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HomeMy WebLinkAbout2010 10.19 City Council Regular Agenda .r Ink PLEASE FILL OUT A"RE 1ST TO SPEAK"FORM IF YOU WISH TO ADDR THE COUNCIL AT CALL TO THE PUBLIC OR ON ANY NON-PUBLIC HEARING i i EM P7 ACHF 0( 'Po city o f Apache Junction 2 Home of the .Supertti+tlon Alountain, APACHE JUNCTION CITY COUNCIL CITY COUNCIL CHAMBERS 300 EAST SUPERSTITION BOULEVARD APACHE JUNCTION,ARIZONA 85219 REGULAR MEETING AGENDA October 19, 2010 7:00 PM A. CALL TO ORDER. B• INVOCATION AND PLEDGE OF ALLEGIANCE. c• ROLL CALL. D• CONSENT AGENDA. The Council may,at this time,take single action on any or all items listed as consent agenda items These items may include,but are not limited to,acceptance of agenda,acceptance of minutes,appointments,acceptance of resignations and adoption of certain resolutions and other items which do not require a public hearing The Consent Agenda is a timesaving device of which the Mayor and City Council is to receive documentation on these items from the City Manager for their review prior to the meeting Any member of the Council may remove any item from the Consent Agenda for discussion and cause a separate vote on the matter later in the agenda 1• Acceptance of Agenda. 2. Approval of Minutes of Regular Meeting of October 5,2010. 3. Consideration of an agreement between the City of Apache Junction and the Apache Junction Community Development Corporation(CDC)for the management of enhancements at the Focal Point City staff has been working with a local citizens committee and the Community Development Corporation to develop a donor program for enhancements at the Focal Point.A Donor Agreement has been created by these groups The document stipulates the rights and responsibilities of the donor,City,and CDC for a period of 20-40 years Stipulations in the agreement are necessary for the management of the enhancements and need to be formalized between the City and the CDC The agreement has been reviewed and approved by legal counsel for both the City and the CDC 4. Consideration of award of bid,Project PW 2010-17,for the procurement of(1)2011 Ford F-450 Regular Cab 4X2,(1) Ford F-150 Super Crew 4X2,(3)2011 Ford Crown Victoria Police Interceptors,to Five Star Ford in the amount not to exceed$127,179 52 Five bids were received in response to the solicitation Staff respectfully requests city council approval and award of this bid to Five Star Ford in the amount not to exceed$127,179 52 5 Consideration of Resolution No. 10-37 authorizing the City of Apache Junction to enter into an intergovernmental agreement with the Arizona Department of Transportation. The City of Apache Junction and ADOT desire to enter into an IGA for the joint maintenance of traffic signal emergency vehicle preemption devices within the city 6 Consideration of award of Contract to AJP Electric,Inc.for PW 2009-18 Old West Highway and Winchester Road Intersection Improvements in an amount not to exceed$241,963 98. Staff respectfully requests city council approval to enter into a contract with AJP Electric, Inc for PW 2009-18 Old West Highway and Winchester Road Intersection Improvements in an amount not to exceed$241,963.98 E AWARDS, PRESENTATIONS ,`Th 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. 7 PROCLAMATION DESIGNATING OCTOBER 2010 "DOMESTIC VIOLENCE AWARENESS MONTH". Proclamation designating the month of October as"Domestic Violence Awareness Month " 8 PRESENTATION OF CHECK BY SUPERSTITION HORSEMEN'S ASSOCIATION The Superstition Horsemen's Association will present a check in the amount of$300 to the Parks and Recreation Department for the Little Buck-A-Roos Rodeo 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 take place of such items except for clarifying comments related to substance,time and location G. CITY MANAGER'S REPORT. The City Manager, members of City staff or those individuals designated by the Manager may present information pertinent to items under consideration or information related to the operation of the City There shall however be no discussion at this time except for clarification inquiries 9• MANAGER'S REPORT H PUBLIC HEARINGS. Public hearings required by applicable law shall be conducted by the Council and any person shall be given the opportunity to speak All remarks shall be addressed to the Council as a whole and not to any member thereof Such remarks shall be limited to five(5)minutes unless additional time is granted by the Mayor This time limitation shall not apply to applicants and their agents appearing before the Council 10. APPLICATION FOR A PERSON TRANSFER,LOCATION TRANSFER, LIMITED LIABILITY CO.,SERIES 6 LIQUOR LICENSE FOR HITCHING POST PIZZA PUB This public hearing is the next step in the process for approval of a liquor license The council shall make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control 11. APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR THE FRATERNAL ORDER OF EAGLES, LOST DUTCHMAN#3850 The Eagles have requested a special event liquor license for October 30 and November 14 The public hearing is the next step in the process for approval Council shall make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control 12 APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR THE FRATERNAL ORDER OF EAGLES,LOST DUTCHMAN#3850. The Eagles are applying for a temporary extension of premises for October 30 and November 14 This public hearing is the next step in the process for approval Council shall make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control 13. APPLICATION FOR A LOCATION TRANSFER, CORPORATION,SERIES 7 LIQUOR LICENSE FOR DESERT LIQUORS This is the next step in the process for a liquor license application Council shall make a recommendation of approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control 14 APPLICATION FOR A LOCATION TRANSFER, CORPORATION,SERIES 9 LIQUOR LICENSE FOR DESERT LIQUORS This is the next step in the process for a liquor license application Council shall make a recommendation of approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control 15. PROPOSED RESOLUTION NO 10-38,DECLARING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA,VOLUME II, LAND DEVELOPMENT CODE,A PUBLIC RECORD. As discussed at the August 16,2010, and October 5, 2010, Council meetings, this is the first step in the process to adopt the updated and recodified version of the Land Development Code Adopting the code in this manner will save extensive legal advertising costs The Planning and Zoning Commission, by a vote of 7-0, recommended approval of Chapters 1 (Zoning Ordinance) and 2(Subdivision Regulations)of the Land Development Code 16 PROPOSED ORDINA �NO 1368,ADOPTING THE CODE OF T CITY OF APACHE JUNCTION, ARIZONA,VOLUME II,LAND DEVELOPMENT CODE,BY REFERENCE As discussed at the August 16, 2010, and October 5, 2010, Council meetings,this is the final step in the process of adopting the updated and recodified version of the Land Development Code The Planning and Zoning Commission recommended, by a vote of 7- 0, the approval of recodified Chapters 1 (Zoning Ordinance) and 2(Subdivision Regulations) 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 written request-to-speak form with the City Clerk None ..• J. NEW BUSINESS. The Council shall consider any business not yet considered No member of the public shall be permitted to speak on these items unless invited to do so by the Mayor after first submitting a written request-to-speak form with the City Clerk 17 ANNUAL APPOINTMENTS/REAPPOINTMENTS TO CONSTRUCTION CODE BOARD OF APPEALS,HEALTH AND HUMAN SERVICES COMMISSION,INDUSTRIAL DEVELOPMENT AUTHORITY, MUNICIPAL PROPERTY CORPORATION AND PUBLIC SAFETY PERSONNEL RETIREMENT BOARD. At the October 18 work session council interviewed the candidates for appointment and/or reappointment for these boards and commissions This item gives the council the opportunity to make the appointments/reappointments to these boards and commissions K COUNCIL DIRECTION TO STAFF. This item allows the Mayor and City Council to direct staff on specifically listed matters None L. SELECTION OF MEETING DATES, TIMES, LOCATIONS, AND PURPOSES: 18. EXECUTIVE SESSION AT 5•45 P M AND WORK SESSION AT 7.00 P.M.FOR MONDAY,NOVEMBER 1,2010. 19. EXECUTIVE SESSION AT 5•45 P M FOR TUESDAY,NOVEMBER 2,2010 OTHER MEETINGS IF NECESSARY. M. CALL TO PUBLIC. At this time the public has the privilege to address the Council with requests,communications,comments or suggestions relating to City business that are not listed on the agenda All speakers must have already submitted a written"Request to Speak"form to the City Clerk no later than the conclusion of the City Managers Report portion of the agenda If there is a group speaking on the same item,they should select a spokesperson All such remarks shall be addressed to the Council as a whole and not to any member thereof The Mayor is authorized to ask a speaker to stop speaking and leave the podium or to adjourn the meeting if anyone becomes disorderly, uncivil, makes personal attacks or continues to speak about items that are not within the jurisdiction of the city after being warned such issues are beyond the jurisdiction of the city to act The Council may not answer questions of the speaker,discuss the matter with one another,but may,at the conclusion 1) respond to criticism by a speaker, 2) ask the City Manager to review a matter,3)ask the City Manager to place the matter on a future agenda Each speaker must approach the podium,speak into the microphone,provide their name and address There is a three(3) minute time limit per speaker N ADJOURNMENT. Copies of this agenda and additional information regarding any of the items listed above may be obtained from the City Clerks office 300 East Superstition Boulevard,Apache Junction,AZ Monday through Friday,8 00 a m to 5 00 p m , excluding holidays If any person with a disability needs any type of accommodation,please notify the Human Resources Office, at (480)474-2617 or(480) 983-0095 (TDD)at least 72 hours prior to the scheduled time CITY COUNCIL REGULAR MEETING OCTOBER 5, 2010 The regular meeting of the City Council of the City of Apache Junction, Arizona, was held on October 5, 2010, at the Apache Junction City Council Chambers pursuant to the notice required by law CALL TO ORDER Mayor Insalaco called the meeting to order at 7 : 00 p m. INVOCATION Councilmember Wilson gave the Invocation PLEDGE OF ALLEGIANCE Councilmember Barker led the Pledge of Allegiance . ROLL CALL Councilmembers Present: Mayor Insalaco Vice Mayor Eck Councilmember Barker Councilmember Coleman Councilmember Dietz Councilmember Serdy Councilmember Wilson Staff Present : City Manager George Hoffman Assistant City Manager Bryant Powell City Clerk Kathleen Connelly City Attorney Joel Stern Public Safety Director Jerald Monahan Parks & Recreation Director Jeff Bell Development Svcs . Director Brad Steinke Others Present: Business Advocate Janine Solley REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 1 OF 17 ACCEPTANCE OF CONSENT AGENDA Vice Mayor Eck MOVED THAT THE CONSENT AGENDA BE ACCEPTED AS PRESENTED; AND THAT RETROACTIVE APPROVAL BE GIVEN FOR THE PURCHASE OF THE CITY' S PHONE SYSTEM, SOFTWARE AND UPGRADES THROUGH AVAYA FINANCIAL SERVICES IN AN AMOUNT NOT TO EXCEED $229, 806. 30, AND THAT THE AWARD OF BID FOR PROJECT PW 2010-13, EQUIPMENT AND eiN LABOR TO CRUSH ASPHALT CONCRETE FOR THE CITY OF APACHE JUNCTION, BE AWARDED TO SUNLAND INC. , ASPHALT AND SEALCOATING IN AN AMOUNT NOT TO EXCEED $182, 500. 00; AND THAT APPROVAL BE GIVEN FOR PROFESSIONAL SERVICES AGREEMENT BETWEEN EAST VALLEY ADULT RESOURCES AND THE CITY OF APACHE JUNCTION FOR THE RIDE CHOICE PROGRAM FOR FISCAL YEAR 2010-2011 IN THE AMOUNT OF $26, 432 . 00; AND THAT AUTHORIZATION BE GIVEN FOR THE MAYOR TO SIGN THE AGREEMENT; AND THAT APPROVAL BE GIVEN FOR THE PROFESSIONAL SERVICES AGREEMENT BETWEEN THE APACHE JUNCTION CHAMBER OF COMMERCE AND THE CITY OF APACHE JUNCTION FOR OPERATION OF A LOCAL VISITOR INFORMATION CENTER FROM OCTOBER 1, 2010 TO JUNE 30, 2012 IN THE AMOUNT OF $63, 000; AND THAT AUTHORIZATION BE GIVEN FOR THE MAYOR TO SIGN THE AGREEMENT. Councilmember Barker SECONDED THE MOTION. VOTE : Unanimous . The motion carried. AWARDS, PRESENTATIONS AND COMMUNICATIONS None. ANNOUNCEMENT OF CURRENT EVENTS Councilmember Serdy announced that the Festival of the Superstitions will be starting later this week behind the Chamber and other places. REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 2 OF 17 Mayor Insalaco announced Councilmember Serdy has been appointed to the Governor' s Office of Tourism. That is a plus for the city. Councilmember Serdy stated he is not sure what it will entail. He will represent Pinal County and Gila County. With the downturn in the economy, it is something that they need to try to bring more events out to the east end of town and the ,/, surrounding mountains . When you ask people what is the most beautiful place in the valley, everyone says it is right here in Apache Junction with the mountains. There is no reason why we do not have more tourism Anybody that stays a week in the valley should spend at least one day here We have plenty to do and hopefully we will have more to do and be more of a destination. CITY MANAGER' S REPORT City Manager George Hoffman commented on building code requirements, the successful collection of prescription drugs at the police department in partnership with the Drug Enforcement Association, road maintenance, a future presentation on the city' s financial condition, the annual G.A. I .N. event, city employees participating in the blood drive, and the police department partnering with other East Valley departments in Operation Wolfpack. Recreation Assistant Heather Wright gave a presentation on the 2010 Holiday Event and Light Parade PUBLIC