assistant Planner City of Apache Junction 300 E. Superstition Blvd. Apache Junction, AZ 85219 (480) 474-5093 tkenned epj it .net From: Fred Baker Sent: Wednesday, January 20, 2010 1:09 PM To: Yanet Ochoa; Todd Kennedy Cc: Suzanne Heninger Subject: FW: Recommendations needed for Applications FYI Please send emails to Suzanne this week or if you recently sent Jan any on the list.. From: Suzanne Heninger ....-._�w..�.... .___._._..�._�_.__.�.._..__._..�._..�.._......�....._..._.-_ -�,._..�.__..._..._�..__.___.._._..._.�_.__..,___.-.._._.__ Sent: Wednesday, January 20, 2010 12:49 PM To: Fred Baker; Rudy Esquivias; Carlena Lawson; Dave Montgomery Subject: Recommendations needed for Applications I need the following recommendations for these applications today: VFW Bingo Application-Fire, Planning and Police Dept VFW Liquor Application-Planning and Police Dept Hitching Post Application-Planning and Fire Please e-mail these recommendations to me. Jan is out until next week. Thank you. S..W.V. �4luaclT��uractian. �Pv��,�;c� 300 W Sulze�cl t/an Qud &4(141-4.�u U—,, 64,%85119 (480)474-5050 n n ROLL CALL VOTE NOTES: l� .� ITEM# MEETING OF _ l u MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER BARKER .COUNCILMEMBER COLEMAN COUNCILMEMBER WILSON COUNCILMEMBER DIETZ VICE MAYOR ECK COUNCILMEMBER SERDY MAYOR INSALACO n UNANIMO IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 13 I MOVE THAT THE APPLICATION FOR A NEW LICENSE, CLUB, SERIES 14 LIQUOR LICENSE FOR LAWRENCE C. GARRETT VETERANS OF FOREIGN WARS POST#7968, SUBMITTED BY MIKE FERGUSON, BE RECOMMENDED FOR(APPROVAL) OR (DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL. PUBLIC HEARING n 1. For APPLICATION FOR A BINGO LICENSE FOR VFW POST #7968 2. Will CITY CLERK KATHLEEN CONNELLY speak to the Council? 3. Will the applicant or spokesperson please speak to the Council on this item? 4. Is there anyone from the public who wishes to speak on this item? (Are there any "Request to Speak" forms?) 5. If not,this hearing is closed. 6. Is there any discussion? 7. Call for a motion. 8. Call for a second. 9. Roll call vote. n G o GO oj'A pacbe Junction Home ©f the Su er fifi n Al oirj h7in,s �RIZOIA 8 Print TO: City Manager's Office FROM: Kathy Connelly, City Clerk DATE: February 2,2010 Agenda Type : Regular Agenda Council Priority Focus Area: Required by Federal Law or State Statute TITLE OF AGENDA ITEM: APPLICATION FOR A BINGO LICENSE FOR VFW POST#7968. ACTION REQUESTED: Recommendation for Approval DISCUSSION/BACKGROUND INFORMATION: VFW Post#7968 is applying for a bingo license. State law requires a public hearing in front of the city council with their recommendation for approval or denial forwarded to the Arizona Department of Revenue, Bingo Section, FISCAL IMPACT: Budgetary Approval Not Required OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download ❑ Cover Memo ❑ Application ❑ Applicant Letter ❑ Department Memo ❑ Police Dept.Rec ❑ Fire Dist.Rec. 0 Planning Rec G6'.J04 --=. HOone OP/le SUP('t- titio)r Howitai rs �Rlzo JANUARY 21, 2010 MEMORANDUM TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL THROUGH: GEORGE R. HOFFMAN, CITY MANAGER THROUGH: KATHLEEN CONNELLY, CITY CLERK FROM: SUZANNE HENINGER, CITY.:CLERK SECRETARY P SUBJECT: AGENDA ITEM FOR FEBRUARY 2, 2010 BINGO LICENSE APPLICATION FOR VFW POST 7968 A Bingo License Application has been submitted for the VFW Post#7968 located at 250 S. Phelps Drive in Apache Junction. Pursuant to Title V, Chapter.4,.Article 2, of the Arizona Revised Statutes,the"local governing body"shall hold a hearing and recommend approval or disapproval of the application to the Arizona Department of Revenue, Bingo Licensing Authority. I have attached the responses from the planning department, police department and fire district, all recommending approval of the application. (� •VOiCO(l80)9$12-8002 •FAX(480)982-701}3•TDD(480)983-0095• www.akldtyanet 100 E. Sttlaergitioij Bottlevard. Apache Junctim AZ S 219 Arizona Department of Revenue Bingo Section Phoenix: (602) 716-7801 APPLICATION FOR BINGO LICENSE Complete all information on this form, If you.do not complete all information,your application will be returned All information is subject to verification. If you need more space,:loath additional sheets. Falsification of information contained in this application constitutes a Class 6 felony. All bingo licenses expire one year from the date of issue. To continue conducting bingo games. you must renew your license prior to the expiration date. For Department of Revenue Use Only I f�EVIBNER`S NAIME(Please Pont) DATE. O Approved ® Disapproved License Classification: 0 Class A 0 Class B 0 Class C 1 �LICENSE NUMBER ,PI Or—LICENSE: � I � 4 f Erorn: To: k Type or print.in black ink. }i AP s IGAN AkiE 2 i Et E HONE NUMBER vI H AREA CIDDE 4,7/ 623cl ._.._ _...._ i3a ADMIN15TRATaWE OFF,c;k tt ,ar,r„h1 4 tvt li,(N-G,4Vt7JRF '. 3b ct ry 1 S ATE LIP CO;]E —— 4b CITY STATE lqQ c.11e. -S'k, 4 5 class B and Class C license applicants only:. It applying ae a qualifie-d organizat on,rr7r}%c;7t the type of Dtr_;,nzat;on Chock one Cox. i ] GnaritatJe Scci, I Rehgious Veterans Fraterr;c �] Vbiunteer Fire Department I�Htm�r_.vnBrS l�ssC{t3:an IQ�Nonprafit arnbuian�P Service 5 Class B and Class C license applicants dilly: `f apdyirq as a ;I.-Jkf ed a±rSress rf jti.,r parent or aux4ia y; IP'A.RENi e .._._/ n ._. __. — iAtJXIIJARY 16a_Vj-6Gt 0 I Z_L, 16b ADDRESS-NUMBER AND STREET IRUP.AL RTI.,APT.1410. -- 1AAD FIR ES -NUf 5E3tF!r^.NU a i tcEE R.i ii v4!-P.-I.AFr N-1 T--- TY STATE ZIP CODE CITY STATE LIP CODE 7 Class B and Class C license applicants only: Ifapplysng as a qualified nrran;xatw,indicate the date your organization,vas established in Arizona. Continued on Raba 2 4 - - n ARIZC7NA DEPARTMENT OF REVENIX �V APPLICATION FOR BINGO LICENSE 8 Class 8 and Class C license applicants only: If applying as a qualifted organization,list current officers: r,lAAAE NAME 83 f i, 4b vim:•—� r TITLE ::"e._,—. TITLE '�i�=s.F-fa's-'s-.--�C''i P S/.t:.'��J'IC.�„ L-#.J�YR�'Y7/1'✓1.i.�1�.i.f......c.�,..._ AddRESS-NUMBER AN5`sT{'RF-ET.RURAL RT.. 1)FJ€?EcuS-NUMBER AND STt EET P11P„4! Rl„AFT.[ti). raITY =T TA ZIPCE)DIF STATE ZIP GODE �. k et.r9E ` TITLE TITLE ADDRESS-NUMBER t3NO STREET �ZtJF?r�t F21.T�T.v�i. ii�7DRESS-NUP,iBER AND STREET Rt7RAL RT„AP NO ti lii T+T 1Pi t1G ,.,,TY STATE T'P CODE S Class D and Class C license applicants only: Bingo r ckm ar,:o+int a nfcrrnat:en Cher-kingA,-Qount Number_ 0 l L,C.