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2015 09.01 City Council Regular Agenda
-�T«mar City of Apache Junction, Arizona Meeting location `.. City Council Chambers at City Hall Agenda 3000E Superstition Blvd Apache Junction,AZ r .l 85119 City Council Meeting www ajcity net Ph (480)982-8002 Tuesday,September 1,2015 7:00 PM City Council Chambers 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 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 heanng 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. Consideration of acceptance of agenda 2 Consideration of approval of minutes for regular meeting of August 4, 2015 3. Consideration of approval of the proposed First Amendment to Janitorial Services Agreement with GCA Services Group in the amount of$22,297 28 per year Staff respectfully requests council approval on this item 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 4. Presentation of proclamation designating September as Grandfamily/Kinship Care Month Councilmember Rizzi will accept the proclamation. 5. Presentation of 25 Year Service Award to Chad Suniga of the Apache Junction Police Department City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 Am, City Council Meeting Agenda September 1,2015 F. ANNOUNCEMENT OF CURRENT EVENTS The mayor or any member of council may at this time present a brief summary of current events However, no discussion shall fake place on such items except for clarifying comments related to substance, time and location G. CITY MANAGER'S REPORT .r. 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 clanfication inquiries 6. City manager's report 7. Presentation and discussion on the recent award received by Liz Langenbach, Recreation Superintendent for the city of Apache Junction, from the Arizona Parks and Recreation Commission H. PUBLIC HEARINGS Public heanngs 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 8 Public hearing, discussion and direction to staff on proposed draft Ordinance No 1418 allowing the continuation of the .2% sales tax set to expire on September 1, 2016 9. Consideration of application for a new license, partnership, series 12 liquor license for Apache Creek Golf Club/Restaurant located at 3401 S Ironwood, Apache Junction The next step in the process is for the council to hold a public hearing and make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control 10. Consideration of an application for a special event liquor license for Community Alliance Against Family Abuse for a fundraiser on October 17, 2015 at 3301 S. Goldfield, Apache Junction The next step in the process is for the council to hold a public hearing and make a recommendation for approval or denial to the Arizona Department of Liquor Licenses and Control 11 Consideration of an application for a special event liquor license for Superstition Mountain Rotary Club for an event on October 24, 2015 at 1590 E Lost Dutchman Boulevard, Apache Junction. The next step in the process is for the council to hold a public hearing and make a recommendation for approval or denial to the Arizona Department of Liquor Licenses and Control City of Apache Junction,Arizona Page 2 Printed on 8/24/2015 City Council Meeting Agenda September 1,2015 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 submitting a wntten request-to-speak form with the city clerk .• 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 K. COUNCIL DIRECTION TO STAFF This item allows the mayor and city council to direct staff on specifically listed matters 12. Direction to staff on use tax During the August 3, 2015 Work Session, council heard a presentation from Lee Grafstrom, Tax Policy Analyst at the League of Arizona Cities and Towns, on use tax and its implementation This gives council the opportunity to provide staff direction for possible adoption of a use tax L. SELECTION OF MEETING DATES, TIMES, LOCATIONS, AND PURPOSES 13. Selection of date, time, location and purpose for a joint meeting between the City of Apache Junction City Council and Apache Junction Unified School District Governing Board 14. Executive Session at 5 45 P M and Work Session at 7 00 P M for Monday, September 14, 2015 15. Executive Session at 5 45 P M and Work Session at 7 00 P M. will be held on Tuesday, September 15, 2015. Other meetings if necessary M. CALL TO PUBLIC At this time the public has the pnvilege 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 authonzed 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 junsdiction of the city after being warned such issues are beyond the junsdiction 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 cnticism 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 City of Apache Junction,Arizona Page 3 Printed on 8/24/2015 City Council Meeting Agenda September 1,2015 N. ADJOURNMENT Copies of this agenda and additional information on any of the items listed above may be obtained from the City Clerk's office located at 300 E Superstition Blvd,Apache Junction,AZ 85119, Monday through Thursday from 7 00a-6 OOp, excluding holidays The City of Apache Junction invites and welcomes people of all abilities to use our programs, sites and facilities Specific requests may be made by contacting the Human Resources Office at(480)474-2617 .� or TDD(480) 983-0095 City of Apache Junction,Arizona Page 4 Printed on 8/24/2015 CITY COUNCIL REGULAR MEETING AUGUST 4, 2015 The regular meeting of the City Council of the City of Apache Junction, Arizona, was held on August 4, 2015, at the Apache Junction City Council Chambers pursuant to the notice /1 required by law CALL TO ORDER Mayor Insalaco called the meeting to order at 7: 00 p.m. INVOCATION Councilmember Waldron gave the Invocation. PLEDGE OF ALLEGIANCE Councilmember Rizzi led the Pledge of Allegiance ROLL CALL Councilmembers Present: Mayor Insalaco Councilmember Evans Councilmember Rizzi Councilmember Serdy Councilmember Waldron Councilmember Wilson (telephonically) (Vice Mayor Barker was absent. ) Staff Present. City Manager Bryant Powell Assistant City Manager Matt Busby City Clerk Kathleen Connelly City Attorney Joel Stern Public Safety Director Tom Kelly Parks and Recreation Director Jeff Bell Development Services Director Larry Kirch Others Present: Recreation Superintendent Liz REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 1 OF 11 Langenbach Senior Planner Rudy Esquivias ACCEPTANCE OF CONSENT AGENDA Councilmember Evans MOVED THAT THE CONSENT AGENDA BE ACCEPTED AS PRESENTED; AND THAT RESOLUTION NO. 15-26, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING THE SUBMITTAL OF A GRANT APPLICATION TO THE GILA RIVER INDIAN COMMUNITY FOR PROPOSITION 202 FUNDS FOR BODY WORN CAMERAS FOR THE POLICE DEPARTMENT IN AN AMOUNT NOT TO EXCEED $27, 910. 35, BE APPROVED; AND THAT RESOLUTION NO. 15-27, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING THE SUBMITTAL OF A GRANT APPLICATION TO THE GILA RIVER INDIAN COMMUNITY FOR PROPOSITION 202 FUNDS FOR THE OPERATION OF THE SENIOR TRANSPORTATION PROGRAM FOR EAST VALLEY ADULT RESOURCES IN AN AMOUNT NOT TO EXCEED $38, 240 . 00, BE APPROVED; AND THAT RESOLUTION NO 15-28, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING THE SUBMITTAL OF A GRANT APPLICATION TO THE GILA RIVER INDIAN COMMUNITY FOR PROPOSITION 202 FUNDS FOR THE OPERATION OF THE AMBULATORY PROGRAM FOR SUPERSTITION FIRE AND MEDICAL DISTRICT IN AN AMOUNT NOT TO EXCEED $259, 000 .35, BE APPROVED, AND THAT RESOLUTION NO. 15-30, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING A FINAL SUBDIVISION PLAT FOR THE "STAGECOACH TRAILS SUBDIVISION", IN CASE SD-2-12, BY STAGECOACH TRAILS LLC, REPRESENTED BY DAN es KAUFFMAN, BE APPROVED. Councilmember Waldron commented there is one correction. The amount should have been $200, 539. 35 for Superstition Fire and Medical . Councilmember Rizzi SECONDED THE MOTION. VOTE: Unanimous. REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 2 OF 11 The motion carried AWARDS, PRESENTATIONS AND PROCLAMATIONS None . ANNOUNCEMENT OF R CUR ENT EVENTS 08141 None CITY MANAGER' S REPORT None PUBLIC HEARINGS APPLICATION FOR AN INTERIM PERMIT, PERSON TRANSFER, LIMITED LIABILITY COMPANY, SERIES 9 LIQUOR LICENSE FOR AJ TOBACCO AND LIQUOR City Clerk Kathleen Connelly briefed the council on the item. Mayor Insalaco requested the applicant address the council. Mr. Eddie Rafeh, AJ Tobacco and Liquor in Apache Junction, addressed the council . Mayor Insalaco asked if he is just changing it over or something else. Mr. Eddie Rafeh stated correct Mayor Insalaco asked if he is the new person or the old person. Mr. Eddie Rafeh stated he is the manager Mayor Insalaco opened the public hearing on the item There being no one wishing to REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 3 OF 11 /fit speak, he closed the public hearing and reopened the item to council discussion. There being no further discussion, he called for a motion. Councilmember Waldron MOVED THAT THE APPLICATION FOR AN INTERIM PERMIT, PERSON TRANSFER, LIMITED LIABILITY COMPANY, SERIES 9 LIQUOR LICENSE FOR AJ TOBACCO AND LIQUOR, SUBMITTED BY EDDIE IMAD RAFEH, BE RECOMMENDED FOR APPROVAL TO THE ARIZONA DEPARTMENT OF LIQUOR 0111 LICENSES AND CONTROL. Councilmember Rizzi SECONDED THE MOTION. VOTE• Unanimous. The motion carried. OLD BUSINESS None. NEW BUSINESS None. DIRECTION TO STAFF DEVELOPMENT OF A YOUTH COUNCIL Mayor Insalaco commented this is something past and current city councils, along with himself, have been trying to get done for a long time, getting the youth involved in city organizations and the workings of the city. Every time they go to the League of Cities and Towns Convention they see all these cities with their youth there It is about time Apache Junction gets with it and gets this going. Recreation Superintendent Liz Langenbach briefed the council on the item. The consensus of the council was that it looked good and they liked it REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 4 OF 11 •.• /'1 Mayor Insalaco closed the discussion and called for a motion. Councilmember Waldron MOVED THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF REGARDING THE DEVELOPMENT OF A YOUTH COUNCIL• THAT IT BE AS OUTLINED IN THE MEMO OF JULY 21ST; THAT THOSE STEPS BE TAKEN TO CREATE THE COUNCIL. Councilmember Wilson SECONDED THE MOTION VOTE: Unanimous . The motion carried. CONTINUATION OF THE . 2% SALES TAX WHICH IS SET TO EXPIRE ON SEPTEMBER 1, 2016 City Manager Bryant Powell briefed the council on the item. Councilmember Evans asked how long he anticipated this going for City Manager Bryant Powell stated that is a public policy discussion for them to talk about. He thinks ten years is a mark he anticipates trying to have it work. They are at $12 million unfunded liability. Each . 2% annually would be about $1 million. It would not get us there, but at least we would be contributing towards that amount, plus the continuation of the regular Public Safety Personnel Retirement System costs. Mayor Insalaco commented we would be short if the .2% was not renewed. That money would have to come out of something else, like the police department or the library City Manager Bryant Powell stated that is correct. They would start with the new cost of $500, 000 plus $1 million that would be gone from the revenue side of the equation They would have to look at the other REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 5 OF 11 departments or however they would direct staff to look at it. They would give the council thoughts and ideas. Mayor Insalaco commented the public has to know this is not an increase, it is just continuing what we have. City Manager Bryant Powell ORS stated that is correct It is not an increase, it is just a continuation. Councilmember Wilson asked if they could have it set so that every year they receive an update as to how we are proceeding, and have a definite point where once it is accomplished that it will sunset. City Manager Bryant Powell stated they can absolutely do that. For public purposes, Councilmember Wilson is in Colorado. He thinks he was talking about an annual audit. Mayor Insalaco commented it was an update. City Manager Bryant Powell stated update and they are currently doing one on the streets and roads effort. Councilmember Rizzi asked if there is a way to designate the money for public safety. City Attorney Joel Stern stated there is City Manager Bryant Powell stated how they wanted the money designated would be part of the motion, and for how much time or however they wanted to do that. City Clerk Kathleen Connelly stated if they look at their sample motion, there is a multiple choice thing. Number one would be that the funds collected through this 2% tax be used specifically for mandatory payments REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 6 OF 11 00N Om! to the Public Safety Personnel Retirement System and purposes related directly to city law enforcement. Councilmember Waldron commented it is important to understand that this is money they have to pay for a shortage in this retirement system on investments that we do not have any control over. This is money invested by this retirement system with the state that, quite frankly, has been poorly invested. The cities have to make up this difference It has gone from $700, 000 to $1. 7 million that the city has to come up with irregardless, we have no choice. The unfortunate thing about it is it is control the city never had to begin with. It is an unfortunate situation that we are in with this whole mess Councilmember Serdy commented he made some statements last night about it would be nice if sunsetting someday meant sunsetting We always wait until the last year to talk about it. Hopefully, nine years from now, when we are all gone and there is a different council up here, they start addressing it before the ten years are up instead of continuing to pass it on and on. He would like the city to start looking at other revenue streams so they can let these things sunset someday They will be talking about that in upcoming work sessions. Mayor Insalaco closed the discussion with no further comments and called for a motion. Councilmember Evans MOVED THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF REGARDING THE ^ CONTINUATION OF THE .2% SALES TAX WHICH IS SET TO EXPIRE ON SEPTEMBER 1, 2016: THAT THE STAFF PREPARE A DRAFT ORDINANCE THAT WOULD ALLOW FOR THE CONTINUATION OF THE 2% SALES TAX AS ORIGINALLY ADOPTED IN 2000 AND FIRST CONTINUED IN 2010 WITH THE FOLLOWING CONDITIONS. (1) THAT THE FUNDS COLLECTED THROUGH THIS .2% TAX BE USED SPECIFICALLY FOR MANDATORY PAYMENTS TO THE PUBLIC SAFETY PERSONNEL RETIREMENT SYSTEM AND PURPOSES RELATED DIRECTLY TO CITY LAW ENFORCEMENT. (2) THAT THIS .2% TAX BEGIN ON SEPTEMBER 2, 2016 AND WOULD TERMINATE ON SEPTEMBER 1, 2026. (3) THAT THE DRAFT ORDINANCE BE PLACED ON THE AUGUST 31, 2015 CITY COUNCIL WORK SESSION AGENDA FOR FURTHER DISCUSSION (4) THAT A DIRECTION TO STAFF ITEM BE PLACED ON THE SEPTEMBER 1, REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 7 OF 11 2015 COUNCIL AGENDA THAT WOULD ALLOW FOR FURTHER DISCUSSION AND DIRECTION ON THIS DRAFT ORDINANCE. (5) THAT A YEARLY UPDATE BE GIVEN TO THE CITY COUNCIL PER THE FUNDING AMOUNT COLLECTED FOR THAT YEAR. Councilmember Wilson SECONDED THE MOTION. During the vote, Councilmember Serdy asked for clarification on numbers three and four. They are still going to be discussing this and we still have a full year ahead. City Clerk Kathleen Connelly stated they would not be asked to vote on this at the next set of meetings . They will have another opportunity to discuss it and look at the content of the ordinance to make sure it is what you want it to say. VOTE: Unanimous . The motion carried. PROPOSED CHANGES TO APACHE JUNCTION CITY CODE, VOLUME 1, CHAPTER 8 BUSINESS, ARTICLE 8-10 TEMPORARY FOOD AND BEVERAGE VENDORS ) Development Services Director Larry Kirch briefed the council on the item. The council consensus was they were glad to see this coming to completion Mayor Insalaco closed the discussion and called for a motion Councilmember Waldron MOVED THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF REGARDING PROPOSED CHANGES TO CITY CODE CHAPTER 8 TEMPORARY FOOD AND BEVERAGE VENDORS: THAT STAFF PREPARE AN ORDINANCE MAKING THE CHANGES TO CHAPTER 8 BASED UPON THE DRAFT LANGUAGE IN THE PROPOSAL DATED AND PREPARE CORRESPONDING CHANGES TO OTHER AREAS OF CHAPTER 8 TO MAKE THE CODE PROVISIONS COMPATIBLE. REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 8 OF 11 Councilmember Rizzi SECONDED THE MOTION. City Clerk Kathleen Connelly stated she needed to make sure, as there was a blank there, that they are looking at the language in their packets for the proposal dated July 21, 2015 OIS Councilmember Waldron commented that is correct. VOTE: Unanimous. The motion carried. SELECTION OF MEETING DATES, TIMES, LOCATIONS, AND PURPOSES Councilmember Waldron MOVED THAT AN EXECUTIVE SESSION AT 5: 45 P.M. AND A WORK SESSION AT 7 : 00 P.M. BE HELD ON MONDAY, AUGUST 31, 2015, 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, SEPTEMBER 1, 2015, IN THE CITY COUNCIL CONFERENCE ROOM. Councilmember Evans SECONDED THE MOTION. VOTE: Unanimous. The motion carried CALL TO THE PUBLIC Ms. Tess Nesser, 1511 S. Cactus, Apache Junction, addressed the council regarding the Apache Junction Bowl-A-Thon. Mr. David Coward, 9414 E. Mogollan Trail, Gold Canyon, addressed the council regarding the Save Our Schools Initiative. Mayor Insalaco commented he is glad people are taking the initiative to try to help save the schools. They have to get REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 9 OF 11 the word out to people that someone paid for them to go to school and it is time for them to do the same. ADJOURNMENT Mayor Insalaco adjourned the meeting at 7 : 25 p.m. Consent Agenda Items are as follows . 1 . Consideration of acceptance of agenda. 2 . Consideration of approval of minutes of regular meeting of July 21, 2015 . 3 Consideration of approval of Resolution No. 15-26, approving the submittal of a grant application for Proposition 202 funds to the Gila River Indian Community State Shared Revenue Program for Fiscal Year 2015-2016 on behalf of the Apache Junction Police Department. 4 . Consideration of approval of Resolution No 15-27, approving the submittal of a grant application for Proposition 202 funds to the Gila River Indian Community State Shared Revenue Program for Fiscal Year 2015-2016 on behalf of East Valley Adult Resources . 5 . Consideration of approval of Resolution No 15-28, approving the submittal of a grant application for Proposition 202 funds to the Gila River Indian Community State Shared Revenue Program for Fiscal Year 2015-2016 on behalf of Superstition Fire and Medical District . 