HEARINGS RESOLUTION NO. 10-32, DECLARING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME I A PUBLIC RECORD WITH THE EMERGENCY CLAUSE/ORDINANCE NO. 1367, ADOPTING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME I BY REFERENCE WITH THE EMERGENCY CLAUSE) City Clerk Kathleen Connelly briefed the council on the items . REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 3 OF 17 Mayor Insalaco opened the public hearing on Resolution No. 10-32 . Mr. Elliott Fisher, 547 E. Quail, Apache Junction, addressed the council He commented it is a huge volume of information that should not be passed with the emergency clause in case someone wants to refer something. Mayor Insalaco closed the public hearing on the item with no one else wishing to speak. He reopened the item to council discussion. There being no discussion, he called for a motion Councilmember Dietz MOVED THAT RESOLUTION NO. 10-32, A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, DECLARING AS A PUBLIC RECORD THAT CERTAIN DOCUMENT FILED WITH THE CITY CLERK ENTITLED "CODE OF THE CITY OF APACHE JUNCTION, ARIZONA", VOLUME I, CHAPTERS 1 THROUGH 16; AND DECLARING AN EMERGENCY, BE APPROVED. Vice Mayor Eck SECONDED THE MOTION. VOTE: Unanimous . The motion carried. Mayor Insalaco opened the public hearing on Ordinance No. 1367 . There being no one wishing to speak, he closed the public hearing and reopened the item to council discussion. There being no further discussion, ^ he called for a motion. Councilmember Barker MOVED THAT ORDINANCE NO. 1367 BE READ BY TITLE ONLY WITH THE EMERGENCY CLAUSE AND THE READING OF THE ENTIRE ORDINANCE BE WAIVED. Councilmember Dietz SECONDED THE MOTION. VOTE: Unanimous . REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 4 OF 17 The motion carried. City Clerk Kathleen Connelly read the ordinance by title only with the emergency clause. Councilmember Barker MOVED THAT ORDINANCE NO. 1367, AS READ BY THE CITY CLERK, BE APPROVED AND ADOPTED Aimik Councilmember Dietz SECONDED THE MOTION. VOTE: Unanimous . The motion carried. PROPOSED ORDINANCE NO. 1368, ADOPTING BY REFERENCE THAT CERTAIN DOCUMENT ENTITLED "APACHE JUNCTION CITY CODE VOLUME II LAND DEVELOPMENT CODE" ) Development Services Director Brad Steinke briefed the council on the item. Mayor Insalaco opened the public hearing on the item. There being no one wishing to speak, he closed the public hearing and reopened the item to council discussion. Councilmember Serdy commented by publishing this on line, if any citizens have any problems with this they can come to the council and they can work it out and change it if there are any problems . Development Services Director Brad Steinke stated that is correct. This makes it much more accessible and keeps it much more up-to-date Councilmember Dietz commented there will be another opportunity for questions on it at the next public hearing when they adopt it . REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 5 OF 17 ON Mayor Insalaco commented this is a public hearing only tonight There will be no action taken. Councilmember Coleman commented on the list of changes that were done, for political signs it says they deleted the regulation prohibiting signs to be displayed within 60 days of an election. Development Services Director Brad Steinke stated that is awkward phrasing. It would be better if it said deleting the regulation prohibiting signs to be displayed earlier than 60 days prior to an election That has been deleted and he thinks the city attorney may have a comment on that. City Attorney Joel Stern stated the reason for that change is there has been some case law that essentially strikes down some ordinances in other cities, towns, states and federal circuits that basically required signs could not be up before 60 days . That was held invalid. Councilmember Coleman asked if that is a First Amendment issue. City Attorney Joel Stern stated that is correct. It is still legal to make individuals take down their signs 10 days after the election if they did not win the primary election and do not continue on to the general election. Someone could put up a sign now if they are running for something in 2012; they could do that if they wanted to. Mayor Insalaco closed the discussion with no further comments and moved on to the next item. OLD BUSINESS None NEW BUSINESS REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 6 OF 17 ACCEPTANCE OF R. E. ECK' S RESIGNATION AS VICE MAYOR AND DISCUSSION AND POSSIBLE ACTION ON VICE MAYOR RE-SELECTION ) Vice Mayor Eck read into the record: "I hereby resign my position as Apache Junction vice mayor. It has been an honor to serve in this capacity, but I believe it is time to pass the baton to another councilmember. In talking to the city attorney, it is my understanding that I will revert back to councilmember status upon acceptance of my resignation by council . " Vice Mayor Eck added that he had been on the council for 13 . 5 years, with 7 . 5 of those years as vice mayor. It has been an honor and extreme privilege to be in that position. He really feels it is time for someone else to take over those duties . He MOVED THAT THEY ACCEPT THE RESIGNATION OF R. E ECK AS VICE MAYOR AND THAT HE BE RETURNED BACK TO THE STATUS OF COUNCILMEMBER EFFECTIVE OCTOBER 6, 2010 Councilmember Coleman SECONDED THE MOTION. VOTE: Unanimous . Councilmember Coleman during the vote thanked R.E. for the time that he served as vice mayor Amok when he was mayor. He appreciated the help, support, his willingness to take over when he was gone and attend meetings that he could not attend. He did appreciate all the work that he put in. Vice Mayor Eck commented it was fun. The motion carried. Mayor Insalaco called for a selection for the new vice mayor REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 7 OF 17 Councilmember Eck NOMINATED RICK DIETZ FOR VICE MAYOR. Councilmember Wilson SECONDED THE MOTION. VOTE: Unanimous The motion carried. — ANNUAL APPOINTMENTS/REAPPOINTMENTS TO BOARD OF ADJUSTMENT, LIBRARY BOARD, PARKS AND RECREATION COMMISSION AND PLANNING AND ZONING COMMISSION ) Mayor Insalaco commented they had most of the applicants in attendance last night . City Clerk Kathleen Connelly commented they had asked last night about the application for Pems Tebon. What had happened in that instance is that she asked that all of her applications be withdrawn after your black books went out . That is why she was still on the list in the black books . Since the white books went out a couple of days later, she was not in there. Mayor Insalaco called for a motion for the Board of Adjustment. There are three positions open. Vice Mayor Dietz MOVED THAT JANE JONES-DENNEY BE REAPPOINTED TO THE BOARD OF ADJUSTMENT FOR Amok A TERM TO EXPIRE OCTOBER 31, 2013 . Councilmember Eck SECONDED THE MOTION . VOTE: Unanimous . The motion carried. REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 8 OF 17 Councilmember Barker MOVED THAT AGNES FELTON BE APPOINTED TO THE BOARD OF ADJUSTMENT FOR A TERM TO EXPIRE OCTOBER 31, 2013 Vice Mayor Dietz SECONDED THE MOTION. VOTE: Unanimous . The motion carried Councilmember Barker MOVED THAT RALPH STINSON BE APPOINTED TO THE BOARD OF ADJUSTMENT FOR A TERM TO EXPIRE OCTOBER 31, 2012 . Councilmember Wilson SECONDED THE MOTION. VOTE: Unanimous. The motion carried. Mayor Insalaco stated there are three positions on the Library Board - two reappointments and one new appointment. Vice Mayor Dietz MOVED THAT RHONDA JACKSON AND THERESA NESSER BE REAPPOINTED TO THE LIBRARY BOARD FOR TERMS TO EXPIRE OCTOBER 31, 2013. Councilmember Barker SECONDED Om THE MOTION. VOTE: Unanimous. The motion carried. Councilmember Barker MOVED THAT LIZA KOVACH BE APPOINTED TO THE LIBRARY BOARD FOR A TERM TO EXPIRE OCTOBER 31, 2013. Councilmember Serdy SECONDED THE MOTION. REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 9 OF 17 eN VOTE: Unanimous Councilmember Coleman commented that he was looking at her for another position. He originally voted no and then changed his vote to yes . Councilmember Eck commented he also had her for a different position. Mayor Insalaco commented he, too, had her in another position he would rather see her in. If she can handle both of them, that would be great. City Attorney Joel Stern stated as long as that person is not on the Board of Adjustment, he does not see any conflict in the other positions that are open. The motion carried Mayor Insalaco stated there are two positions for Parks and Recreation Councilmember Eck MOVED THAT CONRAD PISINSKI BE REAPPOINTED TO THE PARKS AND RECREATION COMMISSION FOR A TERM TO EXPIRE OCTOBER 31, 2013 . Councilmember Wilson SECONDED THE MOTION. VOTE: Unanimous . es The motion carried. Vice Mayor Dietz MOVED THAT MONA BARTON BE REAPPOINTED TO THE PARKS AND RECREATION COMMISSION FOR A TERM TO EXPIRE OCTOBER 31, 2013 . Councilmember Barker SECONDED THE MOTION. VOTE. Unanimous . REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 10 OF 17 The motion carried. Mayor Insalaco stated there are two reappointments for Planning and Zoning. Councilmember Barker MOVED THAT COLLEEN HILL AND J. SUE JOHNS BE REAPPOINTED TO THE PLANNING AND ZONING COMMISSION FOR TERMS TO EXPIRE OCTOBER 31, 2013 . Vice Mayor Dietz SECONDED THE MOTION. VOTE: Unanimous . The motion carried Mayor Insalaco stated there is one new appointment . Councilmember Eck MOVED THAT LIZA KOVACH BE APPOINTED TO THE PLANNING AND ZONING COMMISSION FOR A TERM TO EXPIRE OCTOBER 31, 2011 . Councilmember Coleman SECONDED THE MOTION. VOTE: 4-3 (Councilmembers Barker, Serdy and Wilson voted against the motion. ) Councilmember Wilson stated Asimilk he had someone else he wanted to put in there. Councilmember Serdy commented he is in the same situation. He was hoping for someone else . Councilmember Barker stated she would like to see more people on boards rather than the same people on multiple boards . The motion carried. REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 11 OF 17 Councilmember Eck asked if they could go back to a board, because of what they were just saying, and replace that applicant appointed earlier and put on somebody else that they wanted to City Attorney Joel Stern asked him to repeat the question. Councilmember Eck commented Ankk there was someone else that they really wanted to get on a board and, instead, they have one person on two boards . He was wondering if they could go back to the Library Board and take one off and put somebody else there. They would each be on one board instead of one person on two boards . City Attorney Joel Stern stated the mayor can call for a motion on that issue Mayor Insalaco asked if he could ask the person, if she is here, which she would want. City Attorney Joel Stern stated they cannot as it is not on the agenda. Councilmember Serdy asked if they can ask what Mr. Eck is asking. Councilmember Barker commented he is asking to take one person off the Library Board and replace that person with somebody else. Councilmember Serdy asked who ^ that somebody else is . Councilmember Eck commented it is the young gentleman they interviewed last night There was general discussion on how to make the change Councilmember Barker MOVED TO REMOVE HER MOTION ON THE MOTION TO APPOINT LIZA KOVACH TO THE LIBRARY BOARD FOR A TERM TO EXPIRE OCTOBER 31, 2013 REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 12 OF 17 Aims City Clerk Kathleen Connelly stated Councilmember Serdy seconded it Councilmember Serdy REMOVED HIS SECOND. City Attorney Joel Stern stated this is a motion to rescind the original motion. Councilmember Barker stated that is correct. VOTE: Unanimous. The motion carried. Councilmember Eck MOVED THAT FOSTER DREW RAPPLEYE BE APPOINTED TO THE LIBRARY BOARD FOR A TERM TO EXPIRE OCTOBER 31, 2013 . Councilmember Barker SECONDED THE MOTION VOTE: Unanimous. The motion carried. Councilmember Barker commented that anyone out there who feels that this council communicates behind closed doors has just discovered that is not the case. /'N There was general discussion as to whether enough people had been appointed to the Planning and Zoning Commission. It was determined all the positions were filled. COUNCIL DIRECTION TO STAFF NEAR-TERM DOWNTOWN IMPLEMENTATION STRATEGY Assistant City Manager Bryant Powell briefed the council on the item. REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 13 OF 17 Mayor Insalaco asked if this is on the Internet . Assistant City Manager Bryant Powell stated it is not as of yet but they can certainly do that . Mayor Insalaco commented he thinks it would be good if the public can see what their plans are for the next six to nine months He then called for a motion. Councilmember Barker MOVED THAT THE FOLLOWING DIRECTION BE GIVEN TO STAFF CONCERNING NEAR- TERM DOWNTOWN IMPLEMENTATION STRATEGY: THAT STAFF WORK ON THE CHARACTERISTICS OVERLAY, SIGN CODE AND INCLUDE LANDSCAPING WITH THOSE CHARACTERISTICS . Vice Mayor Dietz SECONDED THE MOTION. City Manager George Hoffman asked if they were saying to do all of those as one task, not as separate tasks . Councilmember Barker stated that they do the characteristics overlay, the sign code, and have the landscaping be mixed in with that batch, as it follows the characteristics, et cetera. Councilmember Coleman asked if that would work. City Manager George Hoffman stated it makes sense to the extent that it will be cohesive, to the extent that it is also very comprehensive; then there is a mutual understanding that when you do something very big and very comprehensive that it affects time Councilmember Barker stated that is correct . It will also incur extra meetings for them in order to get this accomplished in the near term. REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 14 OF 17 VOTE: Unanimous The motion carried. SELECTION OF MEETING DATES, TIMES, LOCATIONS, AND