-:. Bank Name and Branch: 10 Class 8 and Class C license applicants Only: Lunge in ai��h r rg account information, Account NRsrttt er tit , Bank Name and Branca,. 11 Class Band Class C license applicants oilly: List all officers and/or supervisors authorized,to sign ch J! j fr,,m tr:c ciCWuMtS iIsted at,ove.. If applying a.s a qua4l fled o,,ganiz:aLion,all supervisors must be rrlembens t}f a'1e applicant: NAME _ NAME 11aMiC I (� LL f 1'fd x i S� 11 b TITLE TITLE i I t iL�lt�e'S1�'sn-.�_�.�"i...',._._ 1 `'�.-'1f 4C.l:o "V`✓tYl:'V -�. 1 I& RESS-NUMBER AND STREET RURAL RT.,APT. NO. ADDRESS-NUMBER AMID STREET,RURAL RT..APT.tslz_? j r ; isf {t I GITy k � STATE ZIP CODEy CITY r p STATE ZIP CODELAP iL 1...V yfl^ !4 Z. 12 List the name(s)of the One Or Uvo oerso,)s will serve as Managers, if app yinq as a qualified.Organization,these Persons must be members of the appl4cant. uG'r r,rsor)mtssi vt 6Fnit ar7 al r lavrl NAME W.imlE TITLE.ZIwo . — b' rt 126 .1115 r` rDOPESS NUMBER AN ST+.EET RURAL RT.APTI,iC- ..DCRESS ;11,:.fvBE INNDSTREE.RURr41-PI AFT NC � Tr! , CITY aarF_ r C7C 7r hCity n r � S:f:Aff- 1IPCODE 13 List the na 11e�f tJ e one^.ers>n 9 si n t as oroceyds co rdinator If 3pplp?ng as a qua0fied organization,this person must be an officer or director and a member of the applicant, Eirch pwson, u1S1 submit an. affidavit NA..AE ;ADDRESS-NUMBER AND STREET.RURAL RT,APT.NO r- rL _2Gs?_S.t +'.`� S'. V411ef bq.av- Ti'iLf _. __� llfY STATE ZPL.C3iJE �( ADna„71-1010 r 00j Rafe 2 of AROONA DEPARTMENT OF PEVENUE APPLICATION FOR BINGO LICENSE 14 List the narrie(sy or the person(s)wirer will serve as supervisor. if applying as a€ualifled organi`aborb,each per�;ari Must be a member of the applicant. Escf7 ers r, ustsar rtJit arr fl5tfa4it. NAME - 1,�AE TITLE TiTLE _u a ADDRESS•NUMBER:AND STREET.RURAL A[-IDRE55-NUMBER AAA TRFF,T.Rl1R�t.r�T,AFT.PIC} € 4"0 tali L��' L�3 ?}t r� ��i�� °. ��a M1 C3TY STAG E, i tF'CODE, CITY.-� � TIA 5 ZIP ------_��.'C,tr] 14c 14d f rJrJ�tES ra�l lE3EF3 N(�S�F k r. :IJfiF1 il`. fie}r NC;}. -JJDRI= $a NWrtE ER ANIj i'TRLFET,RURAL R r.,APT.NO. il= 5r.4sc r'i'CODE 16 Last the rzn efs;i of the personts}r}rhsJ,1wll serve as aasistai,ts. £f applying as a qual fief}Gnjar izatior. each perse.n must be a mQml)er or new member of the applicant plicant. Except for'Class A"licensees.each person must subrmf an alfrcfeyiL IjlAh E NAME t NAME NAME 16 Streel address of Me physical wtir'.fe bir'go,",,ill Le i-Aayed,. 17 In f Crete Elie tuna,on each respective day that binga wilt be played: Monday- F1 AM APrMp Frid-,3y 1-1 AN I FM Tuasday. [ AM ,--I PM Saturday � _ _. �AM P10 Thursday [3 Ata RPM 18 List dates of pfovnseed gafr+.e anceliation if any: 19 indicate the type of premises where bingo will be plUye-d Check oFie;bo.a liar;?!.1Pa7e 4. a Heither rent nc-r rr�ort age,will be paid from bingo funds R yttt€_d:�f lFT.l"aG.C} =kff7r�fl rrr7�7:7fi:1y;3l�ti:]RCj t;�1f`y f?7 r??.7t?i�.7(il'+? r77Pfi£ t:ANl i-ORIB S INAME !AD,,,F-,E88 PLUMBER AND STREET RUo-AL RT.-AFT NO s TELEPHONE!dUMBE92WiTHAREA CODE `Y- S4AIF= zIpCCJ?E e Owned solely by the organizat=rn. Atta.�gg,u v,of deed of trust:pvrehase agreement.escrow a jreemenf we t) EEC i iF NtOgTGAGE� ADDRESS_NUIVIB'ER t+ldD.STREET,RURAL RT.,APT 1,10. TELEPHONE 1,JU BER WITH AREA CODE CITY STATE, ZZIP tC^ODE Page 3cfa ARIZONA DEPARTMENT OF REVENUE APPLICATION FOR bING0LICENSE 19d Qwned jointly with tither organization, Attach Lcivy at martgage,deed of trust,tlurchasa agreemp-nt_escrow agreen.?ert. c-tc. - FOLDER OF tv ORTGAG!E ADDRESS-NUMBER AND'STREET,RURAL FzT.,APT.NO. t F TELEPHONE NUMBER WITH,AREA OCE! rIT1 STATE EIPCODE A X,�QVIINF,R HOLDER- TELEPHONE PdUI<°iBER`ve'IT€11lf Ef DUDE s gT' rA FE 25P k Tp -t]LNTiFE7 H(7t,t?FR. ADDRESS-NUMBER At-10 STREET.RURAL RT.,kP t Pvi_r_ ,..,v.._ ...n.�.,. TELEPHONE NUN 13 R VA T'H AREA C ODE QTY SATE"?iP CODE 20 List bingo 4censeeswho are or mtl try o7md:sting bingo In the Wme pfe lses ass you and those licensees iocatc-J•rvilKn i3OCO `L t of your promisees. hl!>3uiE �%AAAE <fe 0 f 1 2 ADDRESS 'NUMBER AND S T REET.F•,URAL RT,P PT.NO, ADDRESS-NUMBER AND STREET RURAL RT APT AgrO. ...,, _ . li'Y ;.TAf - IP�C?GE {far` STATE fYr'<7t7E 21 E:fpected b rip expo-•naes(bna 21 cafifinu?s cj;i'page a Mortgage.age. ��dl t r1 c-r;'ftonth A ,I`1MY 4ELF y t.i F r Ifff �ACfSF',rS tJtTty#[�E �ATvr�'�FRFL,T -2icN.�L.r°r ?RT" uCl TEk-C PHONE N)M2,ER WVI I H AREA(;�IL�F: t;1T" __ __ .___ STATE 56 b Rent: _ — _' ._ — Per� r1renif1 I�h0ur �a srcn PAYABLE I{ IADDRES-S NUMBER AND STREET,RURAL R`..APT NO. i TELEPHONE NUMBER WITri AREACOc1.E (CITY STATE AP CODE j 1 !1 r Janita6ai Servic -q. (a r�1 cer month hour I-1�.Qczi,;orn PA,YA81L;E TO }ADDRESS•NUMBER AND B:TREET.RU PAL r::T.,APT NO. 1757 t'FL.Et'FTrjNE Nlb144BER 4; F H ARE ,.ODE f 9 °f SATE ZIP CODE d Accounting Services: S ,Eltc•rI per mor:th ® hotAr occasion FPA7YAR-LE TO IiiWRCE,l. NIUMFER 'tzJCj STRFET RURAL �T-APT NO F EE=YHt NE!•JR1!"FER;^df H iRE t.CiDE CITY —— - — STATE _!P; C 6 security S�rvft'es, 7 C 1 • - hou,- =-:.e�si•orr� per I� maw C r PAYABLE TO � ADDRESS-NUMBER AND STREET,RURAL RT.APT.NO TELEPHONE N UMBER'VoTH AREA COD._ CITY AC JP,71-101 vT i4'060 ARIZONA UEPARTA.ENT OF REVENUE APPLICATION FOR BINGO LICENSE 21 Expected Bingo Expenses cvni inueti... f Bingo Supplies r K rime r+ Ar I per PAYABLE TO /i.T"ir�RESS-N,Ut+��ER r;PdC7 vTI-EEE'r,R§.tt_RT.,f+T}T.hlO. TELEPt=:ONE NUMBER WTH AREA E 0017, — � � ('.TY STATE ZIP CODE 9 tVlawnurn prize payout per occasion: 5 1 z� �T. r'4ttacf,game mac`iedule�tat7is S Ftt�IFvtr7Tt�P j�riz�3 ,rt�attn�s. A1—D TO ADDRESS-14U. BER ATQLI STR€ET,RLTPAL RT.,APT.NO, iTE$ PI-IONEhdUTABEf-RVJITHAREACODE CITY 5Tfe1E_ Zlf CODE h Utilities Expenses: ELEyCTERiC(payable to j ACtDRESS-aNUMBER `AND STREET RLJI{AL RT..APT-NO, ACCOUNTNU:�sTBEf# IP-u1t]NTriLYAMOUNT a:dTY STATE }T�CttiGE ��fNru GAS%payable too ADDRESS- UMBER.-NIUMBER. ,A STREET.RURAL RT.. ,RT.' .. '3 J� .�Y ��'S� �1 z k 4.i43��4�" �ll.•• V � �'. 1L'k f~0.�� ACCOUNT 1`UNIBER MONTHLY AMOUNT _TTY S TATE 7_1 P C 0 D E ISI�(?tIxIZrrA72- ><�t NVATER frayable'o} ADDRESS NUMBER AND STREET t?f_RAL FRT. :PT,NC. ACCOUNT NUMBER 1MONTHLYMAOUNT CITY STATE ZIF+t,ODE IRrAEt REMOVAL(paysbie to) t:ADDRESS-NUTASER AN LT STREET.RI JP.1L R.T..'