6. Consideration of proposed Resolution No. 15-30, case SD-2- 12, a request for approval of the final subdivision plat for Stagecoach Trails Subdivision, a 15-acre, 105-lot, single- family homes subdivision at the southeast corner of W. Roundup Street and N Main Drive by Stagecoach Trails LLC. ACCEPTED THIS 1ST DAY OF SEPTEMBER, 2015, BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA. SIGNED AND ATTESTED TO THIS 1ST DAY OF SEPTEMBER, 2015 . REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 10 OF 11 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 4th day of August, 2015. I further certify that the meeting was duly called and held and that a quorum was present. Dated this llth day of August, 2015 KATHLEEN CONNELLY City Clerk REGULAR MEETING OF THE CITY COUNCIL AUGUST 4, 2015 PAGE 11 OF 11 :, 1`-m IY City of Apache Junction, Arizona 300E Superstition r Boulevard tZ ,- ''1 Apache Junction,AZ 85119 - Agenda Item Cover Sheet Agenda Item No.3. t-rd.i2,` - File ID: 15-326 Sponsor Heather Hodgman Agenda Date 9/1/2015 Index. In Control.City Council Meeting AM. Consideration of approval of the proposed First Amendment to Janitorial Services Agreement with GCA Services Group in the amount of$22,297 28 per year Staff respectfully requests council approval on this item Attachments: City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 FIRST AMENDMENT TO JANITORIAL SERVICES AGREEMENT BETWEEN GCA SERVICES GROUP, INC. AND THE CITY OF APACHE JUNCTION THIS FIRST AMENDMENT to the above-referenced agreement is made and entered into this day of September, 2015, ("the Execution Date") by and between the CITY OF APACHE JUNCTION, ARIZONA, an Arizona municipal corporation ("City"), and GCA SERVICES GROUP, INC., a Delaware corporation, ("Contractor"), sometimes both collectively referred to as the "Parties", or individually as"Party". RECITALS A. On June 17, 2014, the Parties entered into an agreement (Project No. PW2014-05) (the "Agreement") under which City hired Contractor to provide janitorial services for its public premises. B. As a result of recent police department staff changes, City is in need of additional routine janitorial services in the Police Department Headquarters located at 1001 North Idaho Road, Apache Junction, Arizona. C. Mutual interest exists to amend the June 17, 2014 Agreement by adding the Police Department Headquarters to the daily cleaning schedule. AGREEMENT NOW, THEREFORE, in consideration of mutual promises contained herein and other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, the Parties agree to amend the June 17, 2014 Agreement as follows: A. Section 1 of the Agreement, Project Description, shall be amended to add janitorial services at the Police Department Headquarters at 1001 North Idaho Road, Apache Junction, Arizona, as more fully detailed in Exhibit A. B. Pursuant to Section 3,Contract Term, the Parties agree to an additional one year extension of the Agreement which shall commence retroactively as of July 1, 2015 and terminate June 30, 2016 (the "Term"), unless terminated earlier or extended as provided for in the Agreement. C. Section 2, Price, shall be modified to include the pricing for the additional Police Department Headquarters janitorial services as set forth in "Exhibit A". D. Except as expressly amended herein, all other terms and provisions of the Agreement executed by the Parties on or about June 17, 2014, shall remain in full force and effect until the Agreement is terminated or expires. IN WITNESS WHEREOF, the Parties have caused this Amendment to be signed by their duly authorized representatives as of the day and year first above written. GCA SERVICES GROUP, INC., a Delaware corporation By: ,cf Its: C SD c r.0447 CITY OF APACHE JUNCTION, ARIZONA, an Arizona municipal corporation By: John S. Insalaco Its. Mayor ATTEST: Kathleen Connelly, City Clerk APPROVED AS TO FORM: By: R. Joel Stern, City Attorney 2 . STATE OF Fl A-O ) ) ss. County of elli ,t,G-) The foregoing was sus cribed and sworn to before me this ��fL day of n,,��J� �� Erepternber, 2015, by of GCA Services '�" Group, Inc., a Delaware c•rpora on. o ry bl' My Commission Expires: KELLY LYNCH NOTARY PUBLIC•STATE OF OHIO Recorded in Cuyahoga County • My commission expires June 28,2020 (seal) STATE OF ARIZONA ) ) ss. COUNTY OF ) The foregoing was subscribed and sworn to before me this day of September, 2015, by John S. Insalaco, as Mayor of the City of Apache Junction, Arizona, an Arizona municipal corporation. Notary Public My Commission Expires: (seal) 3 • ✓ • • • • Exhibit A BUILDING NAME: ADDRESS: Police Department Headquarters 1901 North Idaho Road,Apache Junction,AZ Daily Tasks: To be performed each scheduled day. This building shall be cleaned 5 days per week(Monday-Friday). Spec. Cleaning Task Description Task Frequency Total Cost Ref. Price Times/Yr. Annual 1 Emptying Common Area Trash Receptacles $13.63 260 $3,543.80 2 Emptying All Trash Receptacles $13.63 260 $3,543.80 3 Emptying Central Paper Recycling Containers • $13.63 260 $3,543.80 4 Restrooms,Locker/Shower Room $11.00 260 $2,860.00 6 General Cleaning $11.00 260 $2,860 00 7 Floor Maintenance $11.00 260 $2,860.00 Annual Total-Daily Tasks $19,211.40 Weekly Tasks:To be performed each week in accordance with specifications. Spec. Cleaning Task Description Task Frequency Total Cost Ref. Price Times/Yr. Annual 8 Wall-to-Wall Vacuum Cleaning $13.63 52 $708.76 Annual Total-Weekly Tasks $708.76 Supplemental Tasks:To be performed per specification with additional frequency authorized by City representatives. Spec. Cleaning Task Description Task Frequency Total Cost Ref. Price Times/Yr. Annual 5 Restroom,Locker/Shower Room Detailing $27.26 12 $327.12 9 Carpet Extraction Cleaning $150.00 1 $150.00 10 Carpet Shampoo/Spin-Bonnet Cleaning $300.00 1 $300.00 11 Scrubbing Hard Surfaced Floors $400.00 4 $1,600.00 Annual Total-Supplemental Tasks $2,377.12 Total Janitorial Costs for the AJPD Headquarters: $22,297.28 ROLL CALL VOTE NOTES: )94." (1"1111/1/1 ITEM # MEETING OF ` / MOTION BY SECONDED BY: YES NO ABSTAINED COUNCILMEMBER EVANS / VICE MAYOR BARKER i/ COUNCILMEMBER RIZZI COUNCILMEMBER WALDRON ✓ COUNCILMEMBER SERDY COUNCILMEMBER WILSON ✓/ MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL odilk CONSENT AGENDA ITEM NOS. 1-3 I MOVE THAT THE CONSENT AGENDA BE ACCEPTED AS PRESENTED, AND THAT APPROVAL BE GIVEN TO THE FIRST AMENDMENT TO JANITORIAL SERVICES AGREEMENT BETWEEN THE CITY OF APACHE JUNCTION AND GCA SERVICES GROUP IN THE AMOUNT OF $22,297 28 PER YEAR +1 � City of Apache Junction, Arizona 300E Superstition ` r "t Boulevard Agenda Item Cover Sheet Apache Junction AZ 85119 Agenda Item No 4 File ID. 15-262 Sponsor: Kathy Connelly and John Insalaco Agenda Date•9/1/2015 Index.Communication Outreach In Control. City Council Meeting Presentation of proclamation designating September as Grandfamily/Kinship Care Month Councilmember Rizzi will accept the proclamation. Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 b. to tiantation GRANDFAMILY/KINSHIP CARE MONTH SEPTEMBER 2015 WHEREAS, this year,during the month of September,Grandfamily/Kinship Care Month is observed and Apache Junction,Arizona is proud to recognize the children and their grandparents and other relatives who raise them in kinship care and who ensure their safety,promote their well-being and establish a stable household for these young people to thrive,and WHEREAS, nationally 2.7 million children are living with grandparents and other relatives in kinship care of which over 104,715 caregivers reside in Arizona;and WHEREAS, relationships with family are crucial for children,it is our responsibility to promote and preserve kinship,sibling and other familial connections for children in Arizona;and WHEREAS, Arizonans join to honor famous kinship caregivers such as President George Washington, as well those grandparents and relatives residing in urban, rural and suburban households in every county of Arizona who"famously"step forward out of love and loyalty to care for relatives when the child's biological parents are no longer able to do so;and WHEREAS, Arizonans join to honor famous youth who were raised in kinship care such as Maya Angelou,Sandra Day O'Conner and Barack Obama as well as those children residing in urban, rural and suburban households in every county of Arizona who through the unconditional support of grandparents and other relatives,have successfully addressed the emotional trauma of losing their Amok parents;and WHEREAS, the public becomes increasingly aware of the challenges faced by children, grandparents and other relatives in kinship care to work in partnership with the education, legal, social services, mental health,justice and other systems to access services that can enable kinship youth to flourish in all facets of their life;and III I\ WHEREAS, nationally, Grandfamilies/Kinship Caregivers save taxpayers more than$6.5 billion a year;and WHEREAS, one in eleven of all children and one in five black children will live within a kinship family sometime during their childhood, kinship care provides the best opportunity to retain the child's cultural heritage and community ties. NOW, THEREFORE, I, John S Insalaco, Mayor of the City of Apache Junction,Arizona,do hereby proclaim September 2015 as GRANDFAMILY/KINSHIP CARE MONTH in the City of Apache Junction. , Signed and attested to this 0% day of ✓ ,2015. r HN S.I ALACO Mayor ATTEST. KATHLEEN CONNELLY City Clerk p City of Apache Junction, Arizona 300BEoSuepe Superstition 1 4 t Agenda Item Cover Sheet Apache Junction,AZ 85119 g Agenda Item No 5 File ID: 15-307 Sponsor Thomas Kelly Agenda Date.9/1/2015 Index In Control:City Council Meeting Presentation of 25 Year Service Award to Chad Suniga of the Apache Junction Police Department Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 .kC" L City of Apache Junction, Arizona 300 E Superstition Ct/- a\., 4Boulevard ± 1� Apache Junction AZ 85119 ,v; Agenda Item Cover Sheet Yam _.— / si 1 Agenda Item No.6. tOt� - File ID: 15-236 Sponsor: Bryant Powell Agenda Date: 9/1/2015 Index- In Control. City Council Meeting City manager's report Attachments: City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 City of Apache Junction, Arizona 300Bouiea�dition c4 —; Agenda Item Cover Sheet Apache Junction AZ 85119 Agenda Item No 7 c\tittLoi, File ID 15-329 Sponsor: Jeff Bell Agenda Date 9/1/2015 Index- In Control.City Council Meeting Presentation and discussion on the recent award received by Liz Langenbach, Recreation Superintendent for the city of Apache Junction,from the Arizona Parks and Recreation Commission Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 Aniks PUBLIC HEARING 1. For DISCUSSION AND DIRECTION TO STAFF ON PROPOSED DRAFT ORDINANCE NO. 1418 ALLOWING FOR THE CONTINUATION OF THE .2% SALES TAX SETTO EXPIRE ON SEPTEMBER 1, 2016 2. Will CITY MANAGER BRYANT POWELL 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. P." N City of Apache Junction, Arizona 300E Superstition Boulevard Agenda Item Cover Sheet Apache Junction,AZ 85119 # Agenda Item No 8 File ID. 15-312 Sponsor Bryant Powell Agenda Date:9/1/2015 Index In Control.City Council Meeting Public hearing, discussion and direction to staff on proposed draft Ordinance No 1418 allowing the continuation of the 2% sales tax set to expire on September 1, 2016. Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 ROLL CALL VOTE NOTES: `� IV rij °\viL-Y. c, , .S ITEM # MEETING OF MOTION BY: c.41/11-i SECONDED BY: \/114144 YES NO ABSTAINED COUNCILMEMBER WALDRON COUNCILMEMBER EVANS COUNCILMEMBER SERDY VICE MAYOR BARKER COUNCILMEMBER WILSON 1,71 COUNCILMEMBER RIZZI MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 8 I MOVE THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF REGARDING PROPOSED ORDINANCE NO 1418 ALLOWING FOR THE CONTINUATION OF THE 2% SALES TAX SET TO EXPIRE ON SEPTEMBER 1, 2016. THAT STAFF PRESENT A FINAL PROPOSED ORDINANCE NO. 1418 BASED ON THE DRAFT DATED AUGUST 24, 2015 AND INCLUDING ANY CHANGES DEEMED NECESSARY BY THE CITY ATTORNEY AND BRING IT BACK FOR A PUBLIC HEARING AND VOTE ON ! I e)7 /.- I FURTHER MOVE THAT STAFF TAKE ALL ACTIONS NECESSARY TO MEET THE LEGAL REQUIREMENTS SET FORTH IN STATE LAW REGARDING NOTIFICATION OF THIS PENDING ACTION. elk 06\ PUBLIC HEARING 1. For APPLICATION FOR A NEW LICENSE,PARTNERSHIP, SERIES 12 LIQUOR LICENSE FOR APACHE CREEK GOLF CLUB/RESTAURANT 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. City of Apache Junction, Arizona 300 E Superstition Boulevard Junction,AZ 85119 � Agenda Item Cover SheetApache 10 Agenda Item No 9 File ID. 15-322 Sponsor: Kathy Connelly Agenda Date•9/1/2015 Index. Local/State/Federal Statutory Requirement In Control City Council Meeting Consideration of application for a new license, partnership, series 12 liquor license for Apache Creek Golf Club/Restaurant located at 3401 S Ironwood, Apache Junction The next step in the process is for the council to hold a public hearing and make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 AUGUST 13, 2015 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH BRYANT POWELL, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK SUBJECT AGENDA ITEM FOR SEPTEMBER 1, 2015 APPLICATION FOR A LIQUOR LICENSE FOR APACHE CREEK GOLF CLUB/RESTAURANT An application for a New License, Partnership, Series 12 Liquor License has been submitted by Mr Stephen Dallas for Apache Creek Golf Club/Restaurant located at 3401 S Ironwood in Apache Junction. Correspondence has been received from the building division, planning department, police department and 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. ' Llc, ii1137 Arizona Department of Liquor Licenses and '15 Control24 Li 800 West Washington,5th Floor Phoenix,Arizona 85007 www.azliquorgov 602-542-5141 APPLICATION FOR LIQUOR LICENSE TYPE OR PRINT WITH BLACK INK Notice: Effective Nov.1,1997,All Owners,Agents,Partners,Stockholders,Officers,or Managers actively involved in the day to day operations of the business must attend a Department approved liquor law training course or provide proof of attendance within the last five years. See page 5 of the Liquor Licensing requirements. SECTION 1 This application is for a: SECTION 2 Type of ownership: Li MORE THAN ONE LICENSE O INTERIM PERMIT Complete Section 5 ❑J T W R.O S Complete Section 6 ® NEW LICENSE Complete Sections 2,3,4, 13, 14, 15, 16 0 INDIVIDUAL Complete Section 6 O PERSON TRANSFER(Bars&Liquor Stores ONLY) 2I PARTNERSHIP Complete Section 6 Complete Sections 2,3,4, 11, 13, 15, 16 0 CORPORATION Complete Section 7 0 LOCATION TRANSFER (Bars and Liquor Stores ONLY) ❑LIMITED LIABILITY CO Complete Section 7 Complete Sections 2,3,4, 12, 13, 15, 16 0 CLUB Complete Section 8 ❑ PROBATE/WILL ASSIGNMENT/DIVORCE DECREE ❑GOVERNMENT Complete Section 10 Complete Sections 2,3,4,9, 13, 16 (fee not required) 0 TRUST Complete Section 6 0 GOVERNMENT Complete Sections 2, 3,4, 10, 13, 15, 16 0OTHER(Explain) SECTION 3 Type of license and fees LICENSE#(s). 7 1 59 1 Type of License(s) '� Deppt/78 Use Only 2 Total fees attached $ g APPLICATION FEE AND INTERIM PERMIT FEES (IF APPLICABL ARE NOT REFUNDABLE. The fees allowed under A.R.S.44-6852 will be charged for all dishonored checks. SECTION 4 Applicant PI bolt 7 03 1 Owner/Agent's Name n. D 5 .STEVH 3 (Insert one name ONLY to appear on license) Last First Middle 2 Corp./Partnership/L.L C C . 5 ..! [,L 40 b l O40 5 S'5 (Exactly as it appears on Articles of Inc or Arbcles of Org) u I 003 �� Business Name. 1 Cn2 c... C-ict Ci/ 3 (Exactly as it appears on the exterior of premises) 4 Principal Street Location 3 v t S. ‘.2c.,.i,= ApP1ct� �✓� n P r.'ee- £se"22o (Do not use PO Box Number) City County Zip 5 Business Phone 4 3o-.O'BB ICis�k Daytime Phone ( o2' 3S'- lct >, G Email: 1.- 6 Is the business located within the incorporated limits of the above city or town? OYES ONO 7 Mailing Address 3401 S. t w o Ors A, ae=J- -'koi, A yic City State Zip 8 Price paid for license only bar, beer and wine, or liquor store Type $ Type $ /�f� ©o DEPARTMENT USE ONLY Fees 10-0 so'-2 , / /c� O Application Interim Perrriit Site Inspection Finger Prints $ ((f TOTAL OF ALL FEES Is Arizona Statement of Citizenship &Alien Status✓u For Sta e Benefits complete? . YES 0 NO Accepted by Date: / 1 1 Lic # iii ���'ia 1 1 3 9- 5 1n/2013 `Disabled individuals requiring special accommodation, please call (602) 542-9027. 1 SECTION 5 Interim Permit: 1. If you intend to operate business when your application is pending you will need an Interim Permit pursuant to A R S 4-203 01 2 There MUST be a valid license of the same type you are applying for currently issued to the location. 3 Enter the license number currently at the location 4 Is the license currently in use?❑YES❑NO If no, how long 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, PARTNER, (Pnnt full name) MEMBER, STOCKHOLDER, OR LICENSEE (circle the title which applies) of the stated license and location. State of County of X The foregoing instrument was acknowledged before me this (Signature) Mycommission expires on. day of XP Day Month Year (Signature of NOTARY PUBLIC) SECTION 6 Individual or Partnership Owners: EACH PERSON LISTED MUST SUBMIT A COMPLETED QUESTIONNAIRE(FORM LIC0101),AN"APPLICANT'TYPE FINGERPRINT CARD,AND$22 PROCESSING FEE FOR EACH CARD. 1 Individual- Last First Middle %Owned Mailing Address City State Zip Partnership Name (Only the first partner listed will appear on license) DALS -j-i Li_P General-Limited Last First Middle %Owned Mailing Address City State Zip .Lets %ite,l �.^rpJ ° Z�. nerL riles& EN-2.4-7 RiaL5 tag► 4 I 7840 e (V024&o Aie ems, A-= gr2-4‹ ❑ Q ' ❑ ❑ ) Y R ASSECEN FT T 2. Is anyperson,other than the above, going to share in the profits/losses of the business? T YES ►'E If Yes, give name, current address and telephone number of the person(s). Use additional sheets if necessary Last First Middle MaJAddress City,State,Zip _+Telephone# • SECTION 7 Corporation/Limited Liability Co.: EACH PERSON LISTED MUST SUBMIT A COMPLETED QUESTIONNAIRE(FORM LIC0101),AN"APPLICANT'TYPE FINGERPRINT CARD,AND$22 PROCESSING FEE FOR EACH CARD. ❑ CORPORATION Complete questions 1,2,3, 5, 6, 7,and 8. ❑ LLC Complete 1,2,4, 5, 6, 7,and 8 1 Name of Corporation/L.L C- (Exactly as it appears on Articles of Incorporation or Articles of Organization) 2 Date Incorporated/Organized. State where Incorporated/Organized- 3 AZ Corporation Commission File No- Date authorized to do business in AZ. 4 AZ L L C File No. Date authorized to do business in AZ 5 Is Corp./L L.C. Non-profit?❑YES ONO 6 List all directors, officers and members in Corporation/L L C.. Last First Middle Title Mailing Address City State Zip (ATTACH ADDITIONAL SHEET IF NECESSARY) 7 List stockholders who are controlling persons or who own 10%or more Last First Middle %Owned Mailing Address City State Zip (ATTACH ADDITIONAL SHEET IF NECESSARY) 3. If the corporation/L L C is owned by another entity, attach a percentage of ownership chart, and a director/officer/member disclosure for the parent entity Attach additional sheets as needed in order to disclose personal identities of all owners SECTION 8 Club Applicants: EACH PERSON LISTED MUST SUBMIT A COMPLETED QUESTIONNAIRE(FORM LIC0101),AN"APPLICANT"TYPE FINGERPRINT CARD,AND$22 PROCESSING FEE FOR EACH CARD. 1 Name of Club. Date Chartered. (Exactly as it appears on Club Charter or Bylaws) (Attach a copy of Club Charter or Bylaws) 2. Is club non-profit? ❑ YES ❑NO 3. List officer and directors Last First Middle Title Mailing Address City State Zip (ATTACH ADDITIONAL SHEET IF NECESSARY) 3 SECTION 9 Probate,Will Asslgni,._at or Divorce Decree of an existing Bar or Liquor Store License: 1. Current Licensee's Name. (Exactly as it appears on license) Last First Middle 2. Assignee's Name Last First Middle 3 License Type License Number: Date of Last Renewal 4 ATTACH TO THIS APPLICATION A CERTIFIED COPY OF THE WILL,PROBATE DISTRIBUTION INSTRUMENT,OR DIVORCE DECREE THAT SPECIFICALLY DISTRIBUTES THE LIQUOR LICENSE TO THE ASSIGNEE TO THIS APPLICATION SECTION 10 Government: (for cities,towns, or counties only) 1 Governmental Entity- 2 Person/designee. Last First Middle Contact Phone Number A SEPARATE LICENSE MUST BE OBTAINED FOR EACH PREMISES FROM WHICH SPIRITUOUS LIQUOR IS SERVED. SECTION 11 Person to Person Transfer: Questions to be completed by CURRENT LICENSEE(Bars and Liquor Stores ONLY-Series 06,07,and 09). 