PURPOSES Councilmember Barker MOVED THAT AN EXECUTIVE SESSION AT 5 45 P.M. AND A WORK SESSION AT Am IN. 7 : 00 P.M. BE HELD ON MONDAY, OCTOBER 18, 2010, IN THE CITY COUNCIL CONFERENCE ROOM AND CITY COUNCIL CHAMBERS, RESPECTIVELY; AND THAT AN EXECUTIVE SESSION AT 5 : 45 P.M. BE HELD ON TUESDAY, OCTOBER 19, 2010, IN THE CITY COUNCIL CONFERENCE ROOM Vice Mayor Dietz SECONDED THE MOTION. VOTE Unanimous . The motion carried. CALL TO THE PUBLIC: Ms . Carmen Pacheco, 3346 S . Conestoga, Apache Junction, addressed the council regarding celebrating Halloween on Saturdays when it falls on a Sunday. Mr. Elliott Fisher, 547 E. Quail, Apache Junction, filled out a form but had already left . Ms . Judy Novalsky, 5239 E. 32nd Avenue, Apache Junction, addressed the council regarding fireworks and other dangers . Mr. Jeremy Hoenack, 1985 W. Apache Trail, Apache Junction, addressed the council regarding the signage issue. Ms . Janelle Wood, 2623 E. Beautiful Lane, Phoenix, addressed the council regarding her campaign for governor. Councilmember Serdy commented it is short notice to change Halloween to Saturday. He does not think anybody would be aware of it being moved. If they are going to make moves like that, REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 15 OF 17 it should have been started months ago. Not everybody watches or comes to these meetings . He believes it is too short a time to get anything done on that He commented to Jeremy that at last night' s work session they discussed and are in the process of prioritizing the sign ordinance. It is being worked on That is one of their top priorities. Councilmember Coleman commented October 30, Saturday, is the G.A I.N. event Halloween would be a perfect theme for those es neighborhood meetings. Councilmember Eck added he grew up around Kearny and it is all around the Great Pumpkin. It was the fiesta of town It would have been organized by now. It is very challenging down in the valley because they have people who really want that date to be changed and other folks that are bound and determined to keep it on its original day. He agrees with Jeff That move will be very difficult to do They should have been talking about this in July. Mayor Insalaco commented one of the other problems is that the 31st does not always come on a Saturday Sometimes it comes on a Monday or Tuesday and you would have the same problem. If the 31st falls on a Tuesday, the children would still have to get up for school the next day. They are darned if they do and darned if they don' t. ADJOURNMENT Mayor Insalaco adjourned the meeting at 8 : 14 p.m. Consent Agenda Items are as follows: 1. Acceptance of Agenda. 2 Approval of Minutes of Regular Meeting of September 7, 2010. 3 . Approval of Minutes of Regular Meeting of September 21, 2010. 4 . Consideration of retroactive approval to purchase the city' s phone system, software and upgrades through Avaya Financial Services in an amount not to exceed $229, 806. 30 . REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 16 OF 17 5 Consideration of award of bid, PW 2010-13 equipment and labor to crush recycled asphalt concrete for the City of Apache Junction, to Sunland Inc , Asphalt and Sealcoating in an amount not to exceed $182, 500 . 00 6. Consideration of Professional Services Agreement with East Valley Adult Resources, Inc , in the amount of $26, 432 00 for the Ride Choice Program for Fiscal Year 2010-2011 PS 7 . Consideration of professional services agreement with Apache Junction Chamber of Commerce for operation of a local visitor information center ACCEPTED THIS 19TH DAY OF OCTOBER, 2010, BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA. SIGNED AND ATTESTED TO THIS 19TH DAY OF OCTOBER, 2010 JOHN S. INSALACO Mayor ATTEST KATHLEEN CONNELLY City Clerk CITY COUNCIL MINUTES CERTIFICATION /, I hereby certify that the foregoing minutes are a true and correct copy of the minutes of the regular meeting of the City Council of the City of Apache Junction, Arizona, held on the 5th day of October, 2010 . I further certify that the meeting was duly called and held and that a quorum was present Dated this 12th day of October, 2010 . KATHLEEN CONNELLY City Clerk REGULAR MEETING OF THE CITY COUNCIL OCTOBER 5, 2010 PAGE 17 OF 17 Adak /NW Pp AC He aG 04 of Apache Junction U 2 Home of the ,Superstition Alount m c 4Rrzo • 8 Print TO City Manager's Office FROM: Roger S. Hacker, Revenue Resources Manager DATE October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Revenue Development TITLE OF AGENDA ITEM: Consideration of an agreement between the City of Apache Junction and the Apache Junction Community Development Corporation (CDC) for the management of enhancements at the Focal Point ACTION REQUESTED. Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION: City staff has been working with a local citizens committee and the Community Development Corporation to develop a donor program for enhancements at the Focal Point A Donor Agreement has been created by these groups. The document stipulates the rights and responsibilities of the donor, City, and CDC for a period of 20-40 years Stipulations in the agreement are necessary for the management of the enhancements and need to be formalized between the City and the CDC The agreement has been reviewed and approved by legal counsel for both the City and the CDC FISCAL IMPACT: Budgeted Expenditure OPTIONS/ALTERNATIVES: 'n` Policy Discussion (list specific options/alternatives) RECOMMENDATION: Council could 1) approve a motion, 2) refer the matter back to staff for additional research, or 3) decline to approve a motion. Development Services Department staff respectfully recommends that the City Council select option 1.This option allows the fund raising efforts for enhancements to the Focal Point to continue without further delay ATTACHMENTS: Click to download Staff Report 0 Focal Point Donor Agreement QkaoA:tiger♦ O �.4 . Z City of Apache Junction qA,Z°"P Development Services Department MEMORANDUM DATE• October 4, 2010 TO: The Honorable Mayor and City Council THROUGH: George Hoffman, City Manager Brad Steinke, Development Services Director FROM" Roger Hacker, Revenue Resources Manager SUBJECT: Focal Point Enhancement Project REQUEST Staff respectfully requests that the City Council approve a motion authorizing the City Manager, or his designee, to take the steps necessary for the City to enter into an agreement with the Apache Junction Community Development Corporation ("CDC") for implementation of the Focal Point Enhancement Project. Such an agreement is needed for the proper management/maintenance of the enhancements at the Focal Point. BACKGROUND City staff has been working with a local citizens committee to develop a donor program for the enhancement of the Focal Point Donated items include the lighting of trees at the Focal Point and along Phelps Drive, installation of benches (2) at the Focal Point, and the installation of inscribed pavers in the area in front of the Focal Point monument Donors will receive recognition at the Focal Point (i e inscribed plaque or paver) The citizens committee has been working with the CDC for the implementation and financial management of the enhancement efforts One of the documents that came from this partnership is a Donor Agreement. The agreement stipulates the rights and responsibilities of the concerned parties (i e donor, City, CDC) for a period of twenty years with the option for an additional twenty years Please see Attachment 1 for a sample of the Donor Agreement. The stipulations contained in the Donor Agreement will need to be included in the City-CDC agreement DISCUSSION Review of the Donor Agreement The Donor Agreement has been reviewed and approved by the City Attorney and the attorney representing the Community Development Corporation. Because the document commits both the City and the CDC to actions over the next 20-40 years, it is necessary JIM AM. to have the City Council and the CDC Board of Directors review and adopt the stipulations contained in the agreement. Based on the actions of the City Council, the CDC Board of Directors will pass a similar motion. Summary of the Donor Agreement Below are the major points of the Agreement as they appear in numerical order 1 The City retains ownership of the donated items 2 The CDC in consultation with the City has the right to refuse any donation 3 The City in consultation with the CDC will determine if a donated item needs to be replaced or repaired 4 The City is responsible for maintenance of donated items for a period of 20 years Donors have the option to pay an administrative fee to maintain the donated item for an additional 20 year period 5 The City in consultation with the CDC retains the right to remove or relocate donated items if they interfere with safety, maintenance, or subsequent construction 6 The City and CDC have editorial control for inscriptions on pavers and plaques If text is rejected, a donor can appeal to the CDC Board of Directors Political and commercial messages are not allowed 7 Installation of donated items will occur after payment in full is received 8 In certain instances, refunds are permissible if requested per the refund policy 9 Installation of the donated items will occur on a quarterly basis Donors will receive a letter from the Mayor 10 The CDC will retain records of all donations. 11 Based on current IRS documents, the following are the allowable tax deductible donations for the donated items bench $1,345, lighting of a tree $375, paver $50 Closing paragraph By signing the form, a donor acknowledges that he/she agrees to abide by the guidelines of the campaign Signature lines The document is signed by the donor, a representative of the Apache Junction Community Development Corporation, and a representative of the City of Apache Junction. Page 2 of 3 RECOMMENDATION Staff respectfully recommends that the City Council approve a motion authorizing the City Manager, or his designee, to take the steps necessary for the City to enter into an agreement with the Apache Junction Community Development Corporation for the management/maintenance of the enhancements at the Focal Point ACTION REQUIRED Approval of a motion Attachment 1 Focal Point Enhancement Project Donor Agreement Page 3 of 3 Attachment 1 Focal Point Enhancement Project Donor Agreement 1. The donation of funds to light a tree, install a bench or paver at the Focal Point or along Phelps Drive does not constitute ownership of the item, the land upon with it is situated or ..ft, the surrounding lands As a tax deductible donation,donated furnishings are property of the City of Apache Junction, and will be maintained according to its policy and priorities 2. The Apache Junction Community Development Corporation, in consultation with the City of Apache Junction, reserves the right to determine the suitability of all commemorative gifts (i e pavers, benches, lighting on trees)and donations and expressly reserves the right to refuse any donation or commemorative gift 3 The City of Apache Junction, in consultation with the Apache Junction Community Development Corporation, in its sole discretion,will determine whether to replace or repair any of the commemorative gift items that are damaged, destroyed or stolen. 4. Benches,tree lights,and pavers (i e 4"x 8" concrete bricks)shall be maintained by the City of Apache Junction for a period of twenty years after their installation At the end of that period, a donor has the option to maintain the donated item for an additional twenty year period by paying a maintenance fee The fee shall be 50%of the current fair market value of the item, commemorative plaque and the installation of said item and commemorative plaque The maintenance fee will be collected by a representative of the Apache Junction Community Development Corporation. Said maintenance fee is applicable only to tree lights and benches At the end of the original twenty year period, if a donor selects not to maintain the donated item,the commemorative plaque from a tree or a bench shall be returned to the donor whenever possible oak At the time of the original gift,a donor has the option of securing the gift for an additional twenty year period by paying a maintenance fee The fee shall be 50%of the original donation The Community Development Corporation, in consultation with the City of Apache Junction, will make all reasonable efforts to maintain contact with donors,their families, and/or heirs 5 The City of Apache Junction in consultation with the Apache Junction Community Development Corporation, reserves the right to remove and/or relocate benches and plaques when they interfere with site safety, maintenance or construction activities If the donor's information is current,the Apache Junction Community Development Corporation, in consultation with the City of Apache Junction,will notify the donor of any action that needs to be taken. In certain situations,such as safety or emergency situations,the notification may be made after an action is taken In the event a bench must be permanently removed,the City of Apache Junction, in consultation with the Apache Junction Community Development Corporation,will seek an alternative location If no such Page 1 of 5 r � location can be found,the donor's plaque can be placed on a different bench at the donor's request 6 Inscriptions to be used on commemorative plaques and pavers are subject to approval by the Apache Junction Community Development Corporation, in consultation with the City of Apache Junction;the AJ CDC reserves the right to refuse inappropriate words, names or messages If text is deemed inappropriate for a plaque or paver,the donor's gift shall be returned. A decision that text is inappropriate for display at the Focal Point may be appealed to the Apache