+pT NO. __... At:C'i7UN t tFIJFt1t$ERI EtOPtTli-1 nt.fC7UhT iLlw�ftaC`i 22 Br't?fi} St3t�+tt S� Git� rpi'C` 4 r sF3 ee il°t Pt7C T c C+tl?:3ftYBS Cf bHl4: Vvcr Tt.'�' tnedt;7 if? P-A4-L E ,a,.,ri 7Nt,t- X �- h',r ------ Under I�cnaltt :1';� rjurr upon oath,1, f° 1 .dA6� L...�_ �k 4it<tt (urn lttlt ,ttat cKrizi.ri ru slzn and fie tt3is applicatic,n, i hcn-.b� sm.car or confim,that I na,c reati tfi ti.ret,)irg application and kno%k the anue R�chorea,im- t,tat rl. 'PillrM.st;(m pro"i,'eki has r.k.n w11 cc:=rr Ott I.. =md trinli -_t'h cvmmis_t_, t:,the be,t of mj ;.stet+a lcd,e. .Z 3 fJ S a s.�s�hJA CASTE TITLE 'DI DR"-TLttOf(joj t r'398 5 6` x Arizona Department of Revenue' * Bingo Section 1600 West Monroe,Phoenix,AZ 85007 • (602)716-7B01 AFFIDAVIT This affidavit must be completed by each person Who Wishes to assist in the conduct of any game of bingo. t any information is blank or incorrect,the affidavit will be returned to you. All information is subject to verification, Disclosure of your Social Security Number is voluntary. This information may be used to establish pasitive identification for purposes of criminal background checks pursuant to Arizona Revised Statutes,§5-404, Please type or prtnt in black ink, _ LICENSEE'S NAME LIGU-41SE NUMBER r r , POSITION Check fhs appropoate boxes: ® Manager Supervisor L Proceed Coordinator [3 Assistant AFFIANT'r KMAE SOCIAL SECURITY NO- y ADORES$ VATI"OF BIRTH 3 ,CAB ` _ a _ � CI 3 Y $T4.TE ZIP WDE HC&t PHONE NO.(w ith arda code) WORK PHIONF NO,iv,+fh area coda, q le 0 - �'-7 1 -4z'3-C,6,0q,7 i Y%ao- �lLka��- tf licensee is a qualified organization,complete the€ollowing!section �+NlembER' GATE J01 EDED ORGANIZATION `lam YeS ❑ No C G W S OFFI'Gt F�4? OFFICER TITLE EL DO YOU HAVE AN AFF ONVIT ON rjL FOR.=NY,OTHER LICENSEE? [Q yes '0�tjg If'Yes',list license nutnber(s)= 1 ,�f ib L' t' the above named atTiant, under penalty of A�FANTS NAME penury,upon oath.depose tint stay that I will conduct or assist in conducting all bingo games to cc�rnplism.e With the terms of the license,Arizona Revised Statutes,Titiu y,Chapter 4,and the rules of the licensing authority. I an) of good moral character and have ncrrvr bcen convicted of any misdemeanor invotving moral turpitude or felony. I have not and shall not receive any reward,compensation or recompense f car my participation in the:conduct of bingo games except as provided for by lavv� I hereby s t—ar or confirm that I have cad and anderstand the foregoing and verify that the information and statements made herein i are true and correct to the best of nay knowledge. (4 4TUR,+E F AFFIANT OATS _ .. ADOR 71.1403f(4M) Arizona Department of Revenue Bingo erection 1€00-west Monroe, Phoenix,AZ 85007 (60 )i 16-7 S01 AFFIDAVIT This affidavit,must be completed by each person who wishes,to assist in the conduct Of any game of Mingo. fE any information is blank or incorrect,the affidavit will be returned to you. All information is subject to vadficallon. Oisclosure of your Social SecurO NIUMber is voluntary. This information may be used to establish ppsitive ideptification for purposes of criminal bacl4grau:nd checks pursuant to Arizona Revised Statutes.§5-AO4. Please type€err print/n black ink. LICENSEE'S HAMS LI ENSE NUMSER -r 7 n Check the npproo iele bores: Q Manager 0 Supervisor Proceed Coordinator lI Assistant AFFIANe 7Ah1E lSOCIALSECURITYNC3 ADDRESS t RATE OF BIRTH IC17Y :STATE ZIP CODE + T— HOME PHONE NO (w4ft Irea d) VV �'PRONE NO,NvOh area; ? If Hconsee as a clualifted organization,complete Hero following Section: MEMBER ~p�� DATE JOINED 0R8Aw1uZTI0h. l { Yes. i,J NO � OFF CERS9 `'sFF"sCER TITLE Yes Cl No 00 YOU HAVE AN AFFIDAVIT ON FILE FOR ANY BOTHER L[CENSEE' Q'Yey fil No If"Yes', list licerse number(s): /thu 3bave named affaant, under penalty of AFpiF.'I S WM f , pLr}urv,upon oath,depose and say that i will conduct or assist,isi conducting all bingo games in compliance %4zth the terms of cite license,Arizona Revised Statutes'F'itle s,Chapter 4,and the rules(if the lie rasinz i C authority I am of good moral chancier and have never been conNicted of any misdemeanor involvir s moral clFrpiriada or felony. 1 have not and shalt not receive any reward,eotttpznsatioet Or reecwrngrensc for my participation in the oonduct urbingty gaines except as provided for by lair. J hereby.wear or ccanfirni that l Have read and undeNtand the farep-oina and vcr&v that the information and gkatemenc tT adt herein are trite and correct to the best of tiny ge. -'7 r'• SIGNATURE OF AFFIANT RATE 1 ADOR 71-1003f(4,'06) Arizona Department of Revenue •.Bingo Section 1600 West Monme,Phoenix,AZ 85f}Q7 • (602)7*-7801 AFFIDAVIT This affidavit must be completed by each person who wishes to assist in the conduct of any game of bingo. if any information is blank or incorrect the affidavit will be returned to you. All information-is subject to verification. Disclosure of,your Social Security Number is.voluntary. This information may be used to establish positive identifica5on for purposes of criminal background checks pursuant to Arizona revised Statutes,§5-tC4... Please type of print In black Ink. UGENSEE'S NAME � d L1GEtt5E NUMBER I +a.r,tjA:tj_ V 7`T�, A F'O41>'tON Check the the appropriate boxes: g Manager Supervisor Proceed Coordinator ®Assistant AF,FIANTS NAME - - - .. 'SOCIALSECURIWtd1 il i ADDRESS � DATE OF BIRTH k :ITY STATE ?IP eOoe - - - HOME PHONE NO.(with area rude} 1VORK PHONE NO.(wi?7 srea coda) 1'q*0- 8 6 1-4 -// UI-Z1130 If licensee is a qualified organization,complete the following section: MEMBER? DATE JOINED ORGANIZATION ayes []No 11 b { ., . ' OFFICERS? UEFj TITL= �Yes El No G�t,lly�t=�rat.