1 Current Licensee's Name Entity (Exactly as it appears on license) Last First Middle (Indiv.,Agent,etc.) 2 Corporation/L C Name (Exactly as it appears on license) 3 Current Business Name (Fxactly as it appears on license) 4 Physical Street Location of Business Street City, State, Zip 5. License Type. License Number 6. If more than one license to be transfered License Type License Number 7 Current Mailing Address. Street (Other than business) City, State,Zip 8 Have all creditors, lien holders, interest holders,etc been notified of this transfer? ❑ YES O NO 9. Does the applicant intend to operate the business while this application is pending? 0 YES❑ NO If yes,complete Section 5 of this application, attach fee, and current license to this application 10 I, , hereby authorize the department to process this application to transfer the (print full name) privilege of the license to the applicant, provided that all terms and conditions of sale are met Based on the fulfillment of these conditions, I certify that the applicant now owns or will own the property rights of the license by the date of issue I, , declare that I am the CURRENT OWNER, AGENT, MEMBER, PARTNER (print full name) STOCKHOLDER, or LICENSEE of the stated license I have read the above Section 11 and confirm that all statements are true, correct, and complete State of County of (Signature of CURRENT LICENSEE) The foregoing instrument was acknowledged before me this Day Month Year My commission expires on 4 (Signature of NOTARY PUBLIC) SECTION 12 Location to Location Transfer (Bars and Liquor Stores ONLY) APPLICANTS CANNOT OPERATE UNDER A LOCATION TRANSFER UNTIL IT IS APPROVED BY THE STATE 1. Current Business' Name (Exactly as It appears on license) Address 2 New Business Name (Physical Street Location) Address 3 License Type License Number. 4 If more than one license to be transferred License Type. License Number 5 What date do you plan to move? What date do you plan to open? SECTION 13 Questions for all in-state applicants excluding those anplyjng for government,hotel/mptel. and restaurant licenses(series 5, 11,and 12): AR.S §4-207(A)and(B)state that no retailer's license shall be issued for any premises which are at the time the license application is received by the director,within three hundred(300)horizontal feet of a church,within three hundred(300)horizontal feet of a public or private school building with kindergarten programs or grades one(1)through(12)or within three hundred(300)horizonal feet of a fenced recreational area adjacent to such school building The above paragraph DOES NOT apply to. a)Restaurant license(§4-205 02) c)Government license(§4-205 03) b)Hotel/motel license(§4-205 01) d)Fenced playing area of a golf course(§4-207(B)(5)) 1 Distance to nearest school. ft. Name of school Address City, State, Zip 2 Distance to nearest church ft. Name of church Address City, State, Zip 3 I am the D Lessee ❑ Sublessee Uif Owner ❑ Purchaser(of premises) 4 If the premises is leased give lessors Name Address City, State, Zip 4a Monthly rental/lease rate$ What is the remaining length of the lease_yrs mos 4b. What is the penalty if the lease is not fulfilled? $ or other (give details-attach additional sheet if necessary) 5 What is the total business indebtedness for this license/location excluding the lease?$d "�T'�S Please list lenders you owe money to Last First Middle Amount Owed Mailing Address City State Zip (ATTACH ADDITIONAL SHEET IF NECESSARY) 6. What type of business will this license be used for(be specific)? e5 5 SECTION 13 -continued 7 Has a license or a transfer license for the premises on this application been denied by the state within the past one(1)year? YES X NO If yes, attach explanation 8. Does any spirituous liquor manufacturer,wholesaler, or employee have any interest in your business? D YES S. NO 9. Is the premises currently licensed with a liquor license? YES ❑ NO If yes,c give license numberer and licensee's name' License# b't((oOz7 (exactly as it appears on license) Name S'&+tad cue £liLr S SECTION 14 Restaurant or hotel/motel license applicants: 1 Is there an existing restaurant or hotel/motel liquor license at the proposed location? ❑ YES 6 NO If yes,give the name of licensee,Agent or a company name- and license# _ Last First Middle 2 If the answer to Question 1 is YES, you may qualify for an Intenm Permit to operate while your application is pending;consult A R.S §4-203 01; and complete SECTION 5 of this application 3 All restaurant and hotel/motel applicants must complete a Restaurant Operation Plan (Form LIC0114) provided by the Department of Liquor Licenses and Control 4 As stated in A R S § 4-205 02 G 2, a restaurant is an establishment which derives at least 40 percent of its gross revenue from the sale of food Gross revenue is the revenue derived from all sales of food and spirituous liquor on the licensed premises By applying for this 0 hotel/motel restaurant license, I certi at I understand that I must maintain a minimum of 40 percent food sales based on these definitions and have i ed the Rest urant Hotel/Motel Records Required for Audit(form LIC 1013)with this application. applicant's signature As stated in A R S § 4-205 02 (B), I understand it is my responsibility to contact the Department of Liquor Licenses and Control to schedule an inspection when all tables and chairs are on site, kitchen equipment, and, if applicable, patio barriers are in place on the licensed premises With the exception of the patio barriers, these items are not required to be properly installed for this inspection Failure to schedule an inspection will delay issuance of the license If you are not ready for your inspection 90 days after filing your application, please request an extension in writing, specify why the extension is necessary, and the new inspection date you are requesting To schedule your site inspect isit www azliquor gov and click on the "Information"tab applicants initials SECTION 15 Diagram of Premises• (Blueprints not accepted,diagram must be on this form) 1. Check ALL boxes that apply to your business Entrances/Exits .F4 Liquor storage areas Patio 431 Contiguous ❑ Service windows 0 Dave-in windows ❑ Non Contiguous 2 Is your licensed premises currently closed due to construction, renovation, or redesign? ❑YES I2f NO If yes, what is your estimated opening date? month/day/year 3 Restaurants and hotel/motel applicants are required to draw a detailed floor plan of the kitchen and dining areas including the locations of all kitchen equipment and dining furniture. Diagram paper is provided on page 7 4. The diagram (a detailed floor plan) you provide is required to disclose only the area(s)where spintous liquor is to be sold, served, consumed, dispensed, possessed, or stored on the premises unless it is a restaurant(see#3 above). 5. Provide the square footage or outside 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(B), I 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 windows,or increase or decrease to the square footage after submitting this initial drawing. applicants initials 6 SECTION 15 Diagram of r .amises 4. In this diagram please show only the area where spirituous liquor is to be sold, served, consumed, dispensed, possessed or stored It must show all entrances, exits, interior walls, bars, bar stools, hi-top tables, dining tables, dining chairs, the kitchen, dance floor, stage, and game room. Do not include parking lots, living quarters, etc. When completing diagram, North is up I If a legible copy of a rendering or drawing of your diagram of premises is attached to this application, please wnte the words "diagram attached" in box provided below. i� �Fti /GAtE N .,-- 1..rc,,,�l1' f I it STDY1. KtCtek I Pig i w gp_ 3R Di, .rJh lqt-li —c1 �arS:Di Gi /�-� /J 4.1 0,,,,444:i 0 i PAA-Ic iL'LiT Di1..),,,ii AP Ilk 07 ..... ,l l --Or It Cxot.0 `{.'t�? • [NPAu-4 C'rz�;=i- & 7a.r' 3Ltot 5'. la,.,r, .: An.-ac.c- - r. ,44. R,pvroiz C-1 1-0 5Q-et- SECTION 16 Signature Block I, LrM c a�0. C A-r _as-3 , hereby declare that I am the OWNER/AGENT filing this (print full name of applicant) applic. ran as stated la Section 4, Question 1 I have read this application and verify all statements to be true, fir-ct a . a pl:te. //d // / -i (sign. . - of apple d ction 4,Question 1) • State of County of r c%hL//J *40-in►f� KIM MARIE HIND -_ , Notary Public Arizona The fore/ing instrument was acknowledged before me this 9 ; � Muicopa County / AP My Comm. Expires Oct 6,2018 / of / O. _a� /�� /� / D. Month ..F. My commission expires on L�i� �/ ! ( / i 1 - r Day Month Year signatur•of NOTARY PUB IC 7 15 Ii. 24 Ow, Lic, wA11 J7 ARIZONA DEPARTMENT OF LIQUOR LICENSES&CONTROL 800 W Washington 5th Floor cf p ��Phoenix AZ 85007-2934 O`1, a6 I 713111 1_5 (602) 542-5141 QUESTIONNAIRE P l (f Attention ail Local Governing Bodies. Social Security and Birthdate Information is Confidential This information may be given to local law enforcement agencies for the purpose of background checks only but Must be blocked to be unreadable prior to posting ' . - or any.public view. Read carefully. This instrument is a,sworn document Type or print with BLACK INK. An extensive investigation of your background will be conducted False or incomplete answers could result in criminal prosecution and the denial-6'r subsequent revocation of a license or permit. TO BE COMPLETED BY EACH CONTROLLING PERSON,AGENT,_OR MANAGER EACH PERSON COMPLETING THIS FORM MUST SUBMIT AN "APPLICANT"TYPE FINGERPRINT CARD AVAILABLE AT THIS OFFICE FINGERPRINTS ON FBI-APPROVED CARDS ARE ACCEPTED FROM LAW ENFORCEMENT AGENCIES, BONA FIDE FINGERPRINT SERVICES,OR THE DEPARTMENT OF LIQUOR THE DEPARTMENT CHARGES A$13 FEE In addition to other fingerprint fees,a $22 DPS background checkfee will be charged for each fingerprint card Liquor License1 # The fees allowed by A.R.S.4 44-6852 will be charged for all dishonored checks. / ))3c1 5 Z(If the loca ion is curre licensed) 1 Check ❑Controlling Person ['Agent I +Manager(Only) appropriate (Complete Questions 1-19) (Complete All a uesttons except#14,14a&21) box --10.- Controlling Person or Agent must complete#21 for a Manager Controlling Person or Agent must complete#21 2 Name I-So LA. .'-0S J a�a Date of Birth Last t Middle u rc ecor 3 Social Security Number . Drivers License#4/1111.1111C State. AZ (NOT a public record) jj n (NOT a public record) 4 Place of Birth 0l n n 5t � Co II 6,.,k USA Height .5 1. Weight 13L/ Eyes b/I,e)r-lair: 191010r1 City State Country (not county) 5 Marital Status ❑Single arr ied 0 Divorced 0 Widowed r 6 Name of Current or Most Recent Spouse 175 QL L)& ,+ JJ (t r Date of BirttalliM (List all for last 5 years-Use additional sheet if necessary) Last First Middle Maiden (NOT a�public record) i' u 7 You are a bona fide resident of what state? I Zee-A If Arizona,date of residency , CO "1 5 8 Telephone number to contact you during business hours for any questions regarding this document (4'z) 3t q •sqg� 9 If you have been an Arizona resident for less than three(3)months si ihmit a copy of your Arizona driver's license or voter registipn can) tlArir 10 Name of Licensed Premises Aea t A - ' ' • I=f LAS Q-;Ai P ses Phone 0 8Sg'(854 .,._ 11 Physical Location of Licensed Premises Ad ess I- IOUI i SoZ in ' I s o not City County Zip rUuo.'6Q03 12 List your employment or ty,pe of business d rig the,p ,fj, 0,yoftwvItunem mart of the time, list those dates List most recent 1st FROM TO DESCRIB=POSITION ,,• • ' .ME OR NAME OF BUSINESS M onth/Ye ar Month/Year OR BU ` - (street address,city,state&zip) 1U/ �{ {� 1 �"1 y�/ti/;CURRENT /] / l� „ r�(�] 0�1 1/Q p Y � ^j ,9 • ( .,iror, �-t�J Dv. ATTACH ADDITIONAL SHEET IF NECESSARY FOR EITHER SECTIONS 13 Indicate your residence address for the last five(5)years FROM TO Rent or RESIDENTIAL Street Address Month/Year Month/Year Own If rented,attach additional sheet with name, address and phone number of landlord City City State Zip f_/DI CURRENT 01, /1 ' L16a, E. 'K al_',, I lI \ITV lC. I SL�dl,5x,i14, • lisrmr:- 0rts . April 16,2012 ( Disabled indivildpals requiring pedal accommodations,please call the Department(602)542-9027 tom. _-,,, If you checked the Manager box on the front of this form skip to#15 14 As a Controlling Person or Agent,will you be physically present and operating the licensed premises? S'ES ENO If you answered YES, how many hrs/day?S'^10 and answer#14a below. If NO, skip to#15 14a Have you attended a DLLC-approved Liquor Law Training Course within the past 5 years') (Must provide proof) ' YES ONO If the answer to#14a is"NO",course must be completed before Issuance of a new license or approval on an existing license. 15 Have you been cited, arrested, indicted or summoned into court for violation of ANY law or ordinance, ❑YES NO regardless of the disposition, even if dismissed or expunged,within the past ten(10)years? In addition, please include all traffic tickets and complaints within the last ten (10)years that resulted in a warrant for arrest AND any traffic tickets and complaints that are alcohol or drug-related 16 Are there ANY administrative law citations, compliance actions or consents, criminal arrest, indictments ❑YES�O or summonses PENDING against you or ANY entity in which you are now involved? Include only criminal traffic tickets and complaints 17 Have you or any entity in which you have held ownership, been an officer, member, director or manager ❑YES16O EVER had a business, professional or liquor application or license rejected. denied, revoked, suspended or fined in this or any other state? 18. Has anyone EVER filed suit or obtained a judgment against you, the subject of which involved fraud or ❑YESKO misrepresentation? 19. Are you NOW or have you EVER held ownership, been a controlling person, been an officer, member, ElYES'NO director or manager on any other liquor license in this or any other state? If any answer to Questions 15 through 19 is"YES"YOU MUST attach a signed statement Give complete details including dates, agencies involved, and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED 20. IT)t 5via , hereby declare that I am the APPLICANT/REPRESENTATIVE (print full name of Applicant) filing this questionnaire I have read this questionnaire and all statements are true, correct and complete X _ State of 4Z46-- County of (Signature of Applicant) The foregping instrument was acknowledged before me this day of 71?a-4/ ,o-2G/ 3/5'/a / WS Montp + Year ruoi G My commission expires on Day Mo .° , Miufe0pat • nature of NOTARYPUBLIC) ta...D My Comm,Expl S,2018 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 act as manager for the named liquor license. The • . ager named must be at least 21 years of age /j 1 State of County of v_ / The fo inst m- t was acknowied ed before is �r AP% �Oji 4 / # day of `/ O.it : • ontrolli•• Pe • or Agent e one) • IAIM IILLANdima Print Name J_ _2 1 �E, cme)r^ KIM MARIE HIND My commission expires on (�/ /(/ Y-�_ Notary Public-Arizona Day Month Year ;i ':a Maricopa County %+4 s4.5 vu., My Comm.Expires Oct 6.2018 I , , Certificate #ci37ctc-' 3 I On-sale Certificate of Completion a Off-sale For I On- and off-sale Title, ;' tC`L'tcuQ `L ih i n g r•. A Certificate of Completion must be on a form pr w " ''r Certificates are completed by a state approved training provider and, when issued theolor „ e,�qs t k The State requires BASIC Title 4 training only as e IE A ini kr ap a result of a liquor law violation Persons required to have BASIC Title 4 training are listeb at t rti (21eer ii m s,require BASIC Tile 4 Training a conditioi employment 4- .',>, b ,.. :r v. A replacement Certificate of CgmpftU r6pr 4 trvairltarpirSIVtiiiailatitettrwftinrIT§itiNgSpitei fo1"trnc years after the tr. completion date %. cr..�_ r,-• „ r �, 9 • .-'r •St .ent.informatii rf• . -r;J t . • - .. Jif p —rsot-)KA s • Fall Name(please On -7‹ EtaiAL, `'. Signature Al21) Z �: ., lfCL 2-DA 2i)1S% ramingrCvr) eSprt t , _ , • ,. Cep �. ic"�' -. q Date .4- 17 ;k R 3 -I a,t t; ('Lteexy iplAte. io9l date) f vt>�'er r1f i ben '::. . Re 1'ta nts 6445 East Princess Driv ,r a a, Arizona 85227-1662 Mailing Address 480-830-2768 (po2.3►q. 3*5 3 Cru. Daytime Contact Phone Number 0006, l Larry Elliget , certify that the above named individual did successfully comp—ce Instructor Name(please print) Title 4 BASIC Training in accordance with A R S §4-112(G)(2) and Arizona Administrative Code (A A C )R19-1-103 using training course content and materials approved by the Arizona Department of Liquor Licenses and Contrc I understand that mis se of this Certificate of Completion can result in the revocation of State-approval for the Ti 4 Training Provider n ed in thi section as provided by A.A C R19-1.103(E) and (F). Zf / OS / �i (S nstructor Signature Day Mo Year Persons required to complete BASIC&MANAGEMENT Title 4 training 1)owner(s)actively involved in the daily business operations of a liquor licensed business of a series listed below 2)licensees agents and managers actively involved in the daily busine operations of a liquor-licensed business of a series listed below In state Microbrewery(series 3) Government(series 5) Bar(series 6) Beer&Wine Bar(series 7) Conveyance(series 8) Liquor Store(series 9) Private Club(series 14) Hotel/Motel w/restaurant(series 11) Restaurant(series 12) In state Farm Winery(series 13) Beer&Wine Store(series 10) Liquor license applications(initial and renewal) are not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor The questionnaire(which designates a manager to a location)and the agent change form (which assigns a new agent to active liquor icenses)are not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor July 11,2013 • ' Certificate # Os2a(Sti'- Certificate of Completion For Title 4 MANAGEMENT Liquor Law Training A Certificate of Completion must be on form provided by the Arizona Department of Liquor. Certificates ore completed by a state- approved training provider and,when issued,the Certificate is signed by the course participant Basic Title 4 training is a prerequisite for MANAGEMENT Title 4 training. A valid Certificate of Completion for BASIC Title 4 training must be on file at the Department of Liquor and satisfactory completion of a State-approved BASIC Title 4 course must be verified by the training provider prior to issuing a Certificate of Completion for MANAGEMENT Title 4 training. ..�A replacement Certificate of Completion for Title 4 training must be available through the training provider for two years after the training ;ompletian dote Student Information 15.00 k"~rns Full Name(pleas ' t) jiaktk Signature M ow 21 1 74.)rS CA .I 2-01 ZD i $ training Completion Date Certificate Expiration Date (three years from completion dote) Training Provider Information Red Mountain:Liquor Consultants Company Name 6445 East Princess Drive, Mesa, Arizona 85227-1662 Moiling Address 480-830-2768 Daytime Contact Phone Number � ' L..