Junction Community Development Board of Directors working in cooperation with the Apache Junction Parks Superintendent The decision of this group is final The Apache Junction Community Development Corporation, in consultation with the City of Apache Junction reserves the right to review and approve all logos, promotional material, promotional campaigns, political campaigns/statements, product placement and appearance and any and all other materials that represent a sponsor's efforts to publicize and/or promote the rights and benefits granted to it under this agreement The Apache Junction Community Development Corporation, in consultation with the City of Apache Junction, may reject any logos, promotional materials, promotional campaigns, product placement and appearances, and any and all other materials 7 Donated items will be installed after the Apache Junction Community Development Corporation has received payment in full for the item, installation shall occur on a quarterly basis 8. Refund Policy In the event that a donor requests a refund after having made payment for his/her donation,the following refund policy shall be utilized • Before the purchase of a bench or lights for trees,the Apache Junction Community Development Corporation shall refund the original donation minus a 20% administration fee • After the purchase of a bench or lights, no refund will be issued by the Apache Junction Community Development Corporation • Before a paver is inscribed,the Apache Junction Community Development Corporation shall refund the original donation minus a 20%administration fee. • After a paver has been inscribed, no refund will be issued by the Apache Junction Community Development Corporation All requests for refunds must be in writing and be received by the Apache Junction Community Development Corporation 9 The installation of fully paid donated items will occur on a quarterly basis The quarters are January 1-March 31,April 1-June 30,July 1-September 30, and October 1-December 31 All donors will receive a letter confirming tree lighting, bench/paver installation and a thank you letter signed by the Mayor Page 2 of 5 10 A statement and a description of the nature and estimated value of the donation shall be kept on file by the Apache Junction Community Development Corporation and upon request, shall be given to the donor 11 Based upon a review of current (i e 2010) Internal Revenue Service documents, under Section 170 of the Internal Revenue Code a donor is eligible to claim the following as a tax deductible contribution and shall be signed by the donor below Donation Confirmation Bench $1,345/bench Lighting of a tree $ 375/tree Paver $ 50/paver You have made a donation of$ for the installation of a paver(s), installation of a park bench(es), or lighting of a tree(s) Under Section 170 of Internal Revenue Service Code,you can claim $ as a tax deductible donation to a charitable organization The Apache Junction Community Development Corporation's tax identification number is 74-3043614 Your signature on this form indicates you understand that the bench style and model will be selected by the City of Apache Junction and the language on the recognition plaque and pavers is subject to approval by the Apache Junction Community Development Corporation, in consultation with the City of Apache Junction You agree to the rules and guidelines of the Building Community Pride program You understand that, as a tax-deductible donation,the bench is the property of the City of Apache Junction, and will be maintained according to Apache Junction Parks and Recreation policy and procedures. Donor Signature Date Representative of Apache Date Junction Community Development Corporation Signature Representative of City of Apache Date Junction Signature Attachment Donation Order Forms Page 3 of 5 Apache Junction Community Development Corporation 300 East Superstition Boulevard Apache Junction, Arizona 85119 Focal Point Enhancement Project Paver Donation Maximum 3 lines and 12 characters per line Spaces are considered a character Please print clearly Signed Date Donor Signed Date Apache:unction Community Development Corporation Signed Date City of Apache Junction Checks should be made payable to the Apache Junction Community Development Corporation. Payments should be sent to the Apache..'unction Community Development Corporation /mak c/o Apache Junction Revenue Development Program 300 East Superstition Boulevard Apache Junction,Arizona MI? Building Community Pride One Brick at a Time! Page 4 of 5 Ankh. .. Apache Junction Community Development Corporation 300 East Superstition Boulevard Apache Junction, Arizona 85119 Focal Point Enhancement Project Tree Lighting and Park Bench Donation • • Maximum 4 lines and 18 characters per line. Spaces are considered a character. Please print clearly. Signed Date Donor Signed Date Apache.unction Community Development Corporation Signed Date City of Apache Junction Checks should be made payable to the Apache Junction Community Development Corporation p lik Payments should be sent to the Apache unction Community Development Corporation C o Apache Junction Itevenue Development Program 3C0 East Supersttton Boulevard Apache Junction,Arizona 851L Building Community Pride One Brick at a Time! Page 5 of 5 k COI o f Z ache junction Home of the .S`uper:c/ztzon Alountaiizc 8 Print TO: City Manager's Office FROM: Shane Kiesow, Public Works Manager DATE: October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Budgeted Operational Item TITLE OF AGENDA ITEM: Consideration of award of bid, Project PW 2010-17, for the procurement of (1) 2011 Ford F-450 Regular Cab 4X2, (1) Ford F- 150 Super Crew 4X2, (3) 2011 Ford Crown Victoria Police Interceptors, to Five Star Ford in the amount not to exceed $127,179.52 ACTION REQUESTED Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION Five bids were received in response to the solicitation. Staff respectfully requests city council approval and award of this bid to Five Star Ford in the amount not to exceed $127,179 52 FISCAL IMPACT. Budgeted Expenditure OPTIONS/ALTERNATIVES- RECOMMENDATION: Approval. ATTACHMENTS: Click to download 121 Ford Vehicles Memo � acNCa 6 t Public Works Department � a City of Apache z �RIZ�N� Junction Home of the Superstition Mountains Date October 19, 2010 To Mayor and Members of City Council Through George Hoffman, City Manager David Fern, Public Works Director From Shane Kiesow, Public Works Manager Subject. Replacement Fleet Vehicles Five bids were received and opened on Tuesday, September 21, 2010 at 2 00 p.m. in response to solicitation PW 2010-17 for the procurement of(1) 2011 Ford F-450 Regular Cab 4X2, (1) 2011 Ford 4X2 Super Crew, (3) 2011 Ford Crown Victoria Police Interceptors They have been reviewed for compliance with the specifications Below is a breakdown of the bids received Five Star Ford $127,179 52 Berge Ford $128,121 75 Robert Horne Ford $128,233.38 Tom Jones Ford $130,785 74 Sanderson Ford $131,671.56 Ask The three Ford Crown Victorias and one Ford F-150 pickup will replace four existing patrol units in the Police Department with 118,359 to 129,266 miles The Ford F-450 will replace the existing Public Works sign truck with 111,204 miles which will be retained to be used in the street light division Staff respectfully requests City Council approval and award of PW 2010-17 to Five Star Ford in the NTE amount of$127,179 52 including tax 575 E Baseline Avenue, Apache Junction, AZ 851 I9 • VoiLe (480) 982-1055 • FAX (480) 983-5752 or (480) 982-8005 FQpCke�� zo • o CTi ,1 o�f ache Junction Notre o, /)e .S uper..Sci/son AI on/slit/nj ARfzoNA 8 Print TO City Manager's Office FROM: Shane Kiesow, Public Works Manager DATE October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Additional Item Outside Scope of Identified Council Priorities TITLE OF AGENDA ITEM. Consideration of Resolution No. 10-37 authorizing the City of Apache Junction to enter into an intergovernmental agreement with the Arizona Department of Transportation ACTION REQUESTED. Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION: The City of Apache Junction and ADOT desire to enter into an IGA for the joint maintenance of traffic signal emergency vehicle preemption devices within the city. FISCAL IMPACT OPTIONS/ALTERNATIVES ^ RECOMMENDATION: Approval. ATTACHMENTS: Click to download 0 Memo to Council ❑ Resolution and IGA pQ AChfF .4 G� Public Works Department City of Apache ZONE Junction qR Home of the Superstition Mountains Date. October 19, 2010 To. Mayor and Members of the City Council Through. George Hoffman, City Manager David Fern, Public Works Director From Shane Kiesow, Public Works Manager Subject Intergovernmental Agreement with Arizona Department of Transportation Three years ago via a partnership with the Apache Junction Fire Department, the City installed emergency vehicle preemption (EVP) devises throughout many traffic signals within the City Several of these installations were conducted with permission from ADOT on several of their traffic signals located within or on the edge of the City's borders ADOT and City staff developed the enclosed IGA for City Council's consideration as a continuance of this effort This agreement will capitalize on joint savings for maintenance for both agencies in addition to adding a significant element of safety to ensure the EVP is properly maintained and in line with the rest of the City's signals This item was discussed at the October 4th City Council Work Session 575 E Baseline Avenue, Apache Junction, AZ 85219 • Voice(480) 982-1055 • FAX (480) 983-5752 or(480) 982-8005 RESOLUTION NO 10-37 A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, AUTHORIZING THE CITY TO ENTER INTO AN INTERGOVERNMENTAL AGREEMENT WITH ARIZONA DEPARTMENT OF TRANSPORTATION FOR TRAFFIC SIGNAL EMERGENCY VEHICLE PREEMPTION MAINTENANCE WHEREAS, the City of Apache Junction and the Arizona Department of Transportation ("ADOT") desire to enter into an intergovernmental agreement for the maintenance of emergency vehicle preemption devices on select ADOT traffic signals within the city; and WHEREAS, mutual cooperation in providing related governmental services, materials and equipment will result in public savings to both entities; and WHEREAS, pursuant to A R.S. §§ 11-952 (A) and 28-401, public entities may enter into agreements with each other for Joint or cooperative activities. NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION ARIZONA, AS FOLLOWS. 1) The Mayor and City Council hereby approve the attached intergovernmental agreement between the City of Apache Junction and the Arizona Department of Transportation and the Mayor is hereby authorized to sign the agreement on behalf of the City. 2) The City Manager and/or his designee is authorized and directed to take all steps necessary to carry out the purpose and intent of this resolution. PASSED AND ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE->•JUNCTION, ARIZONA, THIS DAY OF 2010 SIGNED AND ATTESTED TO THIS DAY OF , 2010. JOHN S INSALACO Mayor RESOLUTION NO 10-37 PAGE 1 OF 2 ATTEST: KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM* RICHARD J STERN City Attorney RESOLUTION NO. 10-37 PAGE 2 OF 2 ATTACHMENT A ADOT File No IGA/JPA 09-165-I AG Contract No P001 2010 003048 Project Master Electrical Maintenance Section City Limits TRACS No MAINTAGR Budget Source Item No • n/a INTERGOVERNMENTAL AGREEMENT BETWEEN THE STATE OF ARIZONA AND CITY OF APACHE JUNCTION THIS AGREEMENT is entered into this date , 2010, pursuant to the Arizona Revised Statutes§ 11-951 through 11-954, as amended, between the STATE OF ARIZONA acting by and through its DEPARTMENT OF TRANSPORTATION (the "State") and the CITY OF APACHE JUNCTION, acting by and through its MAYOR and CITY COUNCIL (the "City") The State and the City are collectively referred to as"Parties" THIS AGREEMENT, relative to the maintenance of all signal electrical elements included herein, will work in concert with the agreement(s) listed below and any subsequent amendments In the event question(s) arise, this Agreement will take precedence ADOT FILE NO. A.G.CONTRACT NO SECRETARY OF STATE FILE NO JPA 05-111 KR06-0322TRN 28264 JPA 93-076 KR93-14251RN 17144 I RECITALS 1 The State is empowered by Arizona Revised Statutes § 28-401 to enter into this Agreement and has delegated to the undersigned the authority to execute this Agreement on behalf of the State 2 The City is empowered by Arizona Revised Statutes §48-572 to enter into this Agreement and has by resolution, a copy of which is attached hereto and made a part hereof, resolved to enter into this Agreement.and has authorized the undersigned to execute this Agreement on behalf of the City 3 The Parties agree it is necessary and desirable for the safety and protection of the traveling public, that certain operation and maintenance activities be provided for electrical facilities within City limits on SR 88, US60 and old US60 (Apache Trail) Said facilities include traffic signals, related intersection lighting and emergency vehicle preemption (EVP) equipment for locations listed on Exhibit A, attached hereto and made a part hereof 4 The Parties hereto agree to and acknowledge the following conditions a) the Parties shall perform their responsibilities consistent with this Agreement, and b) any change or modification will only occur with the mutual written consent of both Parties by amendment to this Agreement THEREFORE, in consideration of the mutual Agreements expressed herein, it is agreed as follows II. SCOPE OF WORK 1 The State will a Be responsible for all bluestaking, operation and maintenance of traffic signals, related intersection (traffic signal) lighting and EVP equipment per Exhibit A Operation and maintenance shall include, but is not limited to, any traffic signal timing