��•tx._ !DO YOU HAVr AN AFFIDAIAT ON RLE.FOR ANY 017HER LICENSEE? r©Yes 0 No 1f'Yes',list license nutnbar(s): E s 1, tt:i7L � f !1_ d the above rosn,cd affiant under penalty of AP IANr'5 NAME perjury,upon oath,depose and say that I will conduct or assist in z onducting al l bingo g=cs in compliance with the terms of the license,Arizona Revised Statutes,Title,5,Chapter 4,and the rules of the licensing atttltority lam of good moral character and have savor been convicted of any misdemeanctr involving moral turpitude i�r fetony. I have not and shalt not receive any award,compensation or tecompense;nr my pantie rsalion in the conduct of hlr+go-angles except as provided for by taw, I hereby swear or ccmfirni that I hies•e read and understand the foregoing and verity'that the '0116irrnatiun and statements rttadv hcrcin are true and correct to the Best of my kinowledize, 94NATURE OF AFFIANr r � _Ur GATE AOOR 71-1 coaf(4�%) Arizona Deplartmdnt of Revenue i Bingo Section 1600 West Monroe„Phoenix,AZ =7 . (602)7164801 AFFIDAVIT This affidavit must be completed by each person Who wishes to assist in the conduct of any game of bingo. if any information is blank or incorrect.the affidavit will be returned to you. All information.is subject to uerificaticn. Disclosure Of your Social Ser4€,rity Number is voluntary,, Tnis information may be used to establish positive identification for purposes of criminal background checks pursuant to Arizona Revised Statutes,§5-404, I ! Please type or ptYnf in black ink. E aCt NtSEE*NAME � LICEIESE NUMBER N SITION Check the appropriate boxes: Q Manager it Supervisor ®proceed Coordinator [4Assistant A.FFFAN'T'S NAME SOCIAL SEC.URITY NO AGGRESS WTE OF BIRTH ell Y STATE ZIFI CODE A(- A'7 HOME PHONE NO.twith aJ'.3 C 6t j hVORK PHONE NO.Garth art+a wdal �if licensee is a qualified organization,complete tiro foilowfng section, sE1,45ER? GT,A7E JOW!v t?ORGANIZATION r YYes D No e N La OFFICERS? T!i LE g E Yes 0 No C. ' LlO I'OU HAVE.4NI.kFFIOAHI T ON FILE FOR ANVe OTHER LICENSEE? ® fes tlo if'Yes'.list license number(s): '�f Y x /v.?.�f tht above earned affiarit under persa ty'' o APMANiT'$N.VAr: - pe r ua ,upon aatft;depose and say that i Zvi i l conduct or as in-onductijig al l bingo Samos in compliance with the terms of¢fie license, Arizona Revised Statutes,Title?,Chapter C and the rule:ufthe liceMM2 authority. 1 an)of good moral character and h.aVQ ROVe.r been convicted of any misdemeanor involvin;; moral turpitude or felosty- t have not fl€irjstla8l not receive any reward,coniperas.-ttiort or recompense for j my participation in the conduct of biti�o Same t r xeept a5 pmvide€t fr.Nr ia} lau', C heretly s�°ear❑r tcn irrn ' that I have read and understand the f'cjregoing and verify that the information and smternent-s m,tde 11ei-ein are true and correct to the best of my knowledge. f-�-lc= a DATE - AOOR 71-1COW(410$1 Arizona Department of Revenue 4 Binge Section „r ISCO West Monroe,Phoenix,,AZ 85Q07 (602)716-7601 F AFFIDAVIT This affidavit must be completed by each person who wishes to assist in ttte conduct of:any game of blt ul if .arty Wormation is blank or incorrp,^t,thQ affidawii will he re Urned to you. ,Ali entbrmation is subject to'verification. DiSd[ s ire Of YGUe Social Secu*tty Nkjmbar is voluntary, This information :hay by used to establish posittue idertiticaticirt for purposes of criminal background checks pursuant to Artzona Revisers Statues, Please rye or print in black ink, CEt SEA 3 NAME LICENSE NUMBER OSI i it_Io'r Ci'tC-C:h iitr:'.+�`'r[r)/�['t.�Es�if�.�L'.S. 4•,. i 'la i r,UlnctC7eP ] Jit}Ei riSQf ® PfeC�'t f C t�ltn i i' Assistant J IFFIANI 'NAME --sa lRL = iPITY �?P~ p Sr j Z j]qj,�/� f L j,+ 4��'''- _ Y4. CITY S'rA.TE ZIP CODE Nwl,9€Pi"(:r:E NO cr:'n erea c i o p3k-- PY NE NO ar,'h'area caret Pt#ceartsee is a quat6€ietL ergarrtzatiort,r_ompfete thL-following;section: raAr T4fR�J,-',R^ 3n Ir t-'NED r I i:r F'.S^ ,-ih�kr ri'=.Tlri_t 10 Yes ❑ No Y _ -- trll ^Jr l'1': Ct7 ANY, '� ` YPS RNn °f'Yrss IRst I.rense numberiar !i kh•= ahasc rvnicd affiant. rrstrrrr l4rraaal CA, it ptriury,upon o4th.ci pos aq.d say th<lt I i'vill kondu4t oratis_ist ki curldt (r-ttgatll hillgogwn,4e5 w corlipl';.wu � ,vith the tcians of the tiecnse,Arizona Pew"iwd Statutes. Citle? (Ihaprer 4;rind the cif the lice >in I authorit- t am of—, od moral character and hav2 never been t;thr.-'ie.t,ed of any 1t:1tydepne:mor im.ok io morat turpitufic cir t--Iogy. i ha,.�e not and.hall not receive any reward,ca,Fm tm;at;ii.m or rkcofllpeasx fog nay 1),-Micipatit-m itt tits'Ct)r1c1t1c-d of tiiil o games G:*:t=tpt;+,�pmv idcd f.6r bN, law. C hc:rebN swt:sir or;:r..it :irn ' that 1 hauc r.ad rind u;7di,rsr-arid the ti,rEga,i;l+:;and that the nfCrrnl;ltiCtrr anz3�trucrrtvnts rrtc(i:iter�irt irC€ru irtd L: Te t try the heal c f m' I ncm,'lCdpc, y Y 3if:w?=T:UREE OP-,FF;.:4N I" / DATE 1 A:3tfR i-1003f(4 08) n n �. G r- _ Home oj'the Stager°stition Mountains I January 12, 2010 Mike Ferguson Lawrence C. Garrett VFW Pest 7968 250 S, Phelps Drive Apache Junction, AZ 85120 Dear Mr, Ferguson: The City Council will held a public hearing on your Bingo License Application submitted for the Fraternal Order of Eagles Lust[dutchman Aerie on Tuesday, February 2, 2010 at 7:00 p.m., at the City Council Chambers, 000 E. Superstition Blvd., Apache Junction; Arizona. Please note that the City Council frequently has questions for the applicant. It is strongly recommended that you attend this meeting in order to avoid any delays in the processing of your application. If you have any questions regarding this matter, please contact my office at (480) 982-8002, option 5, Sincerely. i Kathleen Connelly City Clerk jrm •Voice(480)98'2-,R002 •FAX(480)982-7018 •TD (480)983-0095 •w•www°,a.icity',net 300 E. 5tsperstitiott EtoWevard. Apache Ju3tction.AZ 852 t{9 (66Y Home of the iperstitiot? L ountaii?s zap JANUARY 12, 2010 MEMORANDUM TO- PUBLIC SAFETY DEPARTMENT, ADMIN. SGT. PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH: KATHLEEN C ONNELLY, CITY CLERK FROM: JANET R. MASON, DEPUTY CITY CLERK SUBJECT.- BINGO LICENSE APPLICATION FOR - LAWRIENCE C. GARRETT VFW POST 7068 Attached is a Bingo License Application for a. binge license submitted for the Lawrence C. Garrett VFW Past 7968 located at 250 S. Phelps, Apache Junction. Please conduct the. necessary inspections and email ,your recommendation by Wednesday, January 20, 2010, as this item will be submitted for the City Council meeting of February 2, 2010. The City Council will Bold a public hearing and recommend approval or denial of this application based upon public comment and the response from ymur department_ j rm •Voi-ce(430)982-8002 • FAX(480)982-7018- rDD(480)983-0093 •%vwtv.ajcit".net 300 E. Suptmiticon Houlevard. Apache Junction,AZ 85219 Lieutenant - Bureau of Patrol January 20, 2010 —SUBJECT; I' VFW Post 7968 Bingo License Appllgafioc_ Jerald Monahan FFROM., Lieutenant Brett H 0(j6H" Captain Arnold Freeman in review of the VFW Post 7968 Bingo License Application there is some information omitted from the application. T he information is as follows-, 1. Item 9 Bingo Checking Account Information 2, Itenn 10 