&A'-( , certify that the above named individual did successfully complete structor Nome(please print) title 4 MANAGEMENT Training in accordance with A R.S. §4-112(G)(2) and Arizona Administrative Code (A.A.C.)R19-1-103 using training course content and materials approved by the Arizona Department of Liquor Licenses and Control. 1 understand that misuse of this Certificate of Completion can result in the revocation of State-approval for the Title 4 Trainin•, -rovider named in this section as provided by A.A.C. R19-1-103(E) and (F). �r ZI /oS / zvrS Instru' r S•nature Day Mo Year Persons required to complete BASIC B.MANAGEMENT Title 4 training 1)owner(s)actively involved in the daily business operations of a liquor- licensed business of a series listed below 2) licensees,agents and managers actively involved in the doily business operations of a liquor-licensed business of o series listed below In-state Microbrewery(series 3) Government(series 5) Bar(senes 6) Beer&Wine Bar(series 7) Conveyance(series 8) Liquor Store(series 9) Private Club(series 14) Hotel/Motel w/restourant(series 11) Restaurant(series 12) in-state Form Winery(series 13) Beer&Wine Store(series I.0) Liquor license applications Initial and renewal)ore not complete until void Certificates of Completion for all required persons have been submitted to the Deportment of Liquor. The questionnare(which designates a manager to a location)and the agent change form(which assigns o new agent to active liquor licenses)are not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor July 11,2013 '15 JUL C4 LIT. Lirii11..37 ARIZONA DEPARTMENT OF LIQUOR LICENSES & CONTROL 800 W Washington 5th Floor Phoenix,AZ 85007-2934 www azliquor.gov (602)542-5141 RESTAURANT OPERATION PLAN LICENSE# !' 1 List by Make, Model and Capacity of your: Grill A?Lo 7 '2(2' Gn t 1 Sz: ;fit B er7 F'z.rrr TAP G✓2 L c. Oven D Freezer 7-14,0 s/js U3 ..4.4--,r-) Refrigerator - A a.0 s/s oc e S;o>r Sink 4 s i s S( �J c rn la; te_ S�-� • Dish Washing Facilities cam, tars U Lct4v-trsp, Ss k_rs Food Preparation Counter(Dimensions) Pf 4 i sl.s Other tr-.(001( - ac3u i m4.c,/ �v � C�dr- rnr1Jc St(tin_ kkc—, acc..:tDl. .. OFy !J-w`e.I', 7-to-cc-c:__ tunste,4- 2. Print the name ofyour restaurant ApAe,m C1^eeu 6aF B`Ae5G . 3 Attach a copy of your menu(Breakfast,Lunch and Dinner including prices). 4. List the seating capacity for: a. Restaurant area of your premises [ (oG (do not include patio seating) b. Bar area of your premises [ + c. Total area of your premises [ (sue S. What type of dinnerware and utensils are utilized within your restaurant? EL Reusable az Disposable 6. Does your restaurant have a bar area that is distinct and separate from the restaurant seating? (If yes,what p rcentac e of the�ublic floor space does this area cover). 0 Yes % 121 No 7. W at percentage of your public premises is used primarily for restaurant dining? (D es not include kitchen,bat�cockt I tables or game area.) S5• 'r—vDrggStreS74i71 aR`rc" wiring special accommodations,please call(602)542-9027 12/17/2013 8. Does your restaurant contain any games or television? 23. Yes 0 No If yes, specify what types and how many of each type(Televisions,Pool tables, Video Games, Darts,etc). 3 .1 sitsgo-u• 9. Do you have live entertainment or dancing? 0 Yes leNo (If yes,what type and how oflen?) 10. Use space below or attach a list of employee positions and their duties to fully staff your business mANati'c" [ A-S " ( S0t4p) ,hereby declare that I am the APPLICANT filing this application. I have (Print full name) read tins plicatton and the co nts and all statements true,correct and co ete. State of County of The for instrument was aclmow e d before a this day of a Day o onth • M My commission expires on• !O '•2D1 (Si ture of NOTAR P LIC) %.46.40..4641. 11.460=tee 1 . KIM MARIE HIND �� y Notary Public-Arizona ;v a Maricopa County �`a,,,,,l" My Comm. Expires Oct 6,2016 2 • it is, (0 00 — Pr APACHE CREEK 6 a-oV MENU HAMBURGER $5.95 CHEESEBURGER $6.95 BACON CHEESEBURGER $7.95 HOT DOG OR BRAT WITH CHIPS $4.00 - . . . - CHEESE DOG WITH CHIPS $4.50 SAUERKRAUT BRAT WITH CHIPS $4.5 r17 HOT AND COLD SANDWICHES (LISTED BELOW) COME WITH CHOICE OF FRIES, SMALL GARDEN SALAD OR CHIPS B.L.T. $5.5(. GRILLED HAM AND CHEESE $5.50 PATTY MELT $6.50 TUNA MELT $6.50 APACHE CLUB $7.50 HAM OR TURKEY SANDWICH $6.00 TUNA OR CHICKEN SALAD $5.50 CHICKEN CAESAR SALAD $5.50 CCSUMING RAW OR UNCOOKED MEATS OR EGGS INCREASES TAF' RISK OF FOOD BORN ILLNESSES, ESPECIALLY IF YOU HAVE CERTAIN MEDICAL CONDITIONS. APACHE CREEKv - a BREAKFAST U ALL AMERICAN $5.50 2 eggs any style, hash browns, toast and your choice of Ham, Bacon or Sausage. CHEESE OMELET $6.50 Comes with hash browns, toast and your choice of meat BREAKFAST BURRITO $5.50 Choice of Ham, Bacon or Sausage BREAKFAST SANDWICH $3.00 Choice of Ham, Bacon or Sausage SHORT STACK' $3.00 Two pancakes FRENCH TOAST $3.00 Two slices of toast ASSORTED BREAKFAST BREADS $2.00 Bagels, Muffins or Toast CONSUMING RAW OR UNCOOKED MEATS OR EGGS INCREASES THE RRISK OF FOOD BORN ILLNESSES, ESPECIALLY IF YOU HAVE CERTAIN MEDICAL CONDITIONS. State of Arizona Department of Liquor Licenses and Control 800 W. Washington, 5"' Floor Phoenix,Arizona 85007-2934 www.aziiquor gov (602)542-5141 RECORDS REQUIRED FOR AUDIT Applies to Series 11 (Hotel/Motel W/Restaurant) & Senes 12 (Restaurant) Only MAKE A COPY OF THIS DOCUMENT AND KEEP IT WITH RECORDS REQUIRED BY THE STATE In the event that your business is audited by the Department of Liquor, you will be asked to provide documentation of compliance with A.R S §4-205(H) Other documents that may be required for audit include and are not limited to 1 All invoices and receipts for the purchase of food and spirituous liquor for the licensed premises. 2 A list of all food and liquor vendors. 3 The restaurant menu reflecting pnces during the audit period 4 A price list for alcoholic beverages on menu during the audit period. 5 Mark-up figures on food and alcoholic products during the audit period 6 A recent, accurate inventory of food and liquor(taken within two weeks of the Audit Interview Appointment) 7 Monthly Inventory Figures-beginning and ending figures for food and liquor 8 Chart of accounts(copy) 9 Financial Statements (Income Statements, Balance Sheets, etc) 10 General Ledger A. Sales Journals/Monthly Sales Schedules 1) Daily Sales Reports (to include the name of wait staff, bartender, etc with sales for that day) 2)Daily Cash Register Tapes-Journal Tapes and Z-tapes 3)Dated Guest Checks 4)Coupons/Specials/Discounts 5)Any other evidence to support income from food and liquor sales B Cash Receipts/Disbursement Journals 1) Daily Bank Deposit Slips 2)Bank Statements and canceled checks 11. Tax Records A. Transaction Privilege Sales, Use and Severance Tax Return(copies) B Income Tax Return -city, state and federal (copies) C ,Ar,,y s pQo in b oks,r ecords, schedules or documents used in preparation of tax returns 12. Payroll Records A Copies of all reports required by' ie State and Federal Government B Employee Log(A R S §4-119)`. C. Employee time cards(actual document used to sign-in and—out each work day) D Payral c&Fd?T fir ernprby6ee showing hours worked each week and hourly wages 13 Off-Site Catering records (must be complete and separate from restaurant records) A.All documents which support the income derived from the sale of food to be consumed off of the licensed premises B.All documents which support purchases made for food to be consumed off of the licensed premises C All coupons/specials/discounts 7/25/2012 The sophistication of record keeping varies from establishment-to-establishment Regardless of each licensee's accounting methods,the amount of gross revenue derived from the sale of food and liquor must be substantially documented REVOCATION OF YOUR LIQUOR LICENSE MAY OCCUR IF YOU FAIL TO COMPLY WITH A.R.S.§4- 210(A)(7)AND A.R.S. §4-205.02(H) A.R.S.§4-210(A)(7) The Licensee fails to keep for two years and make available to the department upon reasonable request all invoices, records, bills or other papers and documents relating to the purchase, sale and delivery of spirituous liquors and, in the case of a restaurant or hotel-motel licensee, all invoices, records, bills or other papers and documents relating to the purchase, sale and delivery of food. A.R.S.§4-205.02(H) 1. "Gross Revenue" means the revenue denved from all sales of food and spirituous liquor on the licensed premises, regardless of whether the sales of spirituous liquor are made under a restaurant license issued pursuant to this section or under any other license that has been issued for the premises pursuant to this article 2. "Restaurant"means an establishment which derives at least forty per cent of its gross revenue from the sale of food, including sales of food for consumption off the licensed premises if the amount of these sales included in the calculation of gross revenue from the sale of food does not exceed fifteen percent of all gross revenue of the restaurant I, J " 'let.e,e. Jot4> ,, ave read .nd fully Print Full Name(first, middle,last) / understand all aspects of this statement / ,!'' /,_ `l Ile_ , .ignat -• of ice Notary - State of , j„,,A(1_ ounty of YOA7(1,99A J • ounty The foregoin. strument was acknowledged before me this �47 day of <� �onth ,��10/ D Year 4 My C mission Ex ires on �� �stig►or KIM MARIE HIND yiiDa Month 4 - fif a? Notary Public-u tzona _c...i7 ` ;r''� Maricope County Sign lure of Notary •���My Comm Expires Oct 6,2018 MAKE A COPY OF THE DOCUMENT AND KEEP IT WITH RECORDS REQUIRED BY THE STATE '15 Ji ._ 24 Lid''. Lic. Ni11t:q ARIZONA DEPARTMENT OF LIQUOR LICENSES&CONTROL 800 W Washington 5th Floor Phoenix AZ 85007-2934 r Il . nl• i i 'I () c( 3 (602)542-5141 �,((J�1 l� QUESTIONNAIRE p U CA) 10'77 Attention all Local Governing Bodies• Social Security and Birthdate Information is Confidential. This information may be given to local law enforcement agencies for the purpose of background.checks only but must be blocked to be unreadable prior to posting ' . or any public view. - Read carefully This instrument is a sworn document. Type or print with BLACK INK. An extensive investigation of your background Will/be conducted. False or incomplete answers " could result in criminal prosecution and the denial r subsequent revocation of a license or permit TO BE COMPLE I ED BY EACH CONTROLLING PERSON,AGENT,OR MANAGER. EACH PERSON COMPLETING THIS FORM MUST SUBMIT AN 'APPLICANT'TYPE FINGERPRINT CARD AVAILABLE AT THIS OFFICE. FINGERPRINTS ON FBI-APPROVED CARDS ARE ACCEPTED FROM LAW ENFORCEMENT AGENCIES,BONA FIDE FINGERPRINT SERVICES,OR THE DEPARTMENT OF LIQUOR THE DEPARTMENT CHARGES A$13 FEE. In addition to other fingerprint fees,a 522 DPS background check fee will be charged for each fingerprint card. Liquor License # The fees allowed by A.R.S.4_44-6852 will be charged for all dishonored checks i i . 5 (If the location is currently licensed) 1 Check yl Controlling Person ,Agent ❑ Manager(Only) appropriate (Complete Questions 1-19) (Complete All Questions except#14,14a&21) box—0. Controlling Person or Agent must complete#21 for a Manager Controlling Person or A ent must complete#21 2 Name UA(J...AS 6r pr nl J Cki>J Date of Birth Last First Middle (NOTa Public Record $` �� Az 3 Social Security Numbe .:��. �-- .: � .. � Drivers License#' State. (NOT a public record) (NOT a public record) to 4 Place of Birth. UJr/ `-(S A Height: S-- Weight. 2(0 Eyes J Loc Hair es:f2h-, City State Country (not county) 5. Marital Status ❑ Single"Married❑Divorced❑Widowed 6 Name of Current or Most Recent Spouse. brg11415 3 ot,r L n'1. AL.,vr]e-i-- Date of Brth alMilt (List all for last 5 years-Use additional sheet if necessary) ) -- Last First Middle Maiden (NOT a public record) 7. You are a bona fide resident of what state? J'L�v" If Arizona,date of residency. '(98q 8 Telephone number to contact you during business hours for any questions regarding this document. i2— `1-1 4;1 1 9 If you have been an Arizona resident for less than three(3)months,submit a copy of your Arizona driver's license or voter registration card 10 Name of Licensed Premises. 6,-ex� 6 •'C C6?8/(Z'3M-)Pr'' Premises Phone '5f?• 6 13 fl--1 £r'S 1 ,� 11 Physical Location of Licensed Premises Address 3"p I 5, -lnzvtt�Ji-v ID-,-, r•(Q -1:. t .- V./At- ccZZ• Street Address (Do not use PO Box#) City County Zip 12 List your employment or type of business dunng the past five(5)years If unemployed part of the time, list those dates. List most recent 1st. FROM TO DESCRIBE POSITION EMPLOYER'S NAME OR NAME OF BUSINESS Month/Year Month/Year OR BUSINESS (street address,city,state&zip) 2 IZc,01 CURRENT LT1.l1AL Mann 1c.c Zj ri s -e•al. /k/ 4/ 9 � 6 "t� Di/'2 " Gout rJ/93 & i-i-- tit/iS ATTACH ADDITIONAL SHEET IF NECESSARY FOR EITHER SECTIONS 13 Indicate your residence address for the last five(5)years FROM TO Rent or RESIDENTIAL Street Address 77 Month/Year Month/Year Own If rented,attach additional sheet with name,address and phone number of landlord City /State (C Zip 63 2 1 ! CURRENT �J..J k 3 2-�`-/4'9/hv� .c-y'` ym,e9/9- 'T' d - 4 ` I April 16,2012 I Disabled individuals requiring tpecial accommodations,please call the Department_(602)542-9027 ,,.y If you checked the Manager box on the front of this form skip to# 15 14 As a Controlling Person or Agent,will you be phypically present and operating the licensed premises? OYES ONO If you answered YES, how many hrs/day? -tO and answer#14a below If NO, skip to#15 14a Have you attended a DLLC-approved Liquor Law Training Course within the past 5 years? (Must provide proof) ®YES ONO If the answer to#14a is"NO",course must be completed before issuance of a new license or approval on an existing license. 15 Have you been cited,arrested, indicted or summoned into court for violation of ANY law or ordinance, O YES IS NO regardless of the disposition, even if dismissed or expunged, within the past ten(10) years? In addition, please include all traffic tickets and complaints within the last ten (10)years that resulted in a warrant for arrest AND any traffic tickets and complaints that are alcohol or drug-related. 16 Are there ANY administrative law citations, compliance actions or consents, criminal arrest, indictments ❑YES ji:1 NO or summonses PENDING against you or ANY entity in which you are now involved? Include only criminal traffic tickets and complaints. 17. Have you or any entity in which you have held ownership, been an officer, member, director or manager DYES E NO EVER had a business, professional or liquor application or license rejected, denied, revoked, suspended or fined in this or any other state? 18 Has anyone EVER filed suit or obtained a judgment against you, the subject of which involved fraud or DYES ®NO misrepresentation? 19 Are you NOW or have you EVER held ownership, been a controlling person, been an officer, member, %YES LINO director or manager on any other liquor license in this or any other state? If any answer to Questions 15 through 19 is"YES"YOU MUST attach a signed statement Give complete details including dates, agencies involved, and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED 20. I, 3-eptii-)3 J644 Der LAS , hereby declare that I am the APPLICANT/REPRESENTATIVE (print full name.f Applicant) filing t questionnaire I ha - r-ad this questionnaire and all statements are true, correct and complete • State of County of Gf/f.0 natu Applicant) eg • g instrum t ack owled ed befor e t3 day of J'� ear My commission expires on. - (� �tJ� LA Day Month Year (Sig Lure of NOTARYPUSLIC) 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 named liquor license The manager named must be at least 21 years of age State of County of The foregoing instrument was acknowtedged before me this X day of Signature of Controlling Person or Agent(circle one) Month Year SSig ature Of N2T/IFY2U.uC Print Name 4 �'+��� KIM MARIE HIND 0 Mycommission expires on 5 � 1 y Notary Public-Arizona Day Month Year 4 �yy Maricopa County ( 10:1La My Comm Expires Oct 6. 2018 ( ok Cv =N► ko c,7 r N ` -#--ire iCcti� � (..c.tko�.Z Ce-rt el t . ApAC-c6. Ca - Gu te Ct✓A3 , '3 404 S, ((2-04w..uo Az. LLC-e'n5c p'i t tocaz7 C/eert_ Az Lice-el sz d 1c'To 8-6 5 att)C{f. G,oc.4P- CAL)b , G7'.Ea aD c 16'7 cc)3 S' 4 P r is ti-s -ite€3 - f-fi'a eit3A C.0 LA ca.,se_ ' 1`f oZ©cc 3 ARIZONA STATEMENT OF CITIZENSHIP OR ALIEN STATUS FOR STATE PUBLIC BENEFITS Title IV of the federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (the "Act"), 8 U.S.C. § 1621, provides that, with certain exceptions, only United States citizens, United States non-citizen nationals, non-exempt "qualified aliens" (and sometimes only particular categories of qualified aliens), nonimmigrant,,dnd certain aliens paroled into the United States are eligible to receive state, or local public benefits. With certain exceptions, a professional license and commercial license issued by a State agency is a State public benefit. Arizona Revised Statutes § 41-1080 requires, in general, that a person applying for a license must submit documentation to the license agency that satisfactorily demonstrates the applicant's presence in the United States is authorized under federal law Directions: All applicants must complete Sections I, II, and IV. Applicants who are not U.S. citizens or nationals must also complete Section III. Submit this completed form and a copy of one or more document(s) from the attached "Evidence of U.S. Citizenship, U.S. National Status, or Alien Status" with your application for license or renewal. If the document you submit does not contain a photograph, you must also provide a government issued document that contains your photograph. You must submit supporting legal documentation (i.e. marriage certificate) if the name on your evidence is not the same as your current legal name. SECTION I -APPLICANT INFORMATION APPLICANT'S NAME (Print or type) 3 i -kri . ,a„) d ;t--A5 TYPE OF APPLICATION (Check one) 2i INITIAL APPLICATION 0 RENEWAL SECTION II -CITIZENSHIP OR NATIONAL STATUS DECLARATION Are you a citizen or national of the United States? In Yes 0 No If Yes, indicate place of birth. City Sc-A-T-lfe.. State (or equivalent)(,k)(-St-lirc'Country or Territory `t.S. A If you answered Yes, 1) Attach a legible copy of a document from the attached list. Name of document: 'PA5sPorEi- 2) Go to Section IV. If you answered No, you must complete Section III and IV. 1 of 3 Apnl 2014 SECTION III -ALIEN STATUS DECLARATION To be completed by applicants who are not citizens or nationals of the United States. Please indicate alien status by checking the appropriate box. Attach a legible copy of a document from the attached list or other document as evidence of your status. Name of document provided Qualified Alien Status (8 U S.C.