adjustments and replacement of component replacement parts for State-owned facilities, with the exception of EVP components b Be responsible for monthly telephone charges for traffic signal interconnect circuits when utilized c Provide maintenance to the EVP system, including an annual inspection of the EVP systems with personnel from the City, and keeping up-to-date records of all inspections Upon completion and acceptance of EVP installation by the City of EVP systems, obtain training for State maintenance personnel from the City, along with bench stock EVP parts 2 The City will a Be responsible for the cost of electrical power to operate traffic signals and related signal/intersection lighting, all at City expense, at locations on Exhibit A unless so noted b Provide and install EVP equipment at project locations under this Agreement, all at City expense c Cause a representative of the EVP supplier or manufacturer to be present during installation and initial operational tests Said representative shall provide State maintenance personnel any needed training at City expense for EVP equipment, including all applicable aspects of installation, operation and maintenance of the EVP system d Provide the State one emitter for testing the EVP system at no cost to the State e Maintain a reasonable inventory of replacement EVP parts necessary for repair of all the equipment f Provide personnel to coordinate with the State on their annual inspections of the EVP systems for locations under this Agreement III. MISCELLANEOUS PROVISIONS 1 The terms, conditions and provisions of this Agreement shall remain in full force and effect and are incorporated herein However, it is understood and agreed that, in the event the City fails to budget or provide for electrical power, as set forth in this Agreement, the State shall in no way be obligated to be responsible Further, this Agreement may be cancelled at any time upon sixty days (60) written notice to the other party Each Party's obligations shall survive any termination of this Agreement, as they are perpetual, unless amended or turned over to the other Party 2 Each party (as "indemnitor") agrees to indemnify, defend, and hold harmless the other party (as "indemnitee")from and against any and all claims, losses, liability, costs or other expenses (including, but not limited to, reasonable attorneys' fees) (hereinafter collectively referred to as "claims") arising out of bodily injury of any person (including death), property damage and any other claims (including, but not limited to, claims of derivative or vicarious liability), which are caused by the act, omission, negligence, misconduct or other fault of the indemnitor, its officers, officials, agents, employees or volunteers 3 This Agreement shall become effective upon signing and dating of the Determination Letter by the State's Attorney General 4 This Agreement may be cancelled in accordance with Arizona Revised Statutes§38-511 5 To the extent applicable under law, the provisions set forth in Arizona Revised Statutes § 35-214 and§35-215 shall apply to this Agreement 6 In the event of any controversy, which may arise out of this Agreement, the Parties hereto agree to abide by required arbitration as is set forth for public works contracts in Arizona Revised Statutes§ 12- 1518 7 Al[notices or demands upon any party to this Agreement shall be in writing and shall be delivered in person or sent by mad, addressed as follows Arizona Department of Transportation City of Apache Junction Joint Project Administration Attn Public Works Director 205 S 17th Avenue, Mail Drop 637E 300 E Superstition Blvd Phoenix,Arizona 85007 Apache Junction,AZ 85119 (602)712-7124 (480)982-1055 (602)712-3132 Fax (480)474-5110 Fax 8 This Agreement is subject to all applicable provisions of the Americans with Disabilities Act (Public Law 101-336, 42 U S.C. 12101-12213) and all applicable Federal regulations under the Act, including 28 CFR Parts 35 and 36 The parties to this Agreement shall comply with Executive Order Number 09-09 issued by the Governor of the State of Arizona and incorporated herein by reference regarding"Non-Discrimination" 9 Non-Availability of Funds Every payment obligation of the State under this Agreement is conditioned upon the availability of funds appropriated or allocated for the payment of such obligations If funds are not allocated and available for the continuance of this Agreement, this Agreement may be terminated by the State at the end of the period for which the funds are available No liability shall accrue Adak to the State in the event this provision is exercised, and the State shall not be obligated or liable for any future payments as a result of termination under this paragraph 10 Compliance requirements for Arizona Revised Statutes § 41-4401—immigration laws and E-Verify requirement a The City warrants compliance with all Federal immigration laws and regulations relating to employees and warrants its compliance with Arizona Revised Statutes§23-214, Subsection A b A breach of a warranty regarding compliance with immigration laws and regulations shall be deemed a material breach of the contract and the City may be subject to penalties up to and including termination of the Agreement c The State retains the legal right to inspect the papers of any employee who works on the Project to ensure that the City or subcontractor is complying with the warranty under paragraph (a) 11 Pursuant to Arizona Revised Statutes § 35-391 06 and § 35-393 06, each Party certifies that it does not have a scrutinized business operation in Sudan or Iran For the purpose of this Section the term "scrutinized business operations" shall have the meanings set forth in Arizona Revised Statutes § 35-391 and/or§ 35-393,as applicable If any Party determines that another Party submitted a false certification, that Party may impose remedies as provided by law including terminating this Agreement 12 In accordance with Arizona Revised Statutes § 11-952 (D) attached hereto and incorporated herein is the written determination of each party's legal counsel and that the parties are authorized under the laws of this State to enter into this Agreement and that the Agreement is in proper form IN WITNESS WHEREOF, the Parties have executed this Agreement the day and year first above written CITY OF APACHE JUNCTION STATE OF ARIZONA Department of Transportation By By JOHN S INSALACO SAM MAROUFKHANI, P.E. Mayor Deputy State Engineer, Development ATTEST. By KATHY CONNELLY City Clerk IGA/JPA 09-165-I ATTORNEY APPROVAL FORM FOR THE CITY OF APACHE JUNCTION I have reviewed the above referenced Intergovernmental Agreement between the State of Arizona, acting by and through its DEPARTMENT OF TRANSPORTATION, and the CITY OF APACHE JUNCTION, an Agreement among public agencies which, has been reviewed pursuant to Arizona Revised Statutes § 11-951 through § 11-954 and declare this Agreement to be in proper form and within the powers and authority granted to the City under the laws of the State of Arizona No opinion is expressed as to the authority of the State to enter into this Agreement. DATED this day of , 2010 City Attorney EXHIBIT A • IGNJPA 09-165-I REGION 1 A00T Maintenance MILS ELECTRIC POWER 11)80 ON 0D00RAPRIC ROUTE LOCATION UNIT POST PAINT PAID CO DATE LOCATION CO0.MHN0S DT Intersection in Apache Junction City Limits 1 f USG0). 4 old Nest Highway 3680A 194 02 ADOT City SAP 10/30/64 Apache Junction 6 Meridian Drive U560 0 lanunood Drive 1110E 195 40 ADOT City SRP 00/16/91 Apache Junction U860 0 Idaho Road ISR881 31608 196 40 ADOT City SRP 00/21/D1 Apache Junction U660 N Mountain view Rd R 3250A 199371 AD0'1 City SRP 07/09/03 Apache Junction 4802 B Highway 60 U$60 0 Tomahawk Road 31908 t97 39 ADOT City SNP 09/11/91 Apache Junction 319$5 Tomahawk Rd U860 a goldfield Road 3230E 190 39 ADOT City SRP 08/16/41 Apache Junction 0660 a SuperMtlt108 Ro3Dta10 Dr 12808 201 15 ADOT Final SRP 12/27/DO Apache Junction 03088 Superstition Or SR88 4 Southern Avenue 0390B 101 38 ADOT City SRP 11/17/94 Apache Junctiaa {� SR68 8 16th Ave 3/70A 195 06 ADO? City SRP 12/27/07 Apache Junction Dy Fire Station JPA3005 111 6R88 a Broadway Avenue 03508 195.37 ADOT City SOP 01/08/93 Apache Junction 57188 •01d US60 3710A 195 73 ADOT City SOP 11/27/84 Apache Junction SR80 e N Apache Trail 0380E 196.14 ADOT City 6RP 01/15/43 Apache.Iun0ticn A PpACH fi ts • of Apache junction Novae of the .Super.Qt/t/oi Mountain; gR12ot* g Print TO. City Manager's Office FROM: City Engineer Giao Pham, P E. DATE: October 19, 2010 Agenda Type Regular Agenda Council Priority Focus Area. Community Infrastructure TITLE OF AGENDA ITEM. Consideration of award of Contract to AJP Electric, Inc for PW 2009-18 Old West Highway and Winchester Road Intersection Improvements in an amount not to exceed$241,963.98. ACTION REQUESTED. Recommendation for Approval DISCUSSION /BACKGROUND INFORMATION: Staff respectfully requests city council approval to enter into a contract with AJP Electric, Inc. for PW 2009-18 Old West Highway and Winchester Road Intersection Improvements in an amount not to exceed $241,963 98 FISCAL IMPACT OPTIONS/ALTERNATIVES: RECOMMENDATION: Staffs recommendation approval of contract to AJP Electric, Inc ATTACHMENTS: Click to download ❑ Memo to CityCouncil 0 Construction Contract PQ RCNF G a4 y'o Public Works Department 113 ,:z City of Apache Qlza�� Junction Home of the Superstition Mountains September 15,2010 Memorandum to Honorable Mayor and Members of the Council Through: George Hoffman,City Manager David Fern,P E,Director of Public Works From Giao Pham,P.E.,City Engineer Regarding Award of Bid for Project PW 2009-18 Old West Hwy and Winchester Rd Intersection Improvements Thirteen(13)bid packets were received and opened on Tuesday,September l4,2010,out of thirty-six (36)packets e-mailed or picked-up The bids ranged from$241,963.98 to$368,744 74. This project includes removal of asphalt pavement,installation of new asphalt pavement,base materials, curb,gutter,sidewalk,street lights,storm drain structures,adjustment of existing utilities, installation of traffic signal,signing,striping and other traffic signal related improvements Work is scheduled to be completed in December 2010 Bid Opening Summary Total AJP Electnc,Inc $241,963 98 Gunsight Construction $264,401 09 SPIRE Engineering $269,960 70 Engineering Estimate $330,000 00 See attached page for complete listing of all thirteen bids '114°'. The Public Works Department recommends award to AJP Electric,Inc for their bid in the amount of $241,963 98. RECOMMENDED MOTION: I MOVE TO AWARD BID PW 2009-18 TO AJP ELECTRIC,INC IN THE AMOUNT OF$241,963.98,PLUS 10°!0 FOR UNFORESEEN CHANGE ORDERS, $24,196.40, FOR A TOTAL OF$266,160.38. 575 E Baseline Avenue, Apache Junction, AZ 85119 • Voice(480)982-1055 • FAX (480)983-5752 or(480)982-8005 COMPANY BID TOTALS AJP Electric,Inc. $241,963 98 Gunsight Construction $264,401.09 SPIRE Engineering $269,960 70 DCS Contracting $278,000 00 CPC Construction $279,028 60 Visus Engineering $288,000.00 ABC Asphalt $295,989 02 Blucor Contracting $301,758 15 J Banicki $301,819.26 Markham Contracting $326,980 00 Nesbitt Contracting $330,082 90 Ricor, Inc $331,000.00 Pierson Construction $368,744.74 Engineer's Cost Estimate $330,000.00 1 I f 1 City OF APACHE JUNCTION AGREEMENT FOR OLD WEST HIGHWAY AND WINCHESTER ROAD INTERSECTION IMPROVEMENTS PROJECT PW 2009-18 THIS AGREEMENT made and entered into by and between the City of Apache Junction, an Arizona municipal corporation ("City") and AJP Electric, Inc. an Arizona corporation ("Contractor") . RECITALS A, In response to City's Notice Inviting Bid Proposals dated August 2010, and any addendums applicable thereto, Contractor submitted a proposal dated, September 14, 2010, in which Contractor asserts its willingness, ability and qualifications to provide this work and service B City has complied with the public bidding requirements under Arizona Revised Statute Title 34 and Apache Junction City code Article 3-7. C. City and Contractor desire to set forth herein their respective responsibilities and the manner and terms upon which Contractor shall render the services NOW, THEREFORE, Cityretains Contractor to perform, and Contractor agrees to render the services in accordance with the terms and conditions set forth below. AGREEMENT f i 1. PROJECT DESCRIPTION. Old West Highway and Winchester Road Intersection improvements will include the following: removal of existing asphalt pavement including base materials, installation of new base material and asphalt pavement, curb and gutter, sidewalk, ADA Accessible ramps, 12-inch and 24-inch storm drain concrete pipes with headwalls, installation of traffic signal, • streetlights, trenching, conducts, pull boxes, adjustment of existing utilities and other traffic signal related improvements. All work shall be completed in accordance with the following (hereinafter referred to as the Contract Documents) -1) the construction plans entitled "City of Apache Junction Old West Highway and Winchester Road Intersection Improvements PW 2009-18", {` 2) the latest "Uniform Standard Specifications and Details for 1 f { ( , I i «4 Public Works Construction" by the Maricopa Association of I Governments and Standard Details of the City of Apache Junction, and 3) the plans entitled "Old West Highway and Winchester Road Intersection Improvements- Project No. PW 2009-18 as shown and described in the referenced bid documents and included here in ^ under Exhibits. 