Bingo, interest bearing account information 3. Item 2"f Bingo Supplies According to Michael K. Ferguson, the Post Commander they haven't purchased any of the BINGO equipment as of this date, However, Mr. Ferguson understands that they need to purchase BINGO i equipment that meets statutc-'y requirements. Michael K. Ferguson, Frank Page, Darlene Tryon, Gary Lee Hatfield, and Thomas C Gamey who are represented :In the application show no notable contact with the Apache Junction Police Department as of Wednesday, January 20, 2010. Derek J Tramondo shows contact 'OAth the Apache Junction Police Department, but the contact is not of Moral Turpitude or Felonious in nature. I"he VRN Post has beej,, established at 725 W. Apache Trail for many years and according to Police Department records there are no significant or problematic calls for service at its location. They are relocating 'a the building located at 250 S. Phe;ps Dr. Apache Junc'ion. Therefore, as long as all the required information is submitted in the BINGO application by VFW Post 70E38 the Apache Junction Police Department has no objections to lthe issuance d1the DINGO license. n � Apache junction Pies District 865 North Who Road, Apache Junction, AZ 851 M Prone(480) 982-4440, Fax(480) 982.019 rg MEMORAINDUM TO; Kathleen Connelly,City Clerk City of Apache Junction 1001 N, Idaho Apache Jct.,AZ. 95219 FIi`C)M: have Montgomery, Fire M<arsha.l bw DATE E January 20,201 f1 St.l3JE;C.T: Application for Bingo License Last rence C.Garrett VFW Post 796&250 S.Phelps Drive.Apache Jet AL The Apache Junction Fire District has reviewed the. application as noted above regarding the tac.tl►tic:s at '150 S. Phelps Drive. We; have recently completed an annual Fire and lifee safety inspection with no rna}or violations found. We therefore Nvould recommend approval of this application, Thank you for your notification on this matter, If you have any further questions regarding this: inspection, please feel tree to contact tttiy office at 9$2- 44401.'Thank.You. Dpm ATTN; Application Suzanne Heninaer From: Yanet Ochoa Sent: Wednesdays,January 20,2010 2,28 Plat 'To, Suzanne Heninger Subject: FW.VFW 7968 binge license application f yi As.'J ttarit Ukin ner" 300 E. Superstition Blvd. Ciry f A po .P� .�llft€vtE r3 y—oghoq@a cik Iy,net -2636 From: Yanet Ochoa Sent:Wednesday, January 20, 2010 1:59 PM To: Fred Baker; Janet Mason Subject: RE: VFW 7968 bingo license application The zoni.n_q is CB (General Commercid (district) which allows this use. Staff has no objections to the: license. A,s3 f rnf Planner of A"peache Junction yoch a@gicity.net }. 74-�636 From,Fred Baler Seat: Wednesday,January Of 2010 10:45 AM To.Yanet Or-haa, Cc:Janet Masan Subject' FVt:VFW 7968 bingo license application Pie3se respond by January 20'. 'red From:Janet Mason Sent: Wednesday,January 13, 2010 9:46 AM Te, Garlena Lawson Dave Montgomery; Fred Baker Subject:VFW 7968 bingo license application { I have received a bingo ticense application from Lawrence C.Garrett v.rw post 796g,Which has been attached ter this email. Please have your department recommendation to me no later than Wednesday,January 20,2010 in order for- this to be,on..the February 2 agenda. Thanks. Janet Mason Deputy city clerk City Of Apache..Junction 300 E.Superstition Blvd. Apache JLnctiori,AZ 85119 480-474-SOGS jrnasonPaicit-y,net Service Over and Above the Rest This message and the information within is intended for the recipient, If you received this email in error, please notify the sender and then delete the email. Emails generated by council members or City staff pertaining to City business are public records and are preserved according to, the City s records retention schedule. To ensure compliance with the Open Meeting Law, members of the City Council should not forward, email correspondence to other members of the Council. Members of the Council and other public bodies may reply to this message, but should not copy other members of the public body. 2 n n ROLL CALL VOTE NOTES: C ` k ITEM# MEETING OF MOTION BY: SECONDED BY: Ov YES NO ABSTAINED COUNCILMEMBER SERDY VICE MAYOR ECK COUNCILMEMBER DIETZ COUNCILMEMBER WILSON COUNCILMEMBER COLEMAN COUNCILMEMBER BARKER MAYOR INSALACO UNANIMOIJS I IN FAVOR I OPPOSED ABSTAINED TOTAL r" ITEM NO. 14 I MOVE THAT THE APPLICATION FOR A BINGO LICENSE FOR VFW POST#7968, SUBMITTED BY MIKE FERGUSON, BE RECOMMENDED FOR (APPROVAL) OR (DENIAL) TO THE ARIZONA DEPARTMENT OF REVENUE, BINGO SECTION. n n PUBLIC HEARING 1. For PROPOSED RESOLUTION 09-60,AUTHORIZING THE SUBMISSION OF APPLICATIONS FOR FY 2010 STATE COMMUNITY DEVELOPMENT BLOCK GRANT REGIONAL ACCOUNT AND FY 2009 STATE SPECIAL PROJECTS FUNDS/PROPOSED RESOLUTION NO. 09-62, COMMITTING LOCAL FUNDS AS LEVERAGE FOR FY 2009 STATE SPECIAL PROJECTS APPLICATION 2. Will PROGRAM COORDINATOR HEATHER PATEL speak to the Council? 3. Will the applicant or spokesperson please speak to the Council on this item? 4. Is there anyone from the public who wishes to speak on this item? (Are there any "Request to Speak" forms?) 5. If not,this hearing is closed. 6. Is there any discussion? 7. Call for a motion. 8. Call for a second. 9. Roll call vote. F. U GO oJ'A- p a ch e Ju.n cdo n Hotile of the .Sispetstition-Anoint ains RRrzo��' 8 Print TO: City Manager's Office FROM: Heather Patel, Program Coordinator DATE: February 2, 2010 � . . Agenda Type : Regular Agenda Council Priority Focus Area: Community Development TITLE OF AGENDA ITEM: PUBLIC HEARING FOR THE USE OF FISCAL YEAR 2010 COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS AND FISCAL YEAR 2009 AND 2010 STATE SPECIAL PROJECT FUNDS; PROPOSED RESOLUTION NUMBERS 09-60 (AUTHORITY TO SUBMIT)AND 09-62 (COMMITMENT OF LEVERAGE FUNDS). ACTION REQUESTED: Presentation and Discussion DISCUSSION/BACKGROUND INFORMATION: The City of Apache Junction is eligible to submit applications to the Arizona Department of Housing for both a Community Development Block Grant and State Special Project application. As part of the application requirements, a final public hearing is necessary to adopt a resolution that authorizes the City to submit applications to the Arizona Department of Housing for funding and a resolution is required when leverage funds are being utilized. FISCAL IMPACT: OPTIONS/ALTERNATIVES: n Statutory Requirement RECOMMENDATION: Staff respectfully recommends that Council 1) Conduct