§§ 1621(a)(1),-1641 (b) and (c)) ❑ 1. An alien lawfully admitted for permanent residence under the Immigration and Nationality Act (INA) ❑ 2. An alien who is granted asylum under Section 208 of the INA. 0 3 A refugee admitted to the United States under Section 207 of the INA ❑ 4. An alien paroled into the United States for at least one year under Section 212(d)(5) of the INA. ❑ 5. An alien whose deportation is being withheld under Section 243(h) of the INA. ❑ 6. An alien granted conditional entry under Section 203(a)(7) of the INA as in effect prior to April 1, 1980. ❑ 7. An alien who is a Cuban/Haitian entrant. ❑ 8. An alien who has, or whose child or child's parent is a "battered alien" or an alien subject to extreme cruelty in the United States. Nonimmigrant Status (8 U S C § 1621 (a)(2)) ❑ 9. A nonimmigrant under the Immigration and Nationality Act [8 U.S.0 § 1101 et seq.] Nonimmigrants are persons who have temporary status for a specific purpose. See 8 U S.0 § 1101 (a)(15).Alien Paroled into the United States For Less Than One Year (8 U.S C. § 1621 (a)(3)) ❑ 10.An alien paroled into the United States for less than one year under Section 212(d)(5) of the INA Other Persons (8 U.S.0 § 1621 (c)(2)(A) and (C) ❑ 1 1.A nonimmigrant whose visa for entry is related to employment in the United States, Or ❑ 12.A citizen of a freely associated state, if section 141 of the applicable compact of free association approved in Public Law 99-239 or 99-658 (or a successor provision) is in effect [Freely Associated States include the Republic of the Marshall Islands, Republic of Palau and the Federate States of Micronesia, 48 U.S.C. § 1901 et seq.), 2 of 3 ❑ 13.A foreign national not physically present in the United States. Otherwise Lawfully Present ❑ 14.A person not described in categories 1-13 who is otherwise lawfully present in the United States PLEASE NOTE: The federal Personal Responsibility and Work Opportunity Reconciliation Act may make persons who fall into this category ineligible for licensure. See 8 U.S.C. § 1621(a). SECTION IV - DECLARATION All applicants must complete this section. I declare under penalty of perjury under the laws of the state of Arizona that the answers and evidence I have given are true and correct to the best of my knowledge. STeiori4r3 Jctj UA-u r9-s 'S11 g l 7o I Applicant's printed name Today' date rb(I Ap can signature EVIDENCE OF U.S. CITIZENSHIP, U S. NATIONAL STATUS, OR ALIEN STATUS You must submit supporting legal documentation (i.e. marriage certificate) if the name on your evidence is not the same as your current legal name. Evidence showing authorized presence in the United State includes the following: 1 An Arizona driver license issued after 1996 or an Arizona non-operating identification license 2. A driver license issued by a state that verifies lawful presence in the United States 3 A birth certificate or delayed birth certificate showing birth in one of the 50 states, the District ® of Columbia, Puerto Rico (on or after January 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, or the Northern Mariana Islands (on or after November 4, 1986, Northern Mariana Islands local time) 4 A United States certificate of birth abroad. 5 A United States passport. ***Passport must be signed*** 6 A foreign passport with a United States visa. 7. An 1-94 form with a photograph. 8 A United States citizenship and immigration services employment authorization document or refugee travel document 9. A United States certificate of naturalization. 10.A United States certificate of citizenship. 11.A tribal certificate of Indian blood. 12.A tribal or bureau of Indian affairs affidavit of birth. 13.Any other license that is issued by the federal government, any other state government, an agency of this state or a political subdivision of this state that requires proof of citizenship or lawful alien status before issuing the license. 3 of 3 aal I n ... '1. . : 1 ...,, ...i., _ 1 .. 1..• ... -.. \ )', •If i '''' ‘ .!'.., .....„ s,. .......,_ -4".6....,- ,-, . • - , UI the 1 RI I e a Atirt14. 1 .._.: 1 r..., .•.,. -iii. . . ,. .......,..",,A.0:tre7e-zi ..v.• '. heakikoeivel,y',pd.-r..2.-,-2..-4,77....,.or•Z'i ,G.A-ver A,tqes,*up err,".. .. .,. ,...../...,..!„,„„ii,,./z..„./.4.1 it wy i•'..;:! •.71-Aiv.:.-si_offibo-S A.c...•44-o.rtii ,, ''''••.1 -- - ,ff:tos-orit V:mil...1-I-..1?fir.oligi,.?..t. r,'..,*• .••:•47.4'4*.•TV,ii-::;,, f.::V T.r.. *,',red,. " ''4,• - ,..-,,,,,F ,.... ' ; ''' '-'1;:',;...' :.a?. • s' ,, * 'V A • - 7:•:'-;17; r...A . .., „„,. - - ;•;;;." ,.,-,.iscisiii.,,f.7,-,..,,s.4 . •-,.,t .4;_, ,_r • i.--• • .-- --,?,-:te• 1.*zt' ', f. , . 4,,,,-, 1 - elliN' 4g- 4 • * • . .. - ,--t 4 ,- . - , , 7-sir . 4,..i. --:' '.2.--,,:;‘,',-` ' -,'1/2, k '... r"' 'ii) • .-- • / ,e.k.......... 1; ... • ... ..;.^:" SIGIVATURE OF ARER/Si(t. r E DU trro,m0E sriRmA cIEL,IT,_.,...A A 'IV' ., —, , . i ' , 10 i:• : .• .. PA 'SA' ' A-'-'#0.• 'N I .A)••S ti1 I.,,1/41 91.- M‘Itl.s,1%It •I. --• ',:' • •• PA S A P 0 1211-41"1"'"'frtIN''''',-W *-; ' ' Daecjort lio:, -'. • • ---1.''..-:',..N.:.'• : - '' is 74---.....,_, -:'.7-•1.-,:--:,-,r .::-.L-,...4',%-t-• . . ... ,.... . --. '''--v .- ,.. at•A *IV. :. utl'erts•tr;i••• 'F."7.,,,a,,-`---??". - - .r.,-,.. . .. . -..„...„......:.,„.....,,,,. DALLAS'- ' ;L. : '' •r.-.( ....-5‘.'.- '":... ',Ceven,tteinc Pintri.t haute% '4;2, .i•i: '-'::'tli 1.W.• ':: ''',1, • STEPHEN JOHN '',- _ .. -- - i7•4*-1 '`± ''' &.'.:.4.:77'71:9: ..:,- - 'NIICAMIty.NatkAlini i tisainitictid- `:., ,', • '-...„ _, 4'..' '.:t.'41ri 7" UNITED STATES OF,;-AMERICAI?"- •,": ,= ir-k+.'-i ,,'-': -, ..•,, 7-',--;:c. ..• .i.',..,..-••-• --u- Data of birth!Date tie nair..sins,iibi deAptereo- -, : - ••:. - , •• 2---.4 C12.Dec 1948 - '' ' ' - .-5 Ir'":- Ir."-rit.*-, . , Pia0.0 b.,111.bill de nm.Saiyio.t4gar de natinveted Sea/Sete/Se3,9 • ...sa •,';!... 1...,...7. T ...:;.:4,..:, •- 4-V ..--..,• WA:g1-1INGTO N.U SA- --e.,- - •.• ,--,7*, •. pate co issue i Date dt de Ph,:^Po I teat OP..ditPeOttete- Auittordyi Aulollt./Adlotid.r.1 - -.7 4,...i. .• - . r '---- '''• • . . ;.k7 Arn21511- ' '':'-•=-•":"- -.7--,...,*;.- , ;:unireitsr -7.4f;? -- -,,—.....„ . . . ._ Dm or apicn,on 1 tiara Texpoi41.Cli!Foci*de Cedized0 Department'Y t 0--s-t tit _. ,..... .., , a• ' ..-. • - -_ -:..: 28.4(2‘023 , , f micinunete/lerborrSpicult-.-41:ittecioteg .- Tr -ri- , 4 SEEPAGE-, 27 • , —,--v----......----: ‘--- ----•--.0- .A.,...--,----r.'-.---..,-:-.--.F-:-.4-.•-•:-,------ • •,...,--tt-,:-_. -‘.---1-.---•--,-r-------------- --' .- , ••• - P<USADALLAS<-<STEPHE-N‘JOIN,<<•<<• < -< •<-<•54.<<•‘<.<i,.'; ' !-.- .. • , ,„.. _ . 50891406560-S A •:304263611.114i8466205054 -: . • .: ..:, ,,,, Alnik, 0- Certificate # C 3-1 iS i3 ig On-sale Certificate of Completion CET Off-sale For 131 On-and off-sale Title_4=BAS1C Liquor-Law zT %ining A Certificate of Completion must be on a form ersividelb)_1-r#Atizc ad paf m pt igtipapor. Certificates are completed by a state- approved training provider and,when issued,the.C"ertificbfeit-Siiigned.by.the coarse portibipant' The State requires BASIC Title 4 training only as a p)'er�egU te'foNAAArNAG M_Title4iraining;or as a result of a liquor law violation Persons required to have BASIC Title 4 training are listed of the:base o thi3i ertrkrc e; Li,ensees"sa'hefimes require BASIC Title 4 Training a condition of employment Y t ti ; A" A replacement Certificate of Completion for"rile 4 training muss be aia�able through tlie'trainmg provider for two years after the training completion date s 'Stuiient.information hen J II Name _ se print) g ature rain ng Completion Dafe • Certi.icatefxprabon Date • f s F (jhte y'cts from completion date) Training Piovi-.e `Information Red Mountain Liquor ponsuitants CompcSny;Name 6445 East Princess Drive,,Mesa, Arizona 85227-1662 Mailing Address 480-830-2768 I Daytime Contact Phone Number I, Ili" et_t, c , certify that the above named individual did successfully complete —instructor Name(please print) Title 4 BASIC Training in accordance with A.R.S. §4-112(G)(2) and Anzona Administrative Code(A.A.C.)R19-1-103 using training course content and materials approved by the Arizona Department of Liquor Licenses and Control I understand that misuse of this Certificate of Completion can result in the revocation of State-approval for the Titkk 4 Training Provider named in t is se n as provided by A.A.C. R19-1-103(E) and (F) Apri -z( /CS / 7v i J flirt• Signature Day Mo Year Persons required to complete BASIC&MANAGEMENT Title 4 training 1)owner(s)actively involved in the daily business operations of a liquor- licensed business of a series listed below 2)licensees,agents and managers actively involved in the daily business operations of a liquor-licensed business of a series listed below In-state Microbrewery(series 3) Government(series 5) Bar(series 6) Beer&Wine Bar(series 7) Conveyance(series 8) Liquor Store(series 9) Private Club(series 14) Hotel/Motel w/restaurant(series 11) Restaurant(series 12) In-state Farm Winery(series 13) Beer&Wine Store(series 10) liquor license applications(initial and renewal)ore not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor The questionnaire(which designates a manager to a location)and the agent change form(which assigns a new agent to active liquor licenses) are not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor July 11,2013 ' Certificate # 6.L2.i tT r►'1 _-Certificate of Completion For . �, _ir Title 4 MANAGEMENT Liquor LOVv. Training A Certificate of Completion must be on a formlprovided by the Ar'sona Department of liquor Certificates are completed by a state- approved training provider and,when issued,the Certificate.is`signed by,the course participant Basic Title 4 training is a prerequisite for MANAGEMENT Title 4 framing A valid Certificate of Completion for BASIC Title 4 training must be on file at the Department of Liquor and satisfactory compiefion ofcq1State=approved BASIC Ttle 4 Course must be verified by the training provider prior to issuing a Certificate of Completion for MANAGEMENTTitle'4training:> i A replacement Certificate of CompletlQn for Title 4 training most be available through the training provider for two years after the training — Completion date Student information 7 - - , z - ' - - ' :', , Full e(pi s pnnt) i nature. aining Completion Date Cent ate Expiration Date r (three years horn completion date) Training Provider Infbrma#ion Red Mountain liquor Consultants Company`Nome: 6445 East Princess Drive, Mesa, Arizona 85227-1662 Mailing Address 480-830-2768 ' • Daytime Contact Phone Number I, LI ELAA.4c , certify that the above named individual did successfully completeIructor Name(please print) Title 4 MANAGEMENT Training in accordance with A.R.S §4-1 12(G)(2) and Arizona Administrative Code (A.A.C.)R19-1-103 using training course content and materials approved by the Anzona Department of Liquor Licenses and Control. I understand that misuse of this Certificate of Completion can result in the revocation of State-approval for the Title 4 Traini Provider named in this section as provided by A.A.C. R19-1-103(E) and (F). "2-I / d / 7.vtS� In c 5i ature Day Mo Year Persons required to complete BASIC&MA EMENT Title 4 training. I)owner(s) actively involved in the daily business operations of a liquor- licensed business of a series listed below 2)licensees,agents and managers actively involved in the daily business operations of a liquor-licensed business of a series listed below In-state Microbrewery(series 3) Government(series 5) Bar(series 6) Beer&Wine Bar(series 7) Conveyance(series 8) Liquor Store(series 9) Private Club(series 14) Hotel/Mote!w/restaurant(series 11) Restaurant(series 12) In-state Farm Winery(series 13) Beer&Wine Store (series 10) Liquor license applications (initial and renewal)are not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor. The questionnaire(which designates a manager to a location)and the agent change form(which assigns a new agent to active liquor licenses)are not complete until valid Certificates of Completion for all required persons have been submitted to the Department of Liquor July 11,2013 '15 JUL 24 LET'. tic. i11.37 ARIZONA DEPARTMENT OF LIQUOR LICENSES &CONTROL 800 W Washington 5th Floor Phoenix AZ 85007-2934 c ?�a 1 n (602) 542-5141 QUESTIONNAIRE P k 5 Attention all Local Governing Bodies. Social Security and Birthdate-information is Confidential. This information may be given to local law enforcement agencies for the purpose of background checks-only but must be blocked to be unreadable prior to posting ' or any public view. ':' Read carefully. This instrument is a sworn document Type or print with BLACK INK. An extensive investigation of your background wil be conducted. False or incomplete answers could result in criminal prosecution and the denial or subsequent revocation of a license or permit TO BE COMPLETED BY EACH CONTROLLING PERSON,AGENT,OR MANAGER EACH PERSON COMPLETING THIS FORM MUST SUBMIT AN °APPLICANT"TYPE FINGERPRINT CARD AVAILABLE AT THIS OFFICE FINGERPRINTS ON FBI-APPROVED CARDS ARE ACCEPTED FROM LAW ENFORCEMENT AGENCIES, BONA FIDE FINGERPRINT SERVICES,OR THE DEPARTMENT OF LIQUOR. THE DEPARTMENT CHARGES A$13 FEE. In addition to other fingerprint fees,a$22 DPS background check fee will be charged for each fingerprint card. Liquor License # The fees allowed by A.R.S.6 44-6852 will be charged for all dishonored checks. /a 113 5 (If the location is curre tly licensed) 1 Check %Atrolling Person Agent Manager(Only) appropriate (Complete Questions 1-19) (Complete All Questions except#14,14a&21) box --Ia. Controlling Person or Agent must complete#21 for a Manager - Controlling Person or Agent must complete#21 2 Name ,rep /S /Of/ W /1`/41/V2 Helen eaDate of Birth' Last First Middle a u lc Record 3 Social Security Number ,44 Drivers License# State: i/ r�Z U Ne (NOT a public record) (NOT a public record) �/ 4 Place of Birth "Pr 74.5/1OGf 7"1r / D USA Height 5 // Weight /1� Eyes.,AHair City State Country (not county) 5 Marital Status Single Married Divorced Widowed //�� idy14a 4/6 Name of Current or Most Recent Spouse. /e a /j f� /l&fr'fie J&'/✓ Date of Birth allillir (List all for last 5 years-Use additional sheet If necessary) Last First Middle Maiden (NOT a public record) 7 You are a bona fide resident of what state? /7 1'! z DW C( If Arizona,date of residency /0 — / 9 7 8 Telephone number to contact you during business hours for any questions regarding this document Lite 6 93- 9.51 Lj 9 If you have been an Arizona resident for less than three(3)months submit a c.r riv of your Arizona driver's license or voter registration card. 10 Name of Licensed Premises. //, /r C P t� 3 i ' remises Phone. 8a'—' r6 31-1 11 Physical Location of Licensed Premises Address: . VO/ ,; �C'' 2 •OM✓74.4:0l o 52.W Street Address (Do not use PO Box#) City - . 'C Zip 12 List your employment or type of business during the past five(5)years If unemployed part of the time, list those'dates ist most recent 1st. FROM TO DESCRIBE POSITION EMPLOYER'S NAME Olt 11'A E F s Month/Year Month/Year OR BUSINESS (street address,city,state&zip) • /0-k 4 CURRENT ( - 9 ((� L /Il / _ / - il1 Cree,e iJ,'D//CAI f ref,tn`Gtsd 4 ,a Ac ,Ti(NG/'Dw✓ S3-2:ZG ATTACH ADDITIONAL SHEET IF NECESSARY FOR EITHER SECTION 13. Indicate your residence address for the last five(5)_years FROM TO Rent or RESIDENTIAL Street Address Month/Year Month/Year Own If rented,attach additional sheet with name,address and phone number of landlord City State Zip 40007 CURRENT p!,(Ir/ TFyo, A dere? c Me S.9/19 April 16,2012 Disabled Individuals requiring special accommodations,please call the Department.(602)542-9027 If you checked the Manager box on the front of this form skip to#15 14 As a Controlling Person or Agent,will you be physically present and operating the licensed premises? YES ii If you answered YES,how many hrs/day? and answer#14a below. If NO, skip to#15 14a. Have you attended a DLLC-approved Liquor Law Training Course within the past 5 years? (Must provide proof) YES NO If the answer to#14a is"NO",course must be completed before issuance of a new license or approval on an existing license. 15. Have you been cited, arrested, indicted or summoned into court for violation of ANY law or ordinance, YES 03 regardless of the disposition, even if dismissed or expunged, within the past ten(10)years? In addition, please include all traffic tickets and complaints within the last ten (10)years that resulted in a warrant for arrest AND any traffic tickets and complaints that are alcohol or drug-related 16.Are there ANY administrative law citations, compliance actions or consents, criminal arrest, indictments YES Z or summonses PENDING against you or ANY entity in which you are now involved? Include only criminal traffic tickets and complaints. 17 Have you or any entity in which you have held ownership, been an officer, member, director or manager YES EVER had a business, professional or liquor application or license rejected. denied. revoked, suspended or fined in this or any other state? 18 Has anyone EVER filed suit or obtained a judgment against you, the subject of which involved fraud or YES N r misrepresentation? 19 Are you NOW or have you EVER held ownership, been a controlling person, been an officer, member, YE NO director or manager on any other liquor license in this or any other state? If any answer to Questions 15 through 19 is "YES"YOU MUST attach a signed statement Give complete details including dates, agencies involved, and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED , LLam/ 20 I, Wi //laws //' /( /S fQi✓ , hereby declare that I am the APPLICANT/REPRESENTATIVE (print full name of Applicant) filing this questionnaire. I have read this questionnaire and all statements are true, correct and complete • X l�/. /(/r/ Y State of ounty of /V/ &t a_.) (Signature of Applicant) Z u--� Th foe g intro was a nowiedged before is l' day of �i „ _ �,I 1i1R �� y KIM MARIE HIND i / MO,t, My commission e `J -w Public•Arizona ( /'�K/ `#`. C041. ' c„ii, MytokiiY. Expfl'pPtkt 6 2 � b (Signal of NOTARYPUBLIC) COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21. The applicant hereby authonzes the person named on this questionnaire to act as manager for the named liquor license. The manager named must be at least 21 years of age State of County of The foregoing instrument was acknowledged before me this X day of Signature of Controlling Person or Agent(circle one) Month ' Year (Signature of NOTARY PUBLIC) Prim Name My commission expires on. Day Month Year •+•I .... Curt-cm-144 i kola, 1, ergsi• cF-► ee,-,se 07z Ieoz 7 low k-) a+ Apache CI eec., L,olP CLA 3 3-4o1 S. 1Qw1 cr., Or. 3'4 c 1 PPA "e o rdroPiActeitezbweii494v ?