2. PAYMENTS & COMPLETION: The contract sum shall be the ( , total amount payable by City to the Contractor in the amount of Two Hundred Forty-one Thousand Nine Hundred Sixty-three Dollars and Ninety-eight Cents (S 241,963 .98) for the performance of the work under the contract documents except for changes authorized by properly executed change orders Upon notice that the work is ready for final inspection or acceptance, City representatives shall promptly cause to be made an inspection. When City finds the work acceptable under the Contract Documents, City shall promptly submit for processing a certificate for payment stating that to the best of their knowledge, information and belief and on the basis of its observation and inspection, the work has been completed in accordance with the terms and conditions of the Contract Documents and that partial payment or the entire balance due the Contractor is payable. No final payment shall become due until the Contractor j 1 submits to the all required lien waivers, releases and any other data establishing payment or satisfaction of all Contractor's obligations. If any Subcontractor refuses to furnish a release or waiver required by City, Contractor may furnish a bond satisfactory to the City to indemnify City against any such lien If any such lien remains unsatisfied after all payments are made, Contractor shall refund to City all monies that the latter may be compelled to pay in discharging such liens, including all costs and reasonable attorneys fees. 3. CONTRACT TIME: Contractor hereby fixes the time for beginning work no later than October 20, 2010 as, with completion ,/'N no later than December 18, 2010 Upon failure to complete work within the time specified, the Contractor shall pay as liquidated damages for the loss of use of the benefit of this project the sum as provided in Table 108 of the M.A.G Specifications per day for each day the work remains unfinished This provision does not limit the liability of Contractor for actual damages sustained by the City as a result of any breach of contract or warranty by the Contractor 4. INDEPENDENT Contractor: Contractor shall at all times during Contractor's performance of the services retain Contractor's status as an independent Contractor. Contractor's employees shall under no circumstances be considered or held to be employees or agents of City, and City shall have no obligation to pay or withhold state or federal taxes, or provide workers compensation or h unemployment insurance for or on behalf of them or Contractor Contractor shall supervise and direct the work to be done using its best skill and attention. Except as provided in this Agreement, , Contractor shall be solely responsible for all construction means, { methods, techniques, sequences and procedures, and for coordinating all portions of the work required by the contract documents 2 ' I Contractor shall be responsible to City for the acts and omissions of its employees, Subcontractor's and their agents and employees and other persons performing any of the work under any contract document 5. LABOR AND MATERIALS: Unless otherwise provided in the contract documents, Contractor shall provide, pay and insure under ^ the requisite laws and regulations for all labor, materials, equipment, tools and machinery, water, heat, utilities, transportation, other facilities and services necessary for the proper execution and completion of the work whether temporary or permanent, and whether or not incorporated or to be incorporated in the work. � I 6. INSPECTIONS AND QUALITY OF WORK- Contractor understands and specifically agrees that all work is to be performed pursuant to Maricopa Association of Governments specifications and details, j I ("MAG" specifications and details" ) with City's additions Contractor agrees that it will conduct at least one pre- construction meeting before any work commences. While performing the services, Contractor shall exercise the reasonable professional care and skill customarily exercised by reputed members of Contractor's profession practicing in the Phoenix metropolitan area, and shall use reasonable diligence and best judgment while exercising its professional skill and expertise. Contractor shall also be responsible for all errors and omissions Contractor commits in the performance of this Agreement. Contractor understands and agrees that inspection of the work being performed hereunder will occur by City. Contractor agrees that City will have the exclusive right to determine, in its sole discretion, whether the work has been performed in accordance with the Contract Documents, including MAG specifications and details Contractor further agrees to make such corrections to the work as may be directed by City to conform to said Contract Documents including MAG specifications and details, without requirement of Change Order or any additional charge or cost to City whatsoever. Contractor further agrees to ? f make such corrections to the work within the time for completion of work as specified in Section 3 above and shall not be entitled to additional time for completion of work for any correction work needed to be performed hereunder. Failure to perform correction work within the time to complete work as provided in Section 3 shall subject Contractor to liquidated damages as provided therein I � 7. WARRANTY: Contractor shall guarantee the work against defective workmanship or materials for a period of one year from the date of its final acceptance under the contract; ordinary wear and tear and unusual abuse or neglect excepted. Any omission on the part of City to condemn defective work or materials at the time of construction shall not be deemed an acceptance and L Contractor will be required to correct defective work or materials at any time before final acceptance. Within one year from the date of final acceptance due to faults in workmanship or materials, the Contractor shall begin making the necessary repairs to the satisfaction of City within fourteen (14) calendar days of receipt of written notice from City Such work shall include the repair or 3 � I replacement of other work or materials damaged or affected by making the above repairs or corrective work all at no additional cost to City In the case of work materials or equipment for which warranties are required by the special provisions, Contractor shall 1 provide or secure from the appropriate Subcontractor or supplier such warranties addressed to and in favor of City and deliver sameomiN I to City prior to final acceptance of the work. Delivery of such warranties shall not relieve Contractor from any obligation assumed under any other provision of the contract The warranties and guarantees provided in this subsection of the contract documents shall be in addition to and not in limitation of any other warrantees, guarantees or remedies required by law, and shall survive the expiration of this Agreement for the time period mentioned above. If the Contractor fails within a reasonable time to replace or repair any portion of the work deemed to be needed, the City may cause said work to be done and the Contractor agrees to pay all costs incurred, or the 'City may use the Warranty Bond to pay for costs incurred. 8. TAXES: Contractor shall pay all license, sales, consumer, use and other similar taxes for the work or portions thereof provided by Contractor which are legally enacted at the time bids are received whether or not yet effective or subsequently applicable due to acts of jurisdictions or bodies other than City 9. PERMITS & FEES: Unless otherwise provided in the contract documents, Contractor shall secure and pay for all permits, governmental fees, licenses and inspections necessary for the proper execution and completion of work which are customarily secured after execution of the contract and which are legally required. Contractor shall give all notices and comply with all laws, ordinances, rules, regulations and lawful orders of any public authority bearing on the performance of the work City ORS permits for this work will be provided to Contractor at no cost Contractor understands that the activity described herein constitutes "doing business in the City of Apache Junction" and Contractor agrees to obtain a business tax license pursuant to Article 8-5 of the Apache Junction City Code from the City Clerk's Office and keep such license current during the term of this Agreement and after termination of this Agreement any time work is performed pursuant to the warranty provisions set forth in Section 5. Any activity by Subcontractor's within the corporate City limits, will invoke the same business tax regulations on any Subcontractor's, and Contractor ensures its Subcontractor's will obtain any required business tax license. 10. SUPERINTENDENT: Contractor shall employ a competent project superintendent who shall be in attendance at the project site during the progress of the work The superintendent shall represent and be the community agent of Contractor and communications given to the superintendent shall be as binding as if given to Contractor Important communications shall be confirmed in writing. The designated superintendent's contact 4 i i eS eS i information shall be provided to the Public Works Director or his designee in writing within five (5) working days after execution of this Agreement. 1 11. PROGRESS SCHEDULE: Contractor shall, immediately after entering into this Agreement, reaffirm the estimated progress j schedule as submitted with the bid proposal. Said progress schedule shall be maintained and updated during the project t 12. INDEMNIFICATION: Contractor shall defend indemnify and hold harmless City, its, agents, officers, officials and employees, I from and against all claims, damages, losses and expenses (including but not limited to attorney fees, court costs and the cost of appellate proceedings) relating to, arising out of, or ! alleged to have resulted from the acts, errors, mistakes, I _. omissions, work or services of Contractor, its agents, employees, or any tier of Contractor's Subcontractors or any other person for whose acts, errors, mistakes, omissions, work or services Contractor may be legally liable. The amount and type of insurance I coverage requirements set forth herein will in no way be construed 1 as limiting the scope of the indemnity in this paragraph. i 13. SUBCONTRACTORS: All Subcontractors chosen by Contractor will be subject to City's approval All Subcontractors shall be identified by Contractor prior to award of contract. Contractor shall make no substitutions for any Subcontractor, person or entity previously selected without the approval of City 14. GOVERNING LAW AND VENUE: The terms and conditions of this Agreement shall be governed by and interpreted in accordance with the laws of the State of Arizona. Any action at law or in 4 equity brought by either party for the purpose of enforcing a right , or rights provided for in this Agreement, shall be tried in a court of competent jurisdiction in Final County, State of Arizona. The L parties hereby waive all provisions of law providing for a change of venue in such proceeding to any other county. In the event either party shall bring suit to enforce any terms of this Agreement or to recover any damages for and on account of the breach of any term or condition in this Agreement, it is mutually agreed that the prevailing party in such action shall recover all ## costs including reasonable attorney fees to be determined by the f court in such action. 15. INSURANCE: Contractor, at its own expense, shall purchase and maintain the herein stipulated minimum insurance with companies duly licensed in the State of Arizona, possessing a j current A M. Best, Inc. Rating of B++6, or approved unlicensed in I the State of Arizona with policies and forms satisfactory to City. All insurance required herein shall be maintained in full force and effect until all work or service required to be performed under the j terms of the Agreement is satisfactorily completed and formally accepted; failure to do so may, at the sole discretion of the City 1: constitute a material breach of this Agreement I 5 1 /'t Contractor's insurance shall be primary insurance as respect to City, and any insurance or self-insurance maintained by City shall not contribute to it Any failure to comply with the claim reporting provisions of the insurance policies or any breach of an insurance policy warranty shall not affect coverage afforded under the insurance policies to protect City The insurance policies, except Workers Compensation, shall contain waiver of transfer rights of recovery (subrogation) against City, its agents, officers, officials and employees for any claims arising out of Contractor's acts, errors, mistakes, omissions, work or services The insurance policies may provide coverage which contain deductibles or self-insured retentions. Such deductible and/or self-insured retentions shall not be applicable with respect to the coverage provided to City under such policies Contractor shall be solely responsible for the deductible and/or self-insured retention }_ and City, at its option, may require Contractor to secure payment of such deductibles or self-insured retentions by a Surety Bond or an irrevocable and unconditional letter of credit City reserves the right to request and to receive within ten (10) working days, certified copies of any or all of the herein required insurance policies and/or endorsements City shall not be obligated, however, to review same or to advise Contractor of an gY deficiencies in such policies and endorsements, and such receipt shall not relieve Contractor from, or be deemed a waiver of City's right to insist on strict fulfillment of Contractor's obligations under this Agreement. The insurance policies, except Workers Compensation and Professional Liability, required by this Agreement, shall name City, its Mayor, Council, appointees, agents, officers, officials and employees as additional insured parties � t REQUIRED COVERAGE t � Commercial General Liability ` { Contractor shall maintain Commercial General Liability insurance with a limit of not less than $1,000,000 for each occurrence with a $2,000,000 Products/Completed Operations Aggregate and a $2, 000,000 General Aggregate Limit The policy shall include coverage for bodily injury, broad form property damage, personal injury, products and completed operations and blanket contractual coverage including, but not limited to, the liability assumed under the indemnification provisions of this Agreement which coverage will be H i. at least as broad as Insurance Service Office, Inc. Policy Form CG l € 00011-03 or any replacement thereof. Such policy shall contain a severability of interest provision, and shall not contain a sunset provision or commutation clause, nor any 6 provision which would serve to limit third party action over claims. The Commercial General Liability additional insured endorsement shall be at least as broad as the Insurance Service Office Inc. 