a public hearing; and 2) Adopt Resolution Numbers 09-60 (Authority to Submit) and 09-62 (Commitment of Leverage Funds). ATTACHMENTS: Click to download ❑ Staff Report ❑ Resolution No.09-60 ❑ Resolution No.09-62 n n Pp ACH �G O� U = = City ® A ache Junction '4RlZo"P Development Services Department MEMORANDUM DATE: January 21, 2010 TO: The Honorable Mayor and City Council THROUGH: George Hoffman, City Manager Brad Steinke, Development Services Director Roger Hacker, Grants Specialist FROM: Heather Patel, Program Coordinator SUBJECT: Fiscal Year 2010 Community Development Block Grant and Fiscal Year 2009 State Special Project Programs—Resolution Number 09-60 (Authority to Submit) and Resolution Number 09-62 (Commitment of Leverage Funds) REQUEST Staff respectfully requests that the City Council: 1. Conduct a public hearing to receive public comment regarding the proposed adoption of Resolution Number 09-60 authorizing the submission of applications for Fiscal Year 2010 Community Development Block Grant Regional Account("CDBG RA")and Fiscal Year 2009 State Special Project("SSP")funds; and 2. Review, discuss, and adopt Resolution Number 09-60 (Authority to Submit) and Resolution Number 09-62 (Commitment of Leverage Funds)for Fiscal Year 2010 Community Development Block Grant Regional Account("CDBG RA")and Fiscal Year 2009 State Special Project("SSP")funds. BACKGROUND The City of Apache Junction is eligible to submit applications to the Arizona Department of Housing ("ADOH") for both CDBG RA and SSP funding. The City of Apache Junction is anticipating receiving approximately$280,000 in FYI CDBG RA funds to be used over a two year period of time(January 2011 —December 2012).These-funds are guaranteed to the community as long as a viable project is submitted for funding to ADOH. The City may retain up to 18%of these funds for administrative costs. This application is due June 1, 2010. n n The City of Apache Junction is anticipating submitting an application for the FY09 SSP funds which the City may request up to $300,000 to be used over a two year period of time. These funds are a statewide competitive grant. The City may retain up to 18%of these funds for administrative costs. The FY09 SSP application is due February 15, 2010. On November 12, 2009 a public meeting was held to solicit input from the public on potential projects for the submission of an application. Technical assistance was provided to the community until n November 29, 2009 to help formulate projects for consideration and to determine if potential projects met the requirements of the CDBG program. Additionally, on November 12, 2009 The Leadership Team met to discuss potential projects for presentation to Council. On November 30, 2009 staff presented the proposed projects for Council's review and discussion. During the December 15, 2009 Council Meeting a public hearing was held to gain input from the public and from the Council on potential projects for the submission of the FY 2010 CDBG RA and FY 2009 and FY 2010 SSP funding. At that time the City Council selected two projects to be submitted for funding to the Arizona Department of Housing. Additionally, the City Council recommended that an application for FYI SSP be held until the summer of 2010 for further evaluation and discussion on a potential project. The application due date has not yet been determined. The projects requested to be submitted were: 1) FY 2010 CDBG RA—Plaza Drive Street Improvements; and 2) FY 2009 SSP—Federal Emergency management Agency("FEMA") Study. Since the Council's decision was made,the Arizona Department of Housing has determined that, although theoretically eligible,that ADOH would not fund a FEMA study. Therefore the City will be required to submit an application for the back-up project identified for these funds: 1) FY 2010 CDBG RA—Plaza Drive Street Improvements; and 2) FY 2009 SSP—Owner Occupied Housing Rehabilitation. n DISCUSSION As part of the application requirements for submission of CDBG RA and SSP applications, a resolution is required that authorizes the City to submit applications to the Arizona Department of Housing for funding. Resolution Number 09-60 further authorizes the Mayor to sign the applications, contracts, and grant documents, and take all actions necessary to implement and complete the activities submitted within the applications. Resolution No. 09-62 reflects leverage funds allocated to the Fiscal Year 2009 SSP application. The State requires leverage funds in the form of cash or in-kind services in order to rank and rate each application for funding under the competitive application process. The City will provide$3,650 as leverage to the project, of which $2,000 will be in-kind leverage through staff time to complete the project. 2 n � RECOMMENDATION Staff respectfully recommends that Council: 1. Conduct a public hearing; and 2. Adopt Resolution Numbers 09-60 (Authority to Submit) and 09-62 Commitment of Leverage Funds). ACTION REQUIRED The following actions are req uired: 1) convening a public hearing; and 2) reviewing, discussing, and adopting Resolution Numbers 09-60 (Authority to Submit) and 09-62 (Commitment of Leverage Funds). Attachment 1: Resolution Number 09-60 (Authority to Submit) Attachment 2: Resolution Number 09-62 (Commitment of Leverage Funds) n 3 n n RESOLUTION NO. 09-60 A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, AUTHORIZING THE SUBMISSION OF APPLICATION (S) FOR FY 2010 STATE COMMUNITY DEVELOPMENT BLOCK GRANT REGIONAL ACCOUNT (` CDBG RA") , FY 2009 STATE SPECIAL PROJECT ("SSP") FUNDS, AND CERTIFYING THAT THE APPLICATION (S) : (1) MEETS THE IDENTIFIED HOUSING AND COMMUNITY DEVELOPMENT NEEDS; AND (2) IS NECESSARY FOR IMPLEMENTATION AND COMPLETION OF THE ACTIVITIES OUTLINED IN THE CDBG RA AND SSP APPLICATION (S) . WHEREAS, the City of Apache Junction is desirous of undertaking community development activities; and WHEREAS, the State of Arizona is administering the Community Development Block Grant ("CDBG") Program; and WHEREAS, the State CDBG Program requires that the requested CDBG funds address one of the three congressionally-mandated national objectives; and WHEREAS, the activities within these applications address the identified housing and community development needs, including the needs of low and moderate income persons; and WHEREAS, a grantee of State CDBG funds