�. Home of the Superstition Mountains q 'Iz°NP NOTICE The attached application for a New License, Partnership, Restaurant Liquor License submitted for Apache Creek Golf Club/Restaurant located at 3401 S. Ironwood, Apache Junction, Arizona, was posted on the 29th day of July, 2015, at 9:00 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 objections against, shall be filed thereafter A public hearing will be held Tuesday, September 1, 2015, at the City Council Chambers, 300 E. Superstition Blvd , Apache Junction, AZ at TOO p.m., at which time any objections filed will be heard. .,-- /7<= ic-is-IL/ 7 Kathleen Connelly City Clerk DO NOT REMOVE THIS NOTICE AND/OR ATTACHMENTS. REMOVAL OF THIS APPLICATION MAY JEOPARDIZE CITY COUNCIL RECOMMENDATION. • Voice (480) 982-8002 • FAX (480)982-7018 • TDD(480)983-0095 • www ajcity net 300 E. Superstition Boulevard, Apache Junction,AZ 85119 Wile H, 04.. Home of the Superstition Mountains OP' July 29, 2015 Stephen Dallas Apache Creek Golf Club/Restaurant 3401 S. Ironwood Apache Junction, AZ 85120 Dear Mr. Dallas Please be advised that the application for a New License, Partnership, Series 12 Liquor License submitted for Apache Creek Golf Club/Restaurant, located at 3401 S Ironwood, Apache Junction, Arizona, was posted on July 29, 2015, in accordance with state law. The Apache Junction City Council will hold a public hearing on September 1, 2015, at 7.00 p m in the City Council Chambers, 300 E Superstition Blvd., Apache Junction, at which time the city council will consider a recommendation for approval or disapproval which will be forwarded 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, August 12, 2015, 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 474-5068 Sincerely, Kathleen Connelly 'f City Clerk •Voice(480)982-8002 • FAX(480)982-7018 •TDD(480)983-0095 • www ajcity net 300 E Superstition Boulevard, Apache Junction,AZ 85119 JULY 28, 2015 MEMORANDUM TO: DEPARTMENT OF PUBLIC SAFETY BUILDING DIVISION PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH: KATHLEEN CONNELLY, CITY CLERK FROM: JAN MASON, DEPUTY CITY CLERK SUBJECT: APPLICATION FOR LIQUOR LICENSE FOR APACHE CREEK GOLF CLUB/RESTAURANT Mr. Stephen Dallas has submitted an application for a New License, Partnership, Series 12 Liquor License for Apache Creek Golf Club/Restaurant located at 3401 S. Ironwood, Apache Junction. Please conduct the necessary inspections and submit your recommendation by email no later than Wednesday, August 12, 2015, in order for this item to be on the agenda for the City Council meeting of September 1, 2015. Janet Mason From: Dave Zellner Sent: Wednesday, August 12, 2015 1.48 PM To: Janet Mason; Rudy Esquivias;John Suniga(John suniga@sfmd.az gov) Cc: Larry Kirch, Kathy Connelly Subject: RE Apache Creek Golf Club/Restaurant Aft' Sorry Jan, Building has no issues with the granting of a liquor license at this location Dave Zellner From: Janet Mason Sent: Wednesday, August 12, 2015 12:56 PM To: Rudy Esquivias; Dave Zellner, John Suniga (john.suniga@sfmd az gov) Cc: Larry Kirch; Kathy Connelly Subject: Apache Creek Golf Club/Restaurant I have not received your department recommendation for this liquor license application Please forward it to me no later than noon on Thursday, 8/13/15 Thanks I have attached the information for your convenience Jan Mason Deputy City Clerk City of Apache Junction 1 Janet Mason From: Rudy Esquivias Sent: Wednesday, August 12,2015 3:51 PM To: Janet Mason, Dave Zellner;Jeff Robinson,John Suniga (John suniga@sfmd az gov), Troy Mullender Cc: Larry Kirch; Emile Schmid Subject: RE Liquor license application for Apache Creek Golf Club Attachments: Res#CUP-94-01 Apache Creek Golf Course.pdf;Apache Creek Golf Course Inquiry Ray Van Cleave 12-15-14.pdf Jan: The Apache Creek Golf Club and Restaurant property is zoned RS-20(Medium Density Single-family Detached Residential). In 1994, a conditional use permit(see Res #CUP-94-01 attached)was approved to allow the operation of the golf course on residential zoned property Back then,the property was zoned CR-1. Condition#9 of said CUP allows the golf course to have other uses incidental to a golf course use, including"the sale of alcohol" Therefore,the Planning Division has no objection to allowing the restaurant to also serve liquor We also take this opportunity to note that not all of the required improvements around the property have been installed; namely,the street improvements on Baseline Back in December, a new potential property owner was requesting waiver of said improvements,which staff declined (see letter to Mr Van Cleave attached). egcl#4,Equiviab Senior Planner/Zoning Administrator City of Apache Junction 300 E. Superstition Blvd Apache Junction, AZ 85119 480-474-2645 resquivias@a3city.net SERVICE OVER AND ABOVE THE REST (Development Services Department office hours: Monday through Thursday from 7.O0am to .-. 6 00pm, closed Fridays and Holidays ) From: Janet Mason Sent:Tuesday, July 28, 2015 12:26 PM To: Dave Zellner; Rudy Esquivias; Jeff Robinson; John Suniga (iohn.suniga(asfmd.az.gov); Troy Mullender Subject: Liquor license application for Apache Creek Golf Club I have received an application from the Apache Creek Golf Club/Restaurant. Please get your department recommendations to me no later than Wednesday,August 12 Thanks 1 PLANNING AND ZONING COMMISSION RESOLUTION NO. CUP-94-01 A RESOLUTION OF THE PLANNING AND ZONING COMMISSION OF THE CITY OF APACHE JUNCTION, ARIZONA, APPROVING A CONDITIONAL USE PERMIT, CASE NO. CUP-94-01, TO ALLOW JOE R. ALSIP AND WALTER P. CONNER TO OPERATE AN 18-HOLE FEE GOLF COURSE ON A CR-1 ZONED, ARIZONA STATE TRUST LAND PROPERTY LOCATED AT THE SOUTHEAST CORNER OF SOUTH IRONWOOD DRIVE AND THE SOUTH RIGHT-OF-WAY LINE OF THE SUPERSTITION FREEWAY (US60). WHEREAS, said Conditional Use Permit for the golf course shall be site specific for the property located at the southeast corner of S. Ironwood Drive and the Superstition Freeway (US6O), which is legally described as follows: The Southwest quarter of Section 32, Township 1 North, Range 8 East, Gila and Salt River Base and Meridian, Apache Junction, Pinal County, Arizona; AND WHEREAS, satisfactory evidence has been received to indicate that the golf course has been designed and will be operated in such a manner that it will not create a safety hazard for participants, nearby traffic or neighboring properties; AND WHEREAS, satisfactory evidence has been received to indicate that the golf course, as allowed by Conditional Use Permit, is a reasonable use for the property and is compatible with other uses in the CR-1 zoning district; AND WHEREAS, it has been acknowledged that the golf course shall be an 18-hole fee golf course open to and for the enjoyment of the general public; AND WHEREAS, it has been acknowledged that the golf course is located on Arizona State Trust Land property and the State Land Department has indicated that it will issue a temporary lease permit for the use of the land upon approval of this Conditional Use Permit by the City of Apache Junction; AND WHEREAS, it is understood that the Conditional Use Permit may be revoked by the Zoning Administrator upon a finding that there has been material noncompliance with any condition prescribed in conjunction with the granting of this Conditional Use Permit. PLANNING & ZONING RESOLUTION NO. CUP-94-01 PAGE ONE OF THREE NOW, THEREFORE, BE IT RESOLVED by the Planning and Zoning Commission of the City of Apache Junction, Arizona, that a Conditional Use Permit be approved to allow the applicants in this Conditional Use Permit application, or their successors, to operate an 18-hole fee golf course, as described in Case Number CUP-94-01, pursuant to Section; ,0204 and 15.1.0I04.4 of the Apache Junction, Arizona, Zoning Ordinance, subject to the following conditions: 1) This Conditional Use Permit shall be valid for as long as the applicants or their successors (hereafter referred to as 'applicants") are permitted by the State of Arizona to lease the property for the purpose of operating a golf course. When the State permit is terminated, this permit shall also automatically terminate with no further legislative action. 2) The applicants shall improve the roadways (the West 50 feet or more and the South 50 feet or more) to street standards as determined by the City Engineer and also provide for any other necessary off-site improvements. A two year time limit, from the date of approval of this CUP, shall be established for the completion of roadways and off-site improvements. If said improvements have not been completed at the end of two years, the Commission or City Council may rescind or extend the Conditional Use Permit at their discretion. 3) The golf course shall be allowed on-site signage as permitted for uses in commercial districts, including the use of banners. No off-site signage is allowed. 4) The golf course shall be developed per the basic design shown on the submitted preliminary plans, including but not limited to features such as: on-site water retention; the extensive use of existing natural vegetation; safety and buffer berms; any safety netting which may become necessary, particularly around the driving range and road frontage areas; camouflaged and elevated fuel tanks; and buildings architecturally enhanced to give the appearance of conventional construction. 5) The applicants shall develop and submit landscape plans, subject to approval by the Planning Division, during the building permit process.6) All required access roads for fire apparatus and fire hydrants, as determined by the Fire Marshall , shall be constructed and installed by the applicants. 7) All lighting at the golf course shall comply with the city's Dark Sky Ordinance. 8) The City of Apache Junction shall be included as an additional insured party in the insurance policy of the golf course, for the city's protection. PLANNING & ZONING RESOLUTION NO. CUP-94-01 PAGE TWO OF THREE 9) The golf course shall be allowed any other incidental uses or activities that are customarily associated with golf courses, including the sale of alcohol, food, golf accessories, etc. , subject to the proper securing of applicable licenses and permits. 10) The Zoning Administrator may rescind the Conditional Use Permit if any of the conditions above have not been complied with or if the use proves to be a demonstrated hazard. PASSED AND ADOPTED BY THE PLANNING AND ZONING COMMISSION OF THE CITY OF APACHE JUNCTION, ARIZONA, THIS 26TH DAY OF APRIL, 1994. THIS PLANNING AND ZONING COMMISSION RESOLUTION SHALL BECOME EFFECTIVE ON MAY 26, 1994. SIGNED AND ATTESTED TO THIS ____ DAY OF M czu , 1994. / GIL VERLEY; Planning and Zoni Commission Chairman ATTEST: r JAMES A. NAKAGAWA Executive Secretarr- APPR AST F GL J. GI B I Ci y Attorney PLANNING & ZONING RESOLUTION NO. CUP-94—01 PAGE THREE OF THREE opk = Cityof Apache Junction pon Development Services Department Planning & Zoning — Building & Safety — Revenue Development December 16, 2014 Mr. Ray Van Cleave For Dimension Financial & Realty Investments, Inc. 2920 E Camelback Road Suite 200 Phoenix, AZ 85016 Subject: Request for Information Regarding Apache Creek Golf Course Development Approvals and Development Requirements Dear Mr. Van Cleave• The purpose of this letter is to reply to your inquiry about whether a change in the land use to a mixed use development would require a General Plan amendment and rezoning You also inquired about the possibility of the City eliminating the recorded agreement postponing offsite improvements If there is a total redevelopment of the site and it is a mixed use, planned development, an amendment to the General Plan would not be necessary because the land use designation on the Future Land Use Map is Master Planned Community The General Plan was adopted in 2010 and is valid for 10 years. The Development Services Department does not anticipate the Land Use Designation changing but the next time the General Plan is updated,all land use is under review. Also, a rezoning would be required to a mixed use Planned Development district since the current zoning designation is RS-20 (Medium Density Single Family Detached Residential; conventional homes on 20,000 sq ft lots) The Planning and Zoning Commission approved a Conditional Use Permit(CUP) on May 10, 1994 The obligation to complete the offsite street improvements is delineated in Condition #2 of the CUP. On November 16, 1994, the Agreement Postponing Offsite Improvements (PCA Instrument#149537) was entered into between the city and the then-owner Both the CUP and the Agreement contain provisions that all of the conditions apply to all successors in interest(i.e : subsequent owners of the business and holders of the ASLD lease). The City's position is that the 1994 postponement agreement is still valid and applies to all successors in interest. Mr. Grandy, former City Engineer, in May 12, 1999, sent a confirming letter to the golf course owner stating the Ironwood Drive improvements were substantially completed and built according to the approved plans The owner pledged that the Baseline Road improvements would be completed by June 15, 2000 The City billed the owners $22,200 for intersection signal improvements and currently there is no record of the payment with any city department, but we are still searching. In the event we cannot confirm payment, future owners are still liable for this unpaid amount as well as the obligation to construct or finance the required improvements along Baseline Road. 300 E Superstition Boulevard • Apache Junction AZ 851 19 • Ph (480)474-5083 •Fax(480)982-7010 www aj city net ... AO. Apache Creek GC CUP/Agreement Postponing Offsite Improvements December 16, 2014, Page 2 The City staff position is that the recorded agreement is still valid and that any release or change to the agreement or CUP would require Planning and Zoning Commission approval. The City will not likely waive the requirement for improvements to Baseline Road and the City may still be owed $22,200 for intersection improvements at Baseline and Ironwood roads Please be advised that the city will enforce the agreement which may include the city taking the matter to the P&Z Commission for revocation of the certificate of occupancy and/or CUP,or approve an updated postponement agreement of the improvements but with a date certain for engineering design and completion of construction and posting of a bond for the estimated costs. Please know that the City wishes you a smooth transaction in acquiring the business interests of the golf course and will work with you as best we can to help accomplish this within the parameters stated above Thank you and if you have any questions regarding this matter, please contact me at(480)474- 5082. Sincerely, Lawrence J Kirch, AICP Director of Development Services, Zoning Administrator cc. Joel Stern, City Attorney George Hoffman, City Manager Bryant Powell, Assistant City Manager Giao Pham, Director of Public Works .••. Emile Schmid, City Engineer Rudy Esquivias, Senior Planner 300 E Superstition Boulevard • Apache Junction,AZ 85119 • Ph (480)474-5083 • Fax(480)982-7010 www ajcity.net /0111, Janet Mason From: Jeff Robinson Sent: Tuesday,August 04, 2015 911 AM To: Janet Mason Cc: Troy Mullender, Thomas Kelly Subject RE: Liquor license application for Apache Creek Golf Club Janet, the police department has no objections to the Application for liquor license for the Apache Creek Golf ,^ Club/Restaurant One observation I did make was that there is no maximum occupancy signs in the dining room or bar area.This may be a concern for the fire department. From: Janet Mason Sent: Tuesday, July 28, 2015 12:26 PM To: Dave Zellner; Rudy Esquivias; Jeff Robinson; John Suniga (john.suniga@sfmd.az.gov); Troy Mullender Subject: Liquor license application for Apache Creek Golf Club I have received an application from the Apache Creek Golf Club/Restaurant Please get your department recommendations to me no later than Wednesday,August 12. Thanks Auk Awa. 'yLY ACCReO CFAI Fo IV- Superstition Fire & Medical District I I' 3700 E. 16th Avenue, Apache Junction, AZ 85119 Phone (480) 982-1299, Fax (480) 982-3268 °�Q 20,c,www sfmd az goy MEMORANDUM TO. Jan Mason, Deputy City Clerk City of Apache Junction 300 E Idaho Road Apache Jct, AZ 85219 FROM. John Suniga, Deputy Fire Marsha - DATE July 21, 2015 SUBJECT. Application for Liquor License for 1601 W. Apache Trail, Apache Jct.,AZ The Superstition Fire/Medical District has reviewed the application as noted above regarding the facilities at 1601 W. Apache Trail, (AJ Tobacco and Liqour). We have recently completed an annual fire and life safety inspection with no major violations found. We therefore would recommend approval of this application Thank you for your notification on this matter. If you have any further questions regarding this inspection, please feel free to contact my office at 982- 1299 Thank You JOS ATTN. Application An- ROLL CALL VOTE NOTES 01\1 \ 1 4 ITEM # MEETING OF MOTION BY: SECONDED BY 04 ,, vw YES NO ABSTAINED COUNCILMEMBER SERDY COUNCILMEMBER RIZZI COUNCILMEMBER EVANS COUNCILMEMBER WILSON COUNCILMEMBER WALDRON ✓ VICE MAYOR BARKER 1/ MAYOR INSALACO '1 UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 9 I MOVE THAT THE APPLICATION FOR A NEW LICENSE, PARTNERSHIP, SERIES 12 LIQUOR LICENSE FOR APACHE CREEK GOLF CLUB/RESTAURANT, SUBMITTED BY STEPHEN DALLAS, BE RECOMMENDED (FOR APPROVAL) OR (FOR DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL. erN PUBLIC HEARING 1. For APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR COMMUNITY ALLIANCE AGAINST FAMILY ABUSE FOR A FUNDRAISER ON OCTOBER 17,2015 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. k �V. City of Apache Junction, Arizona 300 E Superstition Qf Boulevard vitiec b; Agenda Item Cover Sheet Apache Junction,AZ 85119 4 Si/ i Agenda Item No 10 o File ID 15-323 Sponsor. Kathy Connelly Agenda Date 9/1/2015 Index: Local/State/Federal Statutory Requirement In Control. City Council Meeting Consideration of an application for a special event liquor license for Community Alliance Against Family Abuse for a fundraiser on October 17, 2015 at 3301 S Goldfield, Apache Junction The next step in the process is for the council to hold a public hearing and make a recommendation for approval or denial to the Arizona Department of Liquor Licenses and Control Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 AUGUST 13, 2015 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH BRYANT POWELL, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK SUBJECT AGENDA ITEM FOR SEPTEMBER 1, 2015 APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR COMMUNITY ALLIANCE AGAINST FAMILY ABUSE An application for a special event liquor license has been submitted by Ms. Tonya Green of Community Alliance Against Family Abuse for a fundraiser on October 17, 2015 at 3301 S Goldfield, Apache Junction. Correspondence has been received from the planning division, police department and fire district, a copy of which is attached. The recommendation from the building division is still pending and will be forwarded upon receipt. 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 Arizona State Department of Liquor Licenses and Control FOR DLLC USE ONLY ��yy� Event Date(s) .N�3'4'�� '�t_: Arizona Department of Liquor Licenses and Control • • y `� '`� 800 W Washington 5th Floor Event time start/end' Li") Phoenix, AZ 85007-2934 {�V lo.001" ;• www.azliquor.gov csR ♦ � ' (602) 542-5141 License V APPLICATION FOR SPECIAL EVENT LICENSE Fee= $25.00 per day for 1-10 days (consecutive) A service fee of$25 00 will be charged for all dishonored checks (A.R.S. § 44-6852) IMPORTANT INFORMATION:This document must be fully completed or it will be returned. The Department of Liquor Licenses and Control must receive this application ten (10) business days prior to the event. If the special event will be held at a location without a permanent liquor license or if the event will be on any portion of a location that is not covered by the existing liquor license, this application must be approved by the local government before submission to the Department of Liquor Licenses and Control(see Section 15). SECTION 1 Name of Organization:-t `o111\1',„E 1} `` ��kZ:s�Vl C-c-: kNS- _ 4 (V11 76\v)c-1K 4 SECTION 2 Non-Profit/IRS Tax Exempt Number' ��� , C \ 7__(N,4 LA SECTION 3 The organization is a• (check one box only) »,Charitable) Fraternal (must have regular membership and have been in existence for over five (5) years) I !Religious Civic (Rotary, College Scholarship) ! !Political Party, Ballot Measure or Campaign Committee SECTION 4 Will this event be held on a currently licensed premise and within the already approved premises?