's Additional Insured Form CG 20101185, and shall include coverage for Contractor's operations and products and completed operations. If required by this Agreement, if Contractor sublets any part of • the work, services or operations, Contractor shall purchase and maintain, at all times during prosecution of the work, services or operations under this Agreement, an Owner and Contractor's Protective Liability insurance policy for bodily injury and property damage, including death, which may arise in the prosecution of the Contractor's work, service or operations under this Contract Coverage shall be on an occurrence basis with a limit not less than $1,000, 000 per occurrence, and the policy shall be issued by the same insurance company that issues Contractor's General Liability insurance_ Workers' Compensation ' S Contractor shall carry Workers Compensation insurance to cover obligations imposed by federal and state statutes having jurisdiction of Contractor's employees engaged in the performance of the work or services, and Employer's Liability insurance of not less than $100,000 for each accident, $100,000 disease for each employee, and $500,000 disease policy limit i? In case any work is subcontracted, Contractor will require all Subcontractors to provide Workers Compensation and Employer's Liability to at least the same extent as required of Contractor. Professional Liability If deemed applicable by the City Attorney, Contractor will maintain Professional Liability insurance covering acts, errors, mistakes and omissions arising out of the work or services performed by Contractor, or any person employed by Contractor, with a limit of not less than $1,000,000 each claim F CERTIFICATE OF INSURANCE Prior to commencing work or services under this Agreement, Contractor shall furnish the City with Certificates of Insurance, { y or formal endorsements as required by Agreement, issued by Contractors insurer(s) , as evidence that policies providing the required coverages, conditions and limits required by this Agreement are in full force and effect. In the event any insurance policies required by this Agreement are written on a "claims made' " basis, coverage shall extend for two (2) years past completion and acceptance of the Contractor's work or services and as evidenced by annual Certificates of Insurance, F to be filed with the City Clerk of City. 7 ,/'1 If a policy does expire during the life of the Agreement, a renewal certificate must be sent to City thirty (30) calendar days prior to the expiration date and all required insurance shall not expire, be cancelled, or materially changed without a minimum thirty (30) calendar days written notice to City from Contractor. All Certificates of Insurance shall be identified with bid serial number and title At the close of the project when the work has been accepted by the City, the Contractor shall provide a Warranty Bond in the amount of ten percent (10%) of the Performance Bond. The Warranty Bond shall be held by the City during Warranty Period 16. CHANGE ORDERS: This is a Lump Sum Contract. However, change orders may be processed as delineated herein. A change order is a written order to Contractor, approved by the Director of Public Works, issued after execution of the contract authorizing a change in the work or an adjustment in the contract sum or the contract time A change order signed by Contractor indicates its agreement therewith. City may, without invalidating the contract, order changes in the work within the general scope of the contract consisting of additions, deletions or other revisions, the contract j sum and the contract being adjusted accordingly All such changes in the work shall be authorized by change order and shall be performed under the applicable conditions of the contract documents City' s Director of Public Works shall have authority to order minor changes in the work not involving an adjustment in the contract sum or extension of contract time and not inconsistent with the intent of the contract documents. All such changes shall be effected by written order and shall be binding upon City and Contractor. 17. SUCCESSORS & ASSIGNS: City and Contractor each bind themselves, their partners, successors, assigns and legal representatives to the other party hereto and to the partners, successors, assigns and legal representatives of such other party in respect to all covenants, agreements and obligations contained in the contract documents. Neither party to the contract shall assign the contract or sublet it as a whole without the written consent of the other, nor shall the Contractor assign any monies due or to become due to or to become due to it without the previous written consent of City 18. WRITTEN NOTICE: Written notice shall be deemed to have been duly served if delivered in person to the individual or member of the firm or entity, or to an office of the corporation for whom it was intended or if delivered at or sent registered or certified mail, return receipt requested, and first class postage prepaid to the last business address known to them who gives the notice. t � 19. CLAIMS FOR DAMAGES: Should either party to the contract suffer injury or damage to personal property because of any act or omission of the other party or of their employees or agents for whose acts they are legally liable, claims shall be 8 made in writing ro such other parties within a reasonable time after the first observance of such injury or damages. 20. PERFORMANCE BOND & LABOR & MATERIAL PAYMENT BOND: City shall have the right to require Contractor to furnish bonds covering the faithful performance of the contract and the payment of all obligations arising thereunder. Attached are standard bond ems forms which must be completed by Contractor, and Contractor agrees to conform to all provisions set forth in such forms 21 SAFETY. Except as provided herein with respect to trench excavation and traffic regulations, Contractor and/or its Subcontractors shall be solely responsible for job safety at all times. 22. RIGHTS & REMEDIES: The duties and obligations imposed by the contract documents and the rights and remedies available thereunder shall be in addition to and not a limitation of any duties, obligations, rights and remedies otherwise imposed or available by law. No action or failure to act by City or Contractor shall constitute a waiver of any right or duty afforded any of them under the contract, nor shall any action or failure to act constitute an approval of or an acquiescence to any breaches thereunder except as may be specifically agreed to in writing. 23. ENFORCED DELAYS (FORCE MAJEURE) : All time limits stated in the contract documents are of the essence. Contractor shall begin work on the date of commencement as defined in Section 3 above. Neither City nor Consultant, as the case may be, shall be considered not to have performed its obligations under this Agreement in the event of enforced delay (an "Enforced Delay") due to causes beyond its control and without its fault or negligence or failure to comply with Applicable Laws, including, but not restricted to, acts of God, fires, floods, epidemics, pandemics, quarantine, restrictions, embargoes, labor disputes, and unusually severe weather or the delays of subconsultants or materialmen due to such causes, acts of a public enemy, war, terrorism or act of terror (including but not limited to bio-terrorism or eco- terrorism) , nuclear radiation, blockade, insurrection, riot, labor I I strike or interruption, extortion, sabotage, or similar occurrence or any exercise of the power of eminent domain of any governmental body on behalf of any public entity, or a declaration of moratorium or similar hiatus (whether permanent or temporary) by any public entity directly affecting the Project. In no event will Enforced Delay include any delay resulting from unavailability for any reason of labor shortages, or the unavailability for any reason of particular consultants, subconsultants, vendors or investors desired by Consultant in connection with the Project. Consultant agrees that Consultant alone will bear all risks of delay which are not Enforced Delay. In the event of the occurrence of any such Enforced Delay, the time or times for performance of the obligations of the Party claiming delay shall be extended for a period of the Enforced Delay, provided, however, that the Party 9 seeking the benefit of the provisions of this Section shall, within thirty (30) calendar days after such Party knows or should know of any such Enforced Delay, first notify the other Party of the specific delay in writing and claim the right to an extension for the period of the Enforced Delay, and provided further that in no event shall a period of Enforced Delay exceed ninety (90) calendar days. 24. TERMINATION BY Contractor: If the work is stopped for a period of fifteen (15) calendar days under an order of any court or other public authority having jurisdiction or as a result of an act of government such as declaration of national emergency making material unavailable through no act or fault of Contractor or a Subcontractor or their agents or employees, Contractor may upon seven (7) additional calendar days, give written notice to City, terminate the contract and recover from City payment for all work executed and for any proven loss sustained upon any materials, equipment, tools, construction equipment and machinery including reasonable profit and damage 25. TERMINATION BY City: If Contractor is adjudged bankrupt or if it makes a general assignment for the benefit of its creditors or if a receiver is appointed on account of its insolvency, of if it persistently or repeatedly refuses or fails except in case for which extension of time is provided to supply enough properly skilled works or proper materials or labor or persistently disregards laws, ordinance, rules, regulations or orders of any public authority having jurisdiction or otherwise is guilty of a substantial violation of a provision of the contract documents, City upon certification by the Director of Public Works i f that sufficient cause exists to justify such action may without prejudice to any right or remedy and after giving the Contractor and its surety if any, ten (10) calendar days written notice, terminate this contract and take possession of the site and of al101mN materials, equipment, tools, construction equipment and machinery thereon owned by the Contractor and may finish the work by whatever method it may deem expedient. In such case, Contractor shall not be entitled to receive any further payment until the work is finished If the unpaid balance of the contract sum exceeds the cost of finishing the work such excess shall be paid to the } Contractor. If such costs exceed the unpaid balance, Contractor shall pay the difference to City. The amount to be paid to case maybe, shall be certified bythe t or to Cityas the Contractor , 1 n this obligation forpayment City s Director of Public Works and g shall survive the termination of this contract I � labor, payrolland I i 26. RECORDS. Records of Contractor's } other costs pertaining to this Agreement shall be kept on a generally recognized accounting basis and made available to City L for inspection on request Contractor shall maintain records for a j E period of at least two (2) years after termination of this , A reement and shall make such records available during that g examination or audit byCitypersonnel during period for retention regular business hours. 10 /'\ 01 27 AMENDMENT. It is mutually understood and agreed that no alteration or variation of the terms and conditions of this Agreement shall be valid unless made in writing and signed by the parties hereto, and that oral understandings or agreements not incorporated herein shall not be binding on the parties. 28 SEVERABILITY: If any part, term or provisions of this Agreement shall be held illegal, unenforceable or in conflict with any law, the validity of the remaining portions and provisions hereof shall not be affected. 