is required to comply with the CDBG Program guidelines and federal statutes and regulations; and WHEREAS, on December 15, 2009 and January 19, 2010, the Apache Junction City Council held public hearings on CDBG RA and SSP proposed projects . NOW, THEREFORE, BE IT RESOLVED by the Mayor and City Council of the City of Apache Junction as follows : SECTION 1 : Staff is authorized to submit applications to the State of Arizona Department of Housing for Fiscal Year 2010 CDBG RA, and Fiscal Year 2009 SSP funds, and the Mayor is authorized to sign the applications, contracts, grant documents and other related documents for receipt and use of CDBG funds for: RESOLUTION NO. 09-60 PAGE 1 OF 2 FY 2010 CDBG RA - Plaza Drive Street Improvements = funding maximum FY 2009 SSP - Owner Occupied Housing Rehabilitation = up to $250, 000 SECTION 2 : The Mayor is authorized to take any and all actions necessary to ^ implement and complete the activities submitted in the ` J applications. SECTION 3: The applications for State CDBG RA and SSP funds further the needs under State guidelines for low and moderate income persons . SECTION 4 : The City of Apache Junction shall comply with all State CDBG Program guidelines, federal statutes and regulations applicable to the State CDBG Program and certifications contained in the applications . PASSED AND ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION THIS DAY OF 2010 . SIGNED AND ATTESTED TO THIS DAY OF 2010 . JOHN INSALACO Mayor ATTEST: KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM: RICHARD J. STERN City Attorney RESOLUTION NO. 09-60 PAGE 2 OF 2 RESOLUTION NO. 09-62 A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, COMMITTING LOCAL FUNDS AS . LEVERAGE FOR FY 2009 STATE SPECIAL PROJECTS ("SSP") �°►1 APPLICATION. WHEREAS, the City of Apache Junction has adopted Resolution Number 09-60 which authorizes submission of an application (s) to the State of Arizona, Department of Housing ("ADOH") for State Special Project Funding; and WHEREAS, that application indicates that 3, 650 will be committed by the City of Apache Junction as leveraged funds, in the form of cash or resources to be used to complete the project; and WHEREAS, the SSP Program requires that all local leveraged funds/resources be committed in the form of a resolution by the governing body, and that such a commitment contain an opinion by the applicant ' s legal counsel that the leveraged funds represent a binding commitment, legally enforceable under State laws . NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, AS FOLLOWS : n 1) The Mayor and City Council hereby commit $3, 650 in funds and resources to the SSP Program, to be used for project costs, contingent upon the receipt of the FY2009 SSP assistance . 2) That the Mayor and City Council of the City of Apache Junction hereby find that this commitment is legally binding based on the legal opinion of the City attorney, and that such funds will be available for an audit at the termination of the grant, if so required by ADOH. RESOLUTION NO. 09-62 PAGE 1 OF 2 n n PASSED AND ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION THIS DAY OF 2010 . SIGNED AND ATTESTED TO THIS DAY OF 2010 . JOHN INSALACO Mayor ATTEST: KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM: RICHARD J. STERN City Attorney RESOLUTION NO. 09-62 PAGE 1 OF 2 n n ROLL CALL VOTE NOTES: CAzv" n ITEM# 1 MEETING OF l O MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER COLEMAN COUNCILMEMBER DIETZ COUNCILMEMBER SERDY COUNCILMEMBER BARKER COUNCILMEMBER WILSON VICE OR ECK MAYOR INSALACO n UNANIMO S IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: U ITEM# MEETING OF MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER DIETZ COUNCILMEMBER BARKER VICE MAYOR ECK COUNCILMEMBER COLEMAN COUNCILMEMBER SERDY COUNCILMEMBER WILSON MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL 4, ITEM NO. 15 I MOVE THAT RESOLUTION NO. 09-60, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, AUTHORIZING THE SUBMISSION OF APPLICATION(S) FOR FY 2010 STATE COMMUNITY DEVELOPMENT BLOCK GRANT REGIONAL ACCOUNT ("CDBG RA"), FY 2009 STATE SPECIAL PROJECT ("SSP") FUNDS, AND CERTIFYING THAT THE APPLICATION(S): (1) MEETS THE IDENTIFIED HOUSING AND COMMUNITY DEVELOPMENT NEEDS; AND (2) IS NECESSARY FOR IMPLEMENTATION AND COMPLETION OF THE ACTIVITIES OUTLINED IN THE CDBG RA AND SSP APPLICATION(S), (BE APPROVED) OR(BE DENIED). I MOVE THAT RESOLUTION NO. 09-62, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, COMMITTING LOCAL FUNDS AS LEVERAGE FOR FY 2009 STATE SPECIAL PROJECTS ("SSP") APPLICATION, (BE APPROVED) OR(BE DENIED). e G, a i o f bache junction r' � Pfoive of the ,j upe7 sfifion A•lounkiin s 8 Print TO: City Manager's Office FROM: Steve Filipowicz, Econ Dev Dir. DATE: February 2, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Economic Development TITLE OF AGENDA ITEM: COUNCIL DIRECTION TO STAFF ON CITY-HOSTED PUBLIC FORUM UPDATING ECONOMIC DEVELOPMENT RELATED TOPICS. ACTION REQUESTED: Direction to Staff DISCUSSION/BACKGROUND INFORMATION: Staff seeks direction on last night's work session item regarding the city hosting a public forum to update residents on economic development related topics. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download ❑ Staff Report n n �PppCHF✓� ° City of Apache Junction Home of the Superstition Mountains Economic Deve%pment Department DATE: January 21, 2010 TO: Jeff Serdy, City of Apache Junction - City Council Member THRU: George Hoffmann, City Manager FROM: Steve Filipowicz, Economic Development Director RE: Possible "public forum" event to update residents— Econ Dev/Downtown AJ/EDAPT/Tourism Following our discussion last Thursday (1/14/10) 1 sought further guidance from our City Manager on how to proceed with planning for this potential event. We strongly suggest avoiding use of the term"Town Hall" as it has different connotations to different individuals. At your request and with growing Council consensus, should Council decide to give direction to staff, we are preparing to organize a city-hosted "public forum"for the purpose of updating our community on economic development related topics of interest. The event will be primarily presentation-oriented with a Q&A opportunity toward the end. It will be open to the,public and may include invited guests from other entities to be able to respond to