❑Yes.. flo Name of Business Ucense Number Phone[include Area Code) SECTION 5 How is this special event going to conduct all dispensing, serving, and selling of spirituous liquors? Please read R-19- 318 for explanation (look in special event planning guide) and check one of the following boxes !Place license in non-use I !Dispense and serve all spirituous liquors under retailer's license 1 Dispense and serve all spirituous liquors under special event .•.I Split premise between special event and retail location (If not using retail license,submit a letter of agreement from the agent/owner of the licensed premise to suspend the license during the event.If the special event Is only using a portion of premise,agent/owner will need to suspend that portion of the premise.) SECTION 6 What is the purpose of this event? On-site consumption ❑Off-site (auction) ❑Both SECTION 7 Location of the Event ',) \C s CA-1 V` (jk \ ( t`1 1 ( I Address of Location. ''->; 0\ (�C Ackfi z GI k2.-G\ Street City COUNTY State Zip SECTION 8 Will this be stacked with a wine festival/craft distiller festival? nYes SECTION 9 Applicant must be a member of the qualifying organization and authorized by an Officer, Director or Chairperson of the Organization named in Section 1 (Authorizing signature is required in Section 13) c 2 l.Applicant: &Teen o !� �/ . V a > ^; )0 _�i Lost first I Middle Date of Birth C 2 Applicant's mailing address. � = �� ���> ' - \ - `� V\ •-\-,7, 11 ,)v:1'�i�I C'!'� �- ��2 Street //�� City State ap 3.Applicant's home/cell phone*( A)0— \/—I Applicant's business phone. ( ) �� L�2--C) 4 Applicant's email address. � a `� CY? 0r K J `j_ 7/22/2015 Page 1 of 4 Individuals reauirina ADA accommodations call 16021542-9027 SECTION 10 1 Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years? ❑Yes TONo (If yes,attach explanation.) 2. How many special event licenses have been issued to this location this year? (The number cannot exceed 12 events per year;exceptions under A R S §4-203 02(D)) 3. Is the organization using the services of a promoter or other person to manage the event?❑Yes (If yes,attach a copy of the agreement.) 4. List all people and organizations who will receive the proceeds. Account for 100%of the proceeds.The organization applying must receive 25%of the gross revenues of the special event liquor sales Attach an additional page if necessary Name ( ?\--)C.-- Percentage. rt`•r /\ , Address • c 1� it i 5}' i: 1�F�• !J1' / ' `j Stret4 State Zip Name Percentage. Address Street City State Zip 5. Please read A R S § 4-203 02 Special event license, rules and R19-1-205 Requirements for a Special Event License. Note: ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. "NO ALCOHOLIC BEVERAGES SHALL LEAVE SPECIAL EVENT UNLESS THEY ARE IN AUCTION SEALED CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKED WITH WINE/CRAFT DISTILLERY FESTIVAL LICENSE" 6. What type of security and control measures will you take to prevent violations of liquor laws at this event? (list type and number of police/security personnel and type of fencing or control barriers,if applicable.) Number of Police Number of Security Personnel Fencing ❑Barriers Explanation ��\1 L \/ V�l l G �/1 (--es vI1 VA. �till � c � %k A C) tSl(;Vv.1 1 � 1 SECTION 11 Date(s) and Hours of Event May not exceed 10 consecutive days. See A R S § 4-244(15) and (17) for legal hours of service. Date Day of Week Event Start License End Time AM/PM Time AM/PM DAY 1: QC, Lu\S t? \1 v 6 1 L�/ C 00 N\ '�\ S iv 1 DAY 2 J DAY 3' DAY 4: DAY 5 DAY 6. DAY 7' DAY 8 DAY 9: DAY 10 7/22/2015 Page 2 of 4 Individuals reauirina ADA accommodations call 16021542-9027 SECTION 12 License premises diagram The licensed premises for your special event is the area in which you are authorized to sell, dispense or serve alcoholic beverages under the provisions of your license. The following space is to be used to prepare a diagram of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control measures and security position ---\\. C- 00\. \ N I r_________ _____ Skm° 9 / k. i-,`ck`cor ,,...1....\ r:2 ( --) I 0 oc. ) n 0 (---\\ / E �_-/ iI c_\...) 0 . _____ li ___... Li) Dc/I 1 .,,_„_\,„,sev, ,\ \\�,)pJyv+,1n� cli) c-----) 7.-V e-..c.._.- C.,,) --)) ----\ everf fry 11 7/22/2015 Page 3 of 4 Individuals requiring ADA accommodations call 1602)542-9027 _ SECTION 13 To be completed only by an Officer, Director or Chairperson of the organization named in Section 1 I, ASK),_a- v V \ l declare that I am an OFFICER, DIRECTOR, or CHAIRPERSON (Print Full Name) „.... appointing the applicant listed in Section 9, to apply on behalf of the foregoing organization for a Special Event Liquor Eloise j//�� (Sign Title/Position 1 Date r Phone tl The egoin trument was acknowledged before me this -- -1`/ � J l 7 L 16 Day Mo Year State .F(-I c}I !C�. County of �I 0(t _._ . /� n "Rot MINIS c 1 / \ g '!' , ,, t Statena j �, �f ;r My Commission Expires on`~--��i ;��L��C f ( �-��.t�(�'�-��'� �( rjl.�. l;.L`,�1��-� (`- Date Signature of Notary Pubic SECTION 14 This section is to be completed only by the applicant named in Section 9 I, (-\. `� ' �� �� �� \'f declare that I am the APPLICANT filing this application as (Print Full Name) listed in Section 9 I have read the application and the contents and all statements are true, correct and complete ,2 Cl / S if 2-976 ZAc6C)'CP62 �l° /X / ��V�C ( �Frc< M � v�t (Sign Title/Position Date Phone# The foregoing instrument was acknowledged before me this c+'% 3(_ 1. ,(')1� ), 1 Day M,,• State r1t) ; e_-()r"Y`. , County of ‘'\ \"\.. ., \ 1 i./\r UL.MiNiSEE , r) u Mzo t i c State of �.. ' r OP, COUNTY My Commission Expires on.,-._ . f i ?JC 2C(✓� \ C I L RILL N' � -X- ...r„r" dfde ' Signature at Notary Public Mr Please contact the local governing board for additional application requirements and submission deadlines. Additional licensing fees may also be required before approval may be granted. For more information, please contact your local jurisdiction• htto://www.azliauor.gov/assets/documents/homeDaae dots/spec event links.r df SECTION 15 Local Governing Body Approval Section I, recommend ❑APPROVAL 0 DISAPPROVAL (Government Official) (Title) on behalf of , (City,Town,County) Signature Date Phone FOR DEPARTMENT OF LIQUOR LICENSES AND CONTROL USE ONLY ❑APPROVAL 0 DISAPPROVAL By. DATE. A.R.S. §41-1030. Invalidity of rules not made according to this chapter:prohibited aaencv action. prohibited acts by state employees.enforcement:notice B An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute,rule or state tribal gaming compact A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition D. THIS SECTION MAY BE ENFORCED IN A PRIVATE CIVIL ACTION AND RELIEF MAY BE AWARDED AGAINST THE STATE.THE COURT MAY AWARD REASONABLE ATTORNEY FEES, DAMAGES AND ALL FEES ASSOCIATED WITH THE LICENSE APPLICATION TO A PARTY THAT PREVAILS IN AN ACTION AGAINST THE STATE FOR A VIOLATION OF THIS SECTION E A STATE EMPLOYEE MAY NOT INTENTIONALLY OR KNOWINGLY VIOLATE THIS SECTION A VIOLATION OF THIS SECTION IS CAUSE FOR DISCIPLINARY ACTION OR DISMISSAL PURSUANT TO THE AGENCY'S ADOPTED PERSONNEL POLICY F. THIS SECTION DOES NOT ABROGATE THE IMMUNITY PROVIDED BY SECTION 12-820 01 OR 12-820 02 7/22/2015 Page 4 of 4 Individuals reauirina ADA accommodations call(6021542-9027 PR He We,*dr.,/ rehe netifolv Home of the Superstition Mountains 4 pN' August 4, 2015 Community Alliance Against Family Abuse Attn Tonya Green 185 N Apache Trail Apache Junction, AZ 85120 Dear Ms Green Please be advised that your application for a Special Event Liquor License for the Community Action Against Family Abuse for October 17, 2015 at 3301 S Goldfield Road has been scheduled for a public hearing The Apache Junction City Council will hold a public hearing on September 1, 2015, at 7.00 p.m. in the City Council Chambers, 300 E Superstition Blvd , Apache Junction, at which time recommendation for approval or disapproval will be made to be forwarded to Arizona Department of Liquor Licenses and Control Your attendance is requested should council have any questions on this application If you have any questions concerning this matter, please contact my office at (480) 982-8002 Sincerely, /' Kathleen Connelly City Clerk •Voice(480) 982-8002 •FAX(480)982-7018 •TDD(480)983-0095 • www ajctty.net 300 E Superstition Boulevard, Apache Junction,AZ 85119 AUGUST 4, 2015 MEMORANDUM TO: DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT BUILDING DIVISION THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK SUBJECT APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR COMMUNITY ALLIANCE AGAINST FAMILY ABUSE (CAAFA) Ms Tonya Green has submitted an application for a Special Event Liquor License for October 17, 2015 at 3301 S. Goldfield Road, Apache Junction Please conduct the necessary inspections and submit your recommendation be email by Wednesday, August 12, in order for this item to be placed on the agenda for the City Council meeting of September 1, 2015 Janet Mason From: Rudy Esquivias Sent: Wednesday, August 12, 2015 3:23 PM To: Janet Mason; Dave Zellner;Jeff Robinson,John Suniga (john.suniga@sfmd.az.gov) Cc: Larry Kirch Subject: RE. Special Event Liquor License for CAAFA 4"1". Jan The Planning Division has no objections to this one-time special event hosted by CAAFA at the Dolce Vita club house cd cfsqutvtas Senior Planner/Zoning Administrator City of Apache Junction 300 E Superstition Blvd Apache Junction, AZ 85119 480-474-2645 resquivias@ajcity net SERVICE OVER AND ABOVE THE REST (Development Services Department office hours. Monday through Thursday from 7.00am to 6 00pm, closed Fridays and Holidays ) From: Janet Mason Sent: Wednesday, August 05, 2015 11:50 AM To: Rudy Esquivias; Dave Zellner, Jeff Robinson, John Suniga (John suniga@sfmd az gov) Cc: Larry Kirch Subject: Special Event Liquor License for CAAFA I have received a special event liquor license for CAAFA for October 17 Please have your department recommendations .. to be no later than Wednesday,August 12, so that this may be on the September 1 agenda. Thanks. 1 Janet Mason From: Jeff Robinson Sent: Friday,August 07, 2015 138 PM To: Janet Mason Cc: Troy Mullender;Thomas Kelly Subject: RE:Special Event Liquor License for CAAFA Janet,the police department has no objections to the CAAFA event to be held at Dolce Vita on October 17, 2015 This it an annual event that provide adequate security and identification procedures for alcohol consumption. From: Janet Mason Sent: Wednesday, August 05, 2015 11:50 AM To: Rudy Esquivias, Dave Zellner; Jeff Robinson; John Suniga(john.suniga©sfmd.az.gov) Cc: Larry Kirch Subject: Special Event Liquor License for CAAFA I have received a special event liquor license for CAAFA for October 17. Please have your department recommendations to be no later than Wednesday,August 12, so that this may be on the September 1 agenda. Thanks i rV Y ACCk f Superstition Fire & Medical District Q°r �FAI c 3700 E. 16'"Avenue, Apache Junction, AZ 85119 i " SE MD Phone (480) 982-1299, Fax (480) 982-3268 www sfnnd.az.gov MEMORANDUM TO: Jan Mason,Deputy City Clerk City of Apache Junction 300 E. Idaho Road Apache Jct ,AZ 85219 FROM John Suniga,Deputy Fire Marshal DATE August 6,2015 SUBJECT Application for Special Event Liquor License for 3301 S. Goldfield The Superstition Fire/Medical Distnct has reviewed the application as noted above regarding the facilities at 3301 S. Goldfield for an event to be held on October 17, 2015. We have recently completed an annual fire and life safety inspection with no major violations found We therefore would recommend approval of this application Thank you for your notification on this matter If you have any further questions regarding this inspection, please feel free to contact my office at 982-1299. Thank You ATTN. Application ROLL CALL VOTE NOTES: yv , Y'r VL/ NO ti Am*. l' j\1 ' i 'OA r r 0' y ITEM # 1 t MEETING OF 1111 (iilq 1 40 MOTION BY SECONDED BY: YES NO ABSTAINED VICE MAYOR BARKER COUNCILMEMBER WALDRON COUNCILMEMBER WILSON COUNCILMEMBER EVANS I COUNCILMEMBER RIZZI Ii COUNCILMEMBER SERDY V MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 10 I MOVE THAT THE APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR COMMUNITY ALLIANCE AGAINST FAMILY ABUSE ON OCTOBER 17, 2015, SUBMITTED BY TONYA GREEN, BE RECOMMENDED (FOR APPROVAL) OR (FOR DENIAL)TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL. PUBLIC HEARING Om\ 1. For APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR SUPERSTITION MOUNTAIN ROTARY CLUB FOR AN EVENT ON OCTOBER 24, 2015 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. gt'c ., City of Apache Junction, Arizona 300 E Superstition 4,/� ** Boulevard 1 ® Agenda Item Cover Sheet Apache Junction,AZ 85119 Ui ry.tr: , Agenda Item No.11. 1O File ID: 15-324 Sponsor Kathy Connelly Agenda Date.9/1/2015 Index. Local/State/Federal Statutory Requirement In Control:City Council Meeting Consideration of an application for a special event liquor license for Superstition Mountain Rotary Club for an event on October 24, 2015 at 1590 E Lost Dutchman Boulevard, Apache Junction The next step in the process is for the council to hold a public hearing and make a recommendation for approval or denial to the Arizona Department of Liquor Licenses and Control Attachments City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 AUGUST 13, 2015 MEMORANDUM TO. HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH KATHY CONNELLY, CITY CLERK FROM JANET R MASON, DEPUTY CITY CLERK SUBJECT AGENDA ITEM FOR SEPTEMBER 1, 2015: APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR SUPERSTITION MOUNTAIN ROTARY CLUB An application for a special event liquor license has been submitted by Mr Michael Cowan of Superstition Mountain Rotary Club for an event on October 24, 2015 at 1590 E Lost Dutchman Boulevard, Apache Junction, Arizona. Correspondence has been received from the planning division, building division, police department 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 Arizona Department of Liquor Licenses and Control FOR DLLC USE ONLY Event Dates)• Arizona Department of Liquor Licenses and Control • 800 W Washington 5th Floor Event time start/end. Phoenix, AZ 85007-2934 { �.1 a •�� : . www.azliquor.gov csR (602) 542-5141 License' V APPLICATION FOR SPECIAL EVENT LICENSE Fee= $25.00 per day for 1-10 days (consecutive) AIM A service fee of$25.00 will be charged for all dishonored checks (A R.S §44-6852) IMPORTANT INFORMATION:This document must be fully completed or it will be returned The Department of Liquor Licenses and Control must receive this application ten (10) business days prior to the event. If the special event with be held at a location without a permanent liquor license or if the event will be on any portion of a location that is not covered by the existing liquor license,this application must be approved by the local government before submission to the Department of Liquor Licenses and Control(see /Section 15). SECTION 1 Name of Organization: v i /fii��, /�/�� (f �r �,� ���� �iSt- ) SECTION 2 Non-Profit/IRS Tax Exempt Number — 1<0 3' / y SECTION 3 The organization is a: (check one box only) ❑Chartable❑Fraternal (must have regular membership and have been in existence for over five(5) years) ❑Religious 34Civic (Rotary,College Scholarship) ❑Political Party, Ballot Measure or Campaign Committee SECTION 4 Will this event be held on a currently licensed premise and within the already approved premises?LJYes Flo Name of Business license Number Phone(Include Area Code) SECTION 5 How is this special event going to conduct all dispensing, serving, and selling of spirituous liquors? Please read R-19- 318 for explanation (look in special event planning guide) and check one of the following boxes. ❑Place license in non-use Dispense and serve all spirituous liquors under retailer's license Dispense and serve all spintuous liquors under special event ,.� ❑Split premise between special event and retail location (If not using retail license,submit a letter of agreement from the agent/owner of the licensed premise to suspend the license during the event.If the special event Is only using a portion of premise,agent/owner will need to suspend that portion of the premise.) SECTION 6 What is the purpose of this event? (SOn-site consumption ❑Off-site (auction) ❑Both SECTION 7 Location of the Event 4-104„, I J { �t �Oil, 1 I. cl G qv cm()Address of Location. /3 c!Q /a f" f)v H,4., .1/tit pz..4 Ilk,t,4 rb• /t . f)i7a / Sheet City COUNTY State Zip SECTION 8 Will this be stacked with a wine festival/craff distiller festival? I IYes 7Ao Ps?/ SECTION 9 Applicant must be a member of the qualifying organization and authorized by an Officer, Director or Chairperson of the Organization nomed in Section 1 (Authorizingj signature is required in Section 13.) —L/ 1. Applicant. Cv\A/6 VI ill l 1 a( t, I C lit w.id 94,157 Last Rrst Middle / of Birth 2 Applicant's mailing address: �7��`� �GCi.Hti C/ 6d/�/ IN y�,,•� if 2 .57/6-- Street CBy Stale Zip 3 Applicant's home/cell phone: 6�/ 'J a 1 Applicant's business phone ( ) 4. Applicant's email address f�/c CQ i.iic id pv)s :n , C 7/22/2015 Page 1 of 4 Individuals requiring ADA accommodations call(602)542-9027 SECTION 10 1. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years? Dyes jajo (II yes.attach explanation.) 2 How many special event licenses have been issued to this location this year? (The number cannot exceed 12 events per year;exceptions under A.R.S.14-203.02(D).) 3. Is the organization using the services of a promoter or other person to manage the event?[]Yes ONO (if yes,attach a copy of the agreement) 4 List all people and organizations who will receive the proceeds.Account for 100%of the proceeds.The organization applying must receive 25%of the gross revenues of the special event liquor sales.Attach an additional page if necessary Nome Svc1S, Ji(-JL. >1 ivy / t (y C(v,j p r�i s� (ayL Percentage: Address pt) h0? 57S /�/p�iIi Tss"vit•/,(2., I2 £S-777 Street cry Slate Name S/pt�s�i,, Pod (oI([ Percentage: Address o / 6�'Jr Y/ 4/21iL14 7 s f,o. City1* Z S- 5 kStreet State ➢v 5 Please read A.R.S. § 4-203.02 Special event license; rules and R19-1-205 Requirements for a Special Event License. Note: ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. "NO ALCOHOLIC BEVERAGES SHALL LEAVE SPECIAL EVENT UNLESS THEY ARE IN AUCTION SEALED CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKED WITH WINE/CRAFT DISTILLERY FESTIVAL LICENSE" 6 What type of security and control measures will you take to prevent violations of liquor laws at this event? (List type and number of police/security personnel and type of fencing or control barriers,If applicable.) Co// Number of Police /( Number of Security Personnel Vfencin g Elarriers Explanation: f1'1" Y)101<K ter, tZ.Hy,Al a e l/C/l _61 yl rG ll 4,1 tit j iv i 11 privviY) c 5•r co it 17 G 1- 4 ,/7 4 Try ti„( .54„el-‘ , lfr,Jen yr 114 QC( Li- /j-t �'P�j�fR��( a vPftify qce i.viJ Aid-VI- ZO lHc( ►v;// lr � vv !� ivrl�S 6 .14A. .p SECTION 11 Date(s) and Hours of Event. May not exceed 10 consecutive days. See A.R.S § 4-244(15) and (17) for legal hours of service Date Day of Week Event Start License End y .� Time AM/PM lime AM/PM (Jor DAY 1: ( 2O/ �0 AA( o O f Il am s" P/11 DAY 2: DAY 3. DAY 4: DAY 5: DAY 6' DAY 7 DAY 8: DAY 9: DAY 10 7/22/2015 Page 2 of 4 Individuals requiring ADA accommodations call(602)542-9027. . . •,. ,-ki".•40." .i. . i 7 ' ) 14 If . . , , C.• •' 'k'''' i•.'i 't, ' ' ' : ' :$.•4 gho,,;:: 1.2iia. : -'`.4...,tift'' . ,. 0 .k. , ‘i41.,,,.. :got*:, ... ., ..' . is., • !' . 4.-; ='4%;:' :. Jr ''''''. if...14: . 4.1.:*, .4..n • 0\ , i ...:" .- tis .iii; • .•4' .• in.1.' ..•T. • ,• ,. 1. . .--• 1 Iiilit4,..„„ID 9) PARKt •,--,,,t- , .., *p......„,......0„..., ..„. ,.,:.. „,‘„,. .. . ... .. 'r% . .1 41 .ica t e° -" ..../j. .-.1%;:..• ' . ^,a . , . t 40 i .. * ,.,..* %tr, .• . •. : ;'''.1.,1-..:,.......,.: & . • 7:44.);10 g „ 0 .'..1• "... .• ..• y- 4 ., ..;.,, .. • le *' .4 ,_...1.47:.•,.. :qt.'47 •: ,•,,,v0el North Event Parking i , ...*,!..., ‘......... le;..... e,,, .,• . ir.. W14!...‘,.s; .•:;7;1.Si- 7....!• •.' ‘• 1444.9V' . 4111140 44e , ) , ;;:i.. • -,.....4.c ;,..14.. I, ,,i, ...„ ... ,, •f..0.;:.. ma . $ s Va.t4 t....-- GATE i 0 ,sel) 4,,, ... . .•,„ ...A ----id* 1 4,c .24 GA ' 74 = • . " diTt • ' iit i ;171 4',X• C.J. S.C-0 .14*-,, :0 .....i.: ,. ,i I 1.`. .44L±4 , •./4:pli 70 4. l 4'. 0) rw It ;:f" a f j a 1-- f-V1 CZcirCi-te5 4. •*'-..'. • ,*4 .,-, v, .-. . 1,. 1...:„.• -... • i :.- - ,:w_, ...',. ... . • .. . 4.... ,. • - 3,1''-• . p... -.. •• ....4:,‘a. - .-,. • Li ...it: , .., , 1......id :, •'11,•?:.•;•••.;:• '. ,* 1,... (..,11,•,,.t. a 4 • , i:- Ai' i ..?# 1114*sr' ...-r.... . silip......::Nt lift, 1.. • 4. c40 lat...e_t_ iivc, ,/East Event Area ••04. . RESrTROOMS 4.... A 4— boll' 1.7.•,...„ .:.•,•,..., ;.• -,;,•-•;:z;.. -•-: *1 , ' • k-or\se_ssf ok.) liAli; . .‘,.} ......!,.:.:k.-;ARENA.,-.):.:-: '.- , 0 5 8T • vs:,, ...''':','41.14,4int",,,.. ' i'' -•,''ASCZ,Z'17::c"." 1,,^,-,,. '. ,F,-:' !"-.'• f. . l' /14 I, , .4..',..... „, ...,VA -...."--, •• I .,.. ti.• %; op .:A.....,.... ..,,„ .1 .- .. I • r. A 1 .-t6. 4014. *IS i• ' , 41;41 11:4104•: - .1 . / 'kV-2.0 D e.a \JJ 0 ,?,,,t,:r 41;f• g ....,, . „7.4. . . , ,i., • . , • . ,4 cs If GRANDSTANDS f.' k itair'•.;4. , . •. fiF. ..:,t 4-A fit I*:..• •"-‘ . tZ • 1,17. ' 4 . _ 0 ad,. Ill IP w .......N........ 1 r. • . it ; ,,•1'.• *:.41 .: , 4.6,ir . , • L 0,4 . •••••••ortc". t i , AL.- -*A.. ill ,jrft4 I . • ,ii, ,,,4 'la,'. .".4f V. South Event Area s . 14 1,0,14%..• . !Ars .. 14IF - ....;-A00. k, ,PI,* , . :i .. .•4:111r!7; .. 4 • ..• ''-. '...4 Fitli.'411‘01:4 • 0 . •'. • IL,•* t •• ,t .• , .. . ,.•1 V,. lik ! .;1:4".' • Ir.:T. - ..• ••‘tt.•..'''.71 III •I I..' ,,, •8', .. '. (,)pQ 1.)ix,Ra Niq 4 v- GATE n • m. it ,.;•:;Ike-rkr: , ,.• r.... '.1 r . , ' ..41. '. 144 . . ,'' • - LOST DUTCHMAN BLVD. • _ . 41ip ;,,t , .• t ., ' •••••-: . .kfaill fai*• . i .4 ' •A 1.4. :1'". 4i- • lit „lY..'t; •71.1t.' • •,. . . , ,;., :: : ,,,.k .E . . ' ' A% - % • it , 041. -) • • l• •• ,..•••4:. • ' I,„ . • . , I.** •,. " ,- . 1 SECTION13 o be completed only by a fficer, Director or Charperson of the organization named in Section 1. I,MC-1 C. iG el ger mtilfet (JZvG N declare that I am an OFFICER. DIRECTOR, or CHAIRPERSON (hid Fei Name) appointing the applicant fisted in Section 9, to apply on behalf of the foregoing organization for a Special Event Liquor Li9er .., X / i O 14 d / I hI i .`BSI i 1. / Tile Minton D n • Thejegoing instrument was acknowledged before me this r t l,t( )t j T :.9 }I `, 2 .. ' l Day t Y .n C ate /1 Z County of PlivA4/ ct is - 1 �p1 ft — • My Commission Expres on: I-\i)6 , I L I 3U IF "Ina,I a,c,LJ. .� /L a Date ' S of Notary Pubic L SECTION 14 This section is to be comp ted only by the applicant named in Section 9 i f; .`; `' I, M L 14--/ CilfrI , ( (/W4y declare that I am the APPLICANT filing this appl' fionTa (Print Fri Name) ; listed in Section I hav read the application and the contents and all statements are true, Correct-and compie>ie / Z/Oriilopi C % Tie/rosTion Date Race It ca` e oing instrument was acknowledged before me this .i� I (- LL`j j p S to �" Z- Dayfl c° County of?� onrn Year x o = O .0 N 1 �' U 15 Q Q My Commission Expires on. '- k\ 1�+ .9O1 `� 10-U,)L'ti._) IL l.i'c�� Z a i s C Dale at Malay Pubic a =o n Please contact the local governing board for additional application requirements and submission deadlines. Addition licensing fees may also be requred before approval may be granted. For more information, please contac your local jurisdiction:htto;//www.azJiatxx.aov/assets/documents/homepage does/spec event links.pdf. SECTION 15 Local Governing Body Approval Section s l>� 4 I. recommend❑APPROVAL 0 DISAPPROVAL ' (Government aliclat) Mlle) on behalf of (City,Town,County) Signature Date Phone FOR DEPARTMENT OF LIQUOR LICENSES AND CONTROL USE ONLY ❑APPROVAL ❑DISAPPROVAL BY: DATE A.R.S.§41-1030. Invalidity of rules not made according to this chapter,prohibited agency action; prohibited acts by state employees:enforcement:notice 8. An agency shall not base a licensing decision in whole or in port on o licensing requrement or condition that is not specifically authorized by statute,rule or state tribal gaming compact.A generol grant of authority in statute does not constitute a basis for imposing o licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition D. THIS SECTION MAY BE ENFORCED IN A PRIVATE CIVIL ACTION AND RELIEF MAY BE AWARDED AGAINST THE STATE.THE COURT MAY AWARD REASONABLE ATTORNEY FEES, DAMAGES AND ALL FEES ASSOCIATED WITH THE LICENSE APPLICATION TO A PARTY THAT PREVAILS IN AN ACTION AGAINST THE STATE FOR A VIOLATION OF THIS SECTION E A STATE EMPLOYEE MAY NOT INTENTIONALLY OR KNOWINGLY VIOLATE THIS SECTION A VIOLATION OF THIS SECTION IS CAUSE FOR DISCIPLINARY ACTION OR DISMISSAL PURSUANT TO THE AGENCY'S ADOPTED PERSONNEL POLICY F. THIS SECTION DOES NOT ABROGATE THE IMMUNITY PROVIDED BY SECTION 12-820.01 OR 12-820.02 7/22/2015 Page 4 of 4 Individuals requiring ADA accommodations cal(602)542-9027. PQ A N, nh,40/eVitadte411~14104V • Home of the Superstition Mountains 8. rNP August 3, 2015 Superstition Mountain Rotary Club #1246 Attny Michael Cowan 17844 E. Pacana Court Gold Canyon, AZ 85118 Dear Mr Cowan. Please be advised that your application for a Special Event Liquor License for Superstition Mountain Rotary Club #1246 for October 24, 2015 at 1590 E Lost Dutchman Boulevard has been scheduled for a public hearing. The Apache Junction City Council will hold a public hearing on September 1, 2015, at TOO p m in the City Council Chambers, 300 E. Superstition Blvd., Apache Junction, at which time recommendation for approval or disapproval will be made to be forwarded to Arizona Department of Liquor Licenses and Control Your attendance is requested should council have any questions on this application. If you have any questions concerning this matter, please contact my office at (480) 982-8002. Sincerely, zit,/ Kathleen Connelly City Clerk •Voice(480)982-8002 • FAX (480)982-7018 •TDD(480)983-0095 • www ajcity net 300 E Superstition Boulevard, Apache Junction,AZ 85119 AUGUST 3, 2015 MEMORANDUM TO: DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT BUILDING DIVISION THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JANET R MASON, DEPUTY CITY CLERK SUBJECT APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR SUPERSTITION MOUNTAIN ROTARY CLUB #1246 Mr Michael Bernard Cowan has submitted an application for a Special Event Liquor License for October 24, 2015 at 1590 E Lost Dutchman Blvd., Apache Junction, AZ Please conduct the necessary inspections and submit your recommendation be email by Wednesday, August 12, in order for this item to be placed on the agenda for the City Council meeting of September 1, 2015 Janet Mason From: Dave Zellner Sent: Wednesday,August 12, 2015 5.05 PM To: Janet Mason;John Suniga (john.suniga@sfmd az gov) Cc: Larry Kirch; Kathy Connelly Subject: RE. Superstition Mountain Rotary Club special event liquor license .....Building has no objections to Rotary event. Dave Zellner From: Janet Mason Sent: Wednesday, August 12, 2015 4.39 PM To: Dave Zellner;John Suniga (john.suniga@sfmd.az.gov) Cc: Larry Kirch; Kathy Connelly Subject: Superstition Mountain Rotary Club special event liquor license I have not received your department recommendation for the Superstition Mountain Rotary Club special event liquor license application Please have your recommendation to me no later than noon on Thursday,August 12. I have attached the information for this liquor license application. Thanks. jaw Macaw Deputy City Clerk City of Apache Junction 300 E Superstition Boulevard Apache Junction, AZ 85119 (480)474-5068 jmason@ajcity net 1 Janet Mason From: Rudy Esquivias Sent: Wednesday,August 12, 2015 3.12 PM To: Janet Mason, Dave Zellner;Jeff Robinson;John Suniga (lohn.suniga@sfmd.az.gov) Cc: Larry Kirch Subject: RE special event liquor license for Superstition Mountain Rotary Club Jan •�. The Planning Division has no objections to the liquor license request for this one-time special event at the rodeo grounds Many similar events have been held in the past without any problems of which we are aware. Thanks ega#c,& uiviae Senior Planner/Zoning Administrator City of Apache Junction 300 E Superstition Blvd. Apache Junction, AZ 85119 480-474-2645 resquivias@a3city.net SERVICE OVER AND ABOVE THE REST (Development Services Department office hours. Monday through Thursday from 7 00am to 6:00pm, closed Fridays and Holidays ) From: Janet Mason Sent: Tuesday, August 04, 2015 12:04 PM To: Rudy Esquivias; Dave Zellner, Jeff Robinson; John Suniga (john.suniga@sfmd.az.gov) Subject: special event liquor license for Superstition Mountain Rotary Club I have received a special event liquor license application from Superstition Mountain Rotary Club for October 24, �• 2015 Please have your recommendation to me no later than Wednesday,August 12, in order for this to be on the September 1 agenda. Thanks Jan Mason Deputy City Clerk City of Apache Junction Janet Mason From: Jeff Robinson Sent: Friday, August 07,2015 1.48 PM To: Janet Mason Cc: Troy Mullender;Thomas Kelly Subject: RE special event liquor license for Superstition Mountain Rotary Club •.► Janet, the police department has no objections to the Superstition Mountain Rotary Club event to be held at the rodeo grounds On October 24,2015 This is a yearly event and the Al Mounted Rangers supply security at the gates and verify identification at alcohol vender stands From: Janet Mason Sent: Tuesday,August 04, 2015 12:04 PM To: Rudy Esquivias; Dave Zellner; Jeff Robinson; John Suniga (john.suniga@sfmd.az.gov) Subject: special event liquor license for Superstition Mountain Rotary Club I have received a special event liquor license application from Superstition Mountain Rotary Club for October 24, 2015 Please have your recommendation to me no later than Wednesday, August 12, in order for this to be on the September 1 agenda. Thanks. Jan Mason Deputy City Clerk City of Apache Junction i *SLY ACCRf.Oi ;if" Superstition Fire & Medical District co ' FA' Fz 3700 E 16th Avenue, Apache Junction, AZ 85119 " .SUM[) Phone (480) 982-1299, Fax (480) 982-3268 0,4 Zo`� www sfmd az gov MEMORANDUM TO: Janet Mason,Deputy City Clerk City of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 FROM John Suniga,Deputy Fire Marshal DATE: August 12, 2015 SUBJECT Superstition Mountain Rotary Club- Special Event Liquor License The Superstition Fire/Medical District has reviewed the submitted documentation for 1590 E Lost Dutchman as related to event to be held on October 24, 2015 We would recommend approval of this application based, as always,on good practices for the general safety of all patrons and employees Applicant shall ensure that all local fire and life safety codes and ordinances are adhered to for the duration of the event. Thank you for your notification on this matter Jos ATTN: Application ROLL CALL VOTE NOTES / 4\ < ,41\1---) Anik el\ v -191'° \/ p,o 11 ikITEM # MEETING OF ,(2 MOTION BY: - SECONDED BY _" YES NO ABSTAINED COUNCILMEMBER RIZZI COUNCILMEMBER WILSON VICE MAYOR BARKER I COUNCILMEMBER SERDY COUNCILMEMBER EVANS J COUNCILMEMBER WALDRON ✓ MAYOR INSALACO V UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ,111.11 ITEM NO. 11 I MOVE THAT THE APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR SUPERSTITION MOUNTAIN ROTARY CLUB FOR OCTOBER 24, 2015, SUBMITTED BY MICHAEL COWAN, BE RECOMMENDED (FOR APPROVAL) OR (FOR DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL City of Apache Junction, Arizona 300ESupersttition Boulevard ..I�' Agenda Item Cover Sheet Apache Junction,AZ 85119 rz Agenda Item No 12 File ID: 15-308 Sponsor. Dave Waldron Agenda Date:9/1/2015 Index: In Control:City Council Meeting Direction to staff on use tax During the August 3, 2015 Work Session, council heard a presentation from Lee Grafstrom, Tax Policy Analyst at the League of Arizona Cities and Towns, on use tax and its implementation This gives council the opportunity to provide staff direction for possible adoption of a use tax Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 /o k. ROLL CALL VOTE NOTES: x0 , v ci I 1 ITEM # MEETING F iii 1 I MOTION BY: A) /V6 SECONDED BY YES NO ABSTAINED COUNCILMEMBER EVANS ✓ VICE MAYOR BARKER / COUNCILMEMBER RIZZI ,, COUNCILMEMBER WALDRON 7 COUNCILMEMBER SERDY V COUNCILMEMBER WILSON ✓. MAYOR INSALACO I UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL r ITEM NO. 12 I MOVE THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF REGARDING IMPLEMENTATION OF A CITY USE TAX THAT STAFF PREPARE A DRAFT ORDINANCE THAT WOULD ALLOW FOR IMPLEMENTATION OF A CITY USE TAX WITH THE FOLLOWING CONDITIONS• 1 THAT THE USE TAX RATE BE.. %. 2. THAT THE CITY TIERED TAX RATE NOT APPLY TO THE USE TAX 3 THAT THE DRAFT ORDINANCE BE PLACED ON THE SEPTEMBER 14, 2015 CITY COUNCIL WORK SESSION AGENDA FOR FURTHER DISCUSSION 4. THAT THIS DRAFT ORDINANCE BE PLACED ON THE SEPTEMBER 15, 2015 COUNCIL AGENDA THAT WOULD ALLOW FOR FURTHER DISCUSSION, PUBLIC HEARING AND DIRECTION ON THE DRAFT ORDINANCE , v?T~tr ,, City of Apache Junction, Arizona 300 E Superstition Boulevard 4 i rt-F� : Agenda Item Cover Sheet Apache Junction,AZ 85119 V, Agenda Item No. 13. -r.ttu File ID: 15-335 Sponsor Bryant Powell Agenda Date:9/1/2015 Index In Control.City Council Meeting Selection of date, time, location and purpose for a joint meeting between the City of Apache Junction City Council and Apache Junction Unified School District Governing Board Attachments. City of Apache Junction,Arizona Page 1 Printed on 8/24/2015 ROLL CALL VOTE 0) e A) NOTES: /- i ArO i 1 - --- , A v eiy vi it 01\0)v 1 o ' \i) 0, ill , y ITEM # MEETING OF s4/1/\.) A6Alit MOTION BY SECONDED BY • YES NO ABSTAINED COUNCILMEMBER WALDRON COUNCILMEMBER EVANS I COUNCILMEMBER SERDY V VICE MAYOR BARKER COUNCILMEMBER WILSON COUNCILMEMBER RIZZI ✓I MAYOR INSALACO 111//// UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL Au% ITEM NO. 13 I MOVE THAT A JOINT MEETING BETWEEN THE APACHE JUNCTION CITY COUNCIL AND THE APACHE JUNCTION UNIFIED SCHOOL DISTRICT GOVERNING BOARD BE HELD ON AT IN THE FOR THE FOLLOWING PURPOSE(S). ROLL CALL VOTE NOTES ail 1 ITEM # \(\ MEETING OF n ) MOTION BY: SECONDED BY YES NO ABSTAINED COUNCILMEMBER WILSON COUNCILMEMBER SERDY COUNCILMEMBER WALDRON V COUNCILMEMBER RIZZI J VICE MAYOR BARKER ✓/ COUNCLMEMBER EVANS MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NOS. 14-15 I MOVE THAT AN EXECUTIVE SESSION AT 5.45 P.M., AND A WORK SESSION AT 7:00 P.M., BE HELD ON MONDAY, SEPTEMBER 14, 2015, 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, SEPTEMBER 15, 2015, IN THE CITY COUNCIL CONFERENCE ROOM ADJOURNMENT: I MOVE THAT THE MEETING BE ADJOURNED AT P M ROLL CALL WS: REG / /5 SPEC: CITY COUNCIL P / A P / A P / A MAYOR INSALACO VICE MAYOR BARKER COUNCILMEMBER EVANS ✓' �y COUNCILMEMBER RIZZI V J n COUNCILMEMBER SERDY V COUNCILMEMBER WALDRON ✓ ►d COUNCILMEMBER WILSON V ✓ TOTAL , ({� 1C CITY STAFF: 1 i City Manager Bryant Powell V Assistant City Manager Matt Busby City Clerk Kathleen Connelly ✓/' City Attorney Joel Stern Public Safety Director Tom Kelly Public Works Director Giao Pham Parks & Recreation Director Jeff Bell Library Director Spencer Paden Finance Director Donna Meinerts City Engineer Emile Schmid Development Svcs Director Larry Kirch Human Resources Director Liz Riley Crpl IV7) Assistant to the City Manager OTHERS: t/41 14,j a(,1 Date:?- 4- /s CITY OF APACHE JUNCTION Please select an option: REQUEST TO SPEAK FORM Item No\ / OR Call to The Publick (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❑ Noo Only If Necessary ❑ ❑ I am in favor of the proposed Item. ❑ I am opposed to the proposed Item. Kyy �Schkoe '-e Nathe (Print) Address City Zip Code 5 3 --L/ / A Ro Telephone Email address This information will be used by staff for follow-up, if necessary. Speakers shall make comments directly to the Mayor and City Council when called up to speak at the podium. Note: Call to the Public comments have a three minute limit and Public Hearing comments have a five minute limit. Consent for Minor to be Audio and/or Video Recorded: I, , as the parent/guardian of (minor(s)), a minor(s), agree to allow said minor(s) to appear and/or participate in the City of Apache Junction City Council Meeting I further understand that this activity may be audio and/or video recorded and I hereby consent to the minor being audio and/or video recorded during his/her participation with the likelihood that their image will appear on cable TV and the Internet video stream showing their participation Signature of Parent/Guardian Date 02/23/12 dt1Z Date: ? e/--/,_6CITY OF APACHE JUNCTION Please select an option: REQUEST TO SPEAK FORM Item No. OR Call to The Public (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? Ye7V Noo Only If Necessary o > o I am in favor o the proposed Item. ❑ I am opposed to the proposed Item. Name (Print) /5/ (1/4-e Address City Zip Code 171 Rz-/4/. Telephone Email address This information will be used by staff for follow-up, if necessary. Speakers shall make comments directly to the Mayor and City Council when called up to speak at the podium. ) Note: Call to the Public comments have a three minute limit and Public Hearing comments have a five minute limit. Consent for Minor to be Audio and/or Video Recorded: I, , as the parent/guardian of (minor(s)), a minor(s), agree to allow said minor(s) to appear and/or participate in the City of Apache Junction City Council Meeting. I further understand that this activity may be audio and/or video recorded and I hereby consent to the minor being audio and/or video recorded during his/her participation with the likelihood that their image will appear on cable TV and the Internet video stream showing their participation Signature of Parent/Guardian Date 02/23/12