questions (i.e. Pinal County Econ Dev, CAC, AJUSD, etc.)or interact with the public in the post-event environment. From a media and logistics support perspective it is highly desirable to host the forum in the City Council Chamber where it can be recorded and aired on both the city's public access TV channel-11 and streamed over the web. Council Chamber also provides ready access to power point presentations and web access to demonstrate "gee whiz" capabilities and features the public might not otherwise be familiar with. However the focus may be toward the audience seats instead of the usual focus toward the dais. It is highly desirable that the event be kept to approx. two (2) hours-including Q&A. This item will go to Council at their Feb 1st Workshop/Feb 2"d Regular Council Agenda session and - assuming Council direction is so given - it is hoped that "we" can implement it later in the month of February(i.e. with 26 days). •Voice (480)982-8002 -Fax(480)982-7018 •TDD(480)983-0095 www.ajcity.net 300 E. Superstition Boulevard, Apache Junction,AZ 85119 n n A possible working title to consider is a State-of-the-City Update: Economic DevelopmentlEDAPT, Downtown, and Tourism Update. ED-related topics and likely presenters include: Setting the Stage— Impacts of"the Great Recession" on AZ—Steve F. n EDAPT Update—Jim Nelson {if available) GPEC—"what we do for AJ and the entire Valley"AND the "gee whiz" Opportunity Greater Phoenix GIS-based website—Kassy Scrivner{or whoever gave the demo to the GPEC Board that so impressed CM Serdy) Downtown Revitalization—G&G AJ's unique Business Advocate role•-staff advocate for business—Janine Solley CDC/a Main Street Program—Ariel Ohler AJ Visitors' Center—Larry Johnson Tourism—TBD (may fold into EDAPT or feature Matt M's brochure work to-date) Other possible topics: CAC's "Superstition Mountain Campus" Downtown AJ plans- may be a component of the G&G Update or a short stand alone presentation Focal Point—same as above Shop AJ Status of Lost Dutchman State Park(LDSP) Healthcare-- Yes Virginia, then/S a hospital in AJ Again the purpose is to inform AJ citizens of what's going on within these topic areas and correct misinformation that seems to circulate endlessly. Were we to be wildly successful we might see a surge in citizen involvement with these organizations or causes, and there would be greater participation by our business community in such things as Shop AJ or the new Corporate Partnership program! Possible Hurdles to overcome: Audience &Array of topics: In exploring Jim Nelson's availability to participate and do a possible EDAPT Update Jim cautions that his many years of experience strongly suggest that Economic Development and Tourism are two very different sets of participants and rolling these items together may not prove as productive as it might seem at first glance. Timing: I know you expressed a strong desire that this be accomplished in the next 3-4 weeks. Ed Gawf tells me G&G's workload and a significant investment to bring an Expert Panel together here in AJ currently schedule for February 4th will also require some time to process and absorb following that &qtP_ Realictirnily we may ha Innkinn nt the last week of Februa x, to allow for G&G's full participation. Additionally, although I have given our potential presenters an e-mail "heads-up" regarding this event I have not yet explored scheduling with a GPEC representative or spokesperson for the Opportunities Greater Phoenix website. •Voice (480)982-8002 •Fax(480)982-7018 -TDD(480)983-0095 www.ajcity.net 300 E. Superstition Boulevard, Apache Junction,AZ 85119 nr ROLL CALL VOTE r NOTE : r' A r, .n f ITEM # MEETI OF MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER WILSON COUNCILMEMBER SERDY COUNCILMEMBER COLEMAN VICE MAYOR ECK COUNCILMEMBER BARKER COUNCILMEMBER DIETZ MAYOR INSALACO UNANIMO S IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 16 I MOVE THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF REGARDING CITY-HOSTED PUBLIC FORUM UPDATING ECONOMIC DEVELOPMENT RELATED TOPICS: r� n ,n. ROLL CALL VOTE NOTES: t9 1 n ITEM # \� ` MEETING OF MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER BARKER COUNCILMEMBER COLEMAN COUNCILMEMBER WILSON COUNCILMEMBER DIETZ VICE MAYOR ECK COUNCILMEMBER SERDY MAYOR INSALACO UNANIMO S IN FAVOR OPPOSED ABSTAINED TOTAL 1 ITEM NOS. 17 & 18 THE EXECUTIVE SESSION AND WORK SESSION FOR MONDAY, FEBRUARY 15, 2010, HAVE BEEN CANCELED DUE TO THE PRESIDENT'S HOLIDAY. C I MOVE THAT AN EXECUTIVE SESSION AT 5:45 P.M. AND A WORK SESSION AT 7:00 P.M. BE HELD ON TUESDAY, FEBRUARY 16, 2010, IN THE CITY COUNCIL CONFERENCE ROOM AND CITY COUNCIL CHAMBERS RESPECTIVELY. ADJOURNMENT: I MOVE THAT THE MEETING BE ADJOURNED AT J P.M. ROLL CALL INS A,\ 10 REG:Y '\1U SPEC- CITY COUNCIL. P / A I P / A P / A ,�+� MAYOR INSALACO I / / I` l VICE MAYOR ECK V COUNCILMEMBER BARKER I COUNCILMEMBER COLEMAN I • COUNCILMEMBER DIETZ V V/ , COUNCILMEMBER SERDY V COUNCILMEMBER WILSON V TOTAL JJ 171 CITY STAFF v\� _ City Manager George Hoffman , 7 Assistant City Manager Bryant / Powell / V City Clerk Kathleen Connelly V ' V City Attorney Joel Stern i/ Public Safety Director Jerald / Monahan y/ tint) City Engineer Giao Pham Parks & Recreation Director Jeff Bell / Finance Director Donna Meinerts Public Works Director / / David Fern 1J Development Svcs. Director / Brad Steinke f/ Human Resources Director Liz Riley Planning Manager Fred Baker t Economic Development / . 00 Director Steve Filipowicz V V Assistant to the City Manager (1 ,i kiV Matt Busby „/t 'OTHERS • W { n /iyi.) ep p Date: � City of Apache Junction Item No. Request to Speak Form or Call to The Public t><\ (One Form Per Item) Please fill out completely and return to the City Clerk prior to the conclusion of the City Manager's Report portion of the agenda. Do you wish to speak before Council on this item? Yes❑ No❑ Only If Necessary ❑ ❑ I am in favor of the proposed/ tem. ❑ I am opposed to the proposed Item. 7 \:ftir3A717 Name (Print) ` 5L-r7 Or. ,) PC' PQ-' U �7 Address City Zip Code Telephone This information will be used by staff for follow-up, if necessary. Speakers are requested to directly address their agenda item and address their comments to the Mayor and City Council. Please limit Call to the Public comments to no more than three minutes and five minutes for Public Hearing items. 8/18/09