29. CONFLICT OF INTEREST The provisions of A.R.S § 38-511 relating to cancellation of contracts due to conflicts of interest shall apply to this contract s i 30. COMPLIANCE WITH FEDERAL AND STATE LAWS: The Contractor understands and acknowledges the applicability to it of the American with Disabilities Act, the Immigration Reform and Control Act of 1986 and the Drug Free Workplace Act of 1989. The following r i is only applicable to construction contracts: The Contractor must also comply with A R S. § 34-301, "Employment of Aliens on Public Works Prohibited", and A.R S § 34-302, as amended, "Residence Requirements for Employees" Under the provisions of A.R.S. § 41-4401, Contractor hereby warrants to the City that the Contractor and each of its Subcontractors will comply with, and are contractually obligated to comply with, all Federal Immigration laws and regulations that relate to their employees and A.R S § 23-214 (A) (hereinafter "Contractor Immigration Warranty") . �. A breach of the Contractor Immigration Warranty shall constitute a material breach of this Contract and shall subject the Contractor to penalties up to and including termination of this Contract at the sole discretion of the City. The City retains the legal right to inspect the papers of any Contractor or Subcontractors employee who works on this Contract to ensure that the Contractor or Subcontractor is complying with the Contractor Immigration Warranty Contractor agrees to assist the City in regard to any such inspections The City may, at its sole discretion, conduct random verification of the employment records of the Contractor and any of Subcontractors to ensure compliance with Contractor's Immigration Warranty. Contractor agrees to assist the City in regard to any random verifications performed. Neither the Contractor nor any of Subcontractor shall be deemed to have materially breached the Contractor Immigration Warranty if the Contractor or Subcontractor establishes that it has complied with the employment verification provisions prescribed by sections 274A and 274E of the Federal Immigration and Nationality Act and the E- Verify requirements prescribed by A R S § 23-214, Subsection A 11 The provisions of this Article must be included in any contract the Contractor enters into with any and all of its Subcontractors who provide services under this Contract or any subcontract. "Services" are defined as furnishing labor, time or effort in the State of Arizona by a Contractor or Subcontractor Services include ^ construction or maintenance of any structure, building or transportation facility or improvement to real property CIS I s } I t I t I { I j I ; { } I � ! } L i { Fi i t f 4 12 AOIN IN WITNESS WHEREOF the parties hereto have caused this Agreement to be signed by their duly authorized representative as of this day of , 2010 i t AJP Electric, Inc lei 1 By � E Title Prtvl4,41+/ 1 � r i 1 i STATE OF ARIZONA ) ss ' R COUNTY OF e Ce Jet- ) The foregoing instrument was acknowledged before me this cX� day of k--_ y�11 z./j1/L , 2010, by /-21We:W41( , as Contractor in the above-referenced Agreement Witness my hand and official seal My Commission Expires: y/42 ,L. �j -' '3 { E DEBBIE A.MAGNOLO ��r� NOTARY PUBLIC-ARIZONA 5 , se MARICOPACOUNTY ' �}.:.�. MyCammtssianExpires ti‘hP November oz,iota 81 .LC{ �t �f/. 7 i { Notary Public P t � t F 1SS jtt{ t ' t � 13 s i City OF APACHE JUNCTION i an Arizona municipal corporation By: JOHN S INSALACO Its MAYOR ATTEST j I ' f I Kathleen Connelly City Clerk s � APPROVED AS TO FORM• j E Richard J. Stern City Attorney _ f i STATE OF ARIZONA ) f ) ss. f i COUNTY OF PINAL ) j The foregoing instrument was acknowledged before me this day of , 2010, by , as (Name) i (Title) of the City of Apache Junction, an Arizona municipal corporation, for and on behalf of said Corporation in the above-referenced Agreement Witness my hand and official seal My Commission Expires } Notary Public t 3 14 • t ROLL CALL VOTE NOTES: 1 7\ /11)tij ITEM # I MEETIN OF MOTION BY: L I SECONDED BY: YES NO ABSTAINED COUNCILMEMBER ECK COUNCILMEMBER BARKER VICE MAYOR DIETZ V COUNCILMEMBER COLEMAN COUNCILMEMBER SERDY V COUNCILMEMBER WILSON MAYOR INSALACO UNANIMI S IN FAVOR OPPOSED ABSTAINED TOTAL /0 S//() �.0 Of TRA^,SA T O-a "PIA North—South Corridor Study 41w,c7 . DOT TATES OF a. : �. �4 41. - • • • . . Ai".• October 2010 Federal Aid No. STP-999-A(BBM) ADOT Project No. 999 PN 000 H7454 01L Background Information • Legislative action to address growth in Maricopa and Pinal counties • Governor Napolitano signed HB2456 on February 5, 2004 • State Transportation Board approves studies supporting policy direction North—South Corridor Study 3 Welcome and Introductions Key ADOT Study Team Members : • Javier Gurrola, Predesign Study Manager • Sintra Hoffman, Communication and Community Partnerships Intergovernmental Affairs Manager • Trent Kelso, HDR Engineering, Study Manager North—South Corridor Study 2 ADOT's Role • Conduct studies to identify/evaluate highway alternatives • Coordinate with federal, state and local agencies • Coordinate environmental evaluation • Acquire rights-of-way • Design and construct highways • Maintain highways North—South Corridor Study 4 Agencies' Role • Provide input • Review documents • Provide information related to your agency's role • Participate in decision- making process North—South Corridor Study 5 Sun Corridor Region pr-- ...,...„..mrp,- ,; _ ,_ , MOHAVE p • Expected to becom - � c°c°"'"°an area of high ,__, -. . ._. _ ........ . � `�population density .; ' • _.. , ,. ,,, . YAVAPAI • "Megapolitan" wi• ll T.. .q - . iiir w: 111- grow to 15 million ... • 41111P - GILA by2060 'people _ ; _ f _ _ _ • 80percent of YUMA in 4K' 4 GRAHAM .41 Arizonans now live -- -- ilik— in region ,, f' mil". ...7,,, ot.:-. r.\ y, Sun Corridor Region dm North-South Corridor N North—South Corridor Study �' 0 12 5 25 50 75 100 Miles 6 Study Purpose • Provide access to growing areas of Pinal County — Accommodate growth-induced traffic to relieve anticipated congestion — Provide traffic relief to Interstate 10 — Provide a direct connection to the eastern portion of the Phoenix metropolitan area North—South Corridor Study Study Need • Address needs identified in local, regional, and statewide plans • Address lack of regional transportation capacity • Address challenges related to the existing networks and transportation system linkages North-South Corridor Study 8 Apache•Go ,,,f,..,-.1„- ' .2::y1, _ . .., a .on '',---!.- , , - ,c,A.v,L-.47,1‘, /loc.' . , Study Overview -,,... "ibert ,‘ : - ma',,,.,• , .--.. •-•L fo, -,'. f.--#:*ti-, ' .''.., ':.' ~ li 7'.•••••ti0011 , ' 0.,7,,,r,'ik 4.,. , ..ti '. e. .. '•441-,4„'-,A. • US 60 to 1 - 10 , .. .. - • 4,Itr,-4v, . 4,) 4‘ 4iik /' • t: ,... • ",P,, :' ',,, a ,,. Ur A. % ,/ • Engineering , to ''''4 14' ' k1- , ' 11-44i.1 '''4' 47 '111- documents - , , Gila River -4S, Indian ,.___._. ,/— • ' s Community , . — Alternative Selection io a . , -,_ . Florence . :, Report le. 1 „E 4 Coolidge \, --, — Location/Design Concept ..-'-/ ,°' • f.49. _i#1,7 '! Report -- -- Ca• , -... - .' ' ; Grand: , , orp:iii,X. i • Environmental - . -- , .... --- ,:. ‘ ; ., _ -- • i documents , . . Elo ... - i, .. L , — Technical reports ' Vtiii, , .... Picacho 1.-7--:!,' •*?1,it , — Environmental Impact ,.. Iv_ • ..... .r. t. Statement— Notice of Intent '•-_,....._._. -. -,-6 , . . .. , (published September 20, 2010) North—South Corridor Study . ..„ , 9 Study Area Refinement Analysis • Analysis developed to assist in identifying areas of corridor opportunities and constraints Non-Environmental Data Environmental Data i - ajoru i i" e- hazardous IL cultural planned i materials resources - - - - a places interest biological and ownershi ems mg an • resources and planned ope oo p sins and jurisdiction space socioeconomics geo hnical schools, park and trails North—South Corridor Study so Avoidance Area Assessment • What are the issues and associated data that define "areas of avoidance" ? — Examples : • Existing development • Planned development • What criteria define avoidance ? — Examples : • Active, under construction, or start by 2020 (avoidance) • Planned beyond 2020 (non-avoidance) North-South Corridor Study . -,6 I 1-,. . - .r.' • Corridor constraints lolly Apache int - ache . • I « on — ., A .. Gold-#4011111A- ---- . and avoidance areas . .. y 1 ... . , . 5,- • , • \ , . ; .. . ... ,., , . , .4;••uee ..„._ ,_______---,-- Orr ' .. -1-_ • _creek ,`' -: ,/ litr Existing development - - ,7"..r4: " - —"\.. - 1,,,r- • *. , * + .'.. • ' Q ' Planned development .A ., . • ii Existing open space — „,, Gila River,'19- ' ' --...• Indian -/7 r, .... ....-1 i • Planned open space , ommunity :,„ io 0 . e -/1 • Florence III Schools -... , . .r! lid e Parks .„4:, 0 1 s,._. Trails 7:74'easa- I. Mil Juan Bautista de Anza Grand: . ... —. -8-- `i.4• - .... National Historic Trail --,,„• Iii F ", ' 67 A ,r,-- Y'' CAP canal , , Ni, • ,,. ‘ . so-ff . 5NCE10( ., , • 11610,1 Eir-it sit 1 ..... ;.- - -: Drainage areas to be avoided ..,, .,.. ,..... re. Undefined drainage areas •it1/4.- . .• • 100-year floodplain ,•;:....!. • 1,: ei,. ,,i- it ..,46,i,„ rw,;„ ..„.7.-....:• , - ....- i - ,0....„ANN . Military • ,_;,-,--- •. Airport , „ ..._ 4, ... ,,.,,,, -,1 . . , ,........;,.. Corridor opportunities . , ) _j_uniti,on 1 ) • 7.. , ''Gold Gilbert v .\-; ---;:, . `4nyon and constraints . i_____„ . ,,,, , , .. ,.,, _ A . . \•,„\ i . , Queen ' - • , ± . -.. .t,r, - - , i * Corridor opportunity area •-.. ., , _creek --)4,1/4. ..., . L ' Existing development • ± 9 7 - . , L • Planned development G.,,,,- . . . :,,,. , •,.._ ..•,. „,... , ,,,,, • '. ' '''. . .?..' - -- )• , ti.: -,- , - - .•*, _ ... '..y .,.W.,_,„, -,..-•,- -,, . . •c,,•:.• 0 \\ _ ,- .- ,,,,...„ • ..,,;( _- ila s)- i A . IMPI Existing open space IndRiver. . ' c - 4441c I Planned open space , ornmunity , /i '-,' -,-(/ ,, * •,._ ,,.. . 4- sp-florellCe ''' it ta/ ' - ''''' ,, 'it.. ol'''' ,'' ! 4 ' .f:';;;...- .10N•,'_'' All 3- - al , t , • Schools • i . • . , , , . .-I • .. , .1, ft , la_ Parks •- , . ,,i„t : ,.• , -.... ., . ,._ is4. ;,.--t• .. , , Trails , . ..„ . u ,- • 0, . Casa .7.411111q: "Ad NI ill Juan Bautista de Anza , ..., ,... A I) National Historic Trail , t'6- , ......,I.t411Angra • it CAP canal ,:,.„, . - ,.., :Elo --,-. 'Z _ ., • ,, .., Picacho •••41 Drainage areas to be avoided • TE . _.•_......., Undefined drainage areas , . . „,,,s• ..., . ,,, vr--. •„,,Tri. ......,. ;,-,-.... \ 100-year floodplain .. .__ ___. • ins Military „Ap. . .,,. .. , . .......• , Airport t •ti , I , ' ''' .. .._ ,.. 13 Corridor t fi s... , , ' opportunity area - , x ,..,., . ..". ....,.. _. i . . ..,. ', ,,,... ,..., . , , rn ..t r'i' •ueen ..,. ..... „.., 7 *fr,,, r• . r ''p Creek ' i '� ,- � q 0 1 -ze .,, . . wog", , .- . .. . Gila River Indian '.' Community 0 r X' ) 1Florence ` r .Coolidge s !J y. - Casa « Grand= «►-t, ` r i Corridor opportunity area -- P«acno North—South Study Area I . .�M:_ 0 x - . STUDY PROCESS _ _ _ _ _ _ _ _ KICK OFF SCOPING ALTERNATIVE / CONCEPTUAL DESIGN CONCLUSION Alternatives Final z Data Gathering Development Initial location/ -- Location! 0 Design a Criteria Alternatives Design Concept Report z Development Selection Concept Implementation . , Report Report Plan - — t t t Agency Study c._, Kick-off Agency Agency Meeting and Public and Public Public Recommendation Scoping Information Hearing a— Meetings Meetings Agency Public a Acceptance QR . , .t.__I + t zEnvironmental Draft Final W Data Gathering Studies ' Environmental ' Environmental z Impact Impact Statement o Statement Record �- of Decision (ROD) z W ` ' WE ARE HERE Upcoming North—South Corridor Public Scoping Meetings • Tuesday, October 19, 2010 — Union Center at Merrill Ranch, Florence • Thursday, October 21, 2010 — Picacho Elementary School, Picacho • Tuesday, October 26, 2010 — Apache Junction High School Cafeteria, Apache Junction • Thursday, October 28, 2010 — Skyline Ranch K-8 School, Queen Creek All meetings will be held from 6 to 8 p.m., with a presentation at 6: 15 p.m. North—South Corridor Study 16 Concurrent .:_ Apache { In . Ju[action//���� •, ` Studies , , •,t_ _. . . ,. m M � � , � �� . .. .,�US 60 Alignment r Study ...k', ,.A$1- 44tillt ' * \ \ •� iv 1 td,State Route 802 ,., \ Gila River ' z, • Indian Corridor Study v �Gommunity ,� - - ~; s Florence Hidden Valle and1.y .Coolidge Central AZ 04 Transportation _ i Framework Studies ~= I - 10 Widening, Eb } ". i to Tangerine Road . , - . ` Picacno Phoenix-Tucson - r . � .....t, A I } - ,• Intercity Rail Study { North—South Corridor Study i r A> i • ,' trw 17 • Coordination with Rail Study Statewide Rail Framework Study �� :0t:tt1a1 Passenger Rail Service Under Study • Arizona s Road to Rail .___.. .. 7 .___ _. ....____ rl ...mumu.e�ra a rM Yiuo t • — BqAZ Rail Framework _ 1�� 6r. Study - ° P W M C t., \._ N 0 — State Rail Planis '° • Dail Amtrak ■ 1 �' v • to • e Service • Phoenix-Tucson "to a Intercity Passenger sA >a #,`- p `.4.417. F o n s Rail . _ _ ' 4.4Y a • ._ 4. ��� .......__ IMMYrv., WWI W Ym*Imo ..... 1mal/1M..r So.Y.. ...to.4 fluM11WII.Ie•r1 . I.Mt//.\ New Atm* 10 WWI tads Wy.yh... MMl 41110 MM _..ems_ -•.- ASI North—South Corridor Study IMIIIIIIIIIIIIMIIIIMMIIIIMMNIIIINMIIIM 18 Concurrent Studies Upcoming Public Hearings • US 60 ( final County) — Thursday, November 4, 2010 — Mountainbrook Village at Gold Canyon Superstition Hall • SR 802 ( Loop 202 to Ironwood Road ) — Tuesday, November 9, 2010 — Queen Creek Branch Library, Zane Grey Conference Room Both hearings will be held from 6 to 8 p . m ., with a presentation at 6 : 30 p . m . North-South Corridor Study 19 Contact Us Please share your comments with us at the meeting or by : • Mail : North—South Corridor Study c/o Angie Brown, Gordley Design Group ADOT Consultant for Community Relations 2540 N. Tucson Blvd. Tucson, AZ 85716 • Email : angie@gordleydesign .com • Phone : 520-327-6077 • Fax: 520-327-4687 • Web site : www.azdot.gov/NorthSouthCorridorStudy Please provide comments by November 11, 2010 North—South Corridor Study 20 t Thank North-South Corridor Study 21 ... . .. CONSENT AGENDA ITEMS NO. 1-6 I MOVE THAT THE CONSENT AGENDA BE ACCEPTED AS PRESENTED, AND THAT THE FORM OF AGREEMENT FOR THE FOCAL POINT ENHANCEMENT PROJECT BE APPROVED AND THAT THE CITY MANAGER OR HIS DESIGNEE BE AUTHORIZED TO SIGN THE DONOR AGREEMENTS AS THEY ARE PROCESSED, AND THAT THE AWARD OF BID FOR PW 2010-17, PROCUREMENT OF (1) 2011 FORD F-450 REGULAR CAB 4X2, (1) 2011 FORD F-150 SUPER CREW 4X2, AND (3) 2011 FORD CROWN VICTORIA POLICE INTERCEPTORS, BE AWARDED TO FIVE STAR FORD IN AN AMOUNT NOT TO EXCEED $127,179.52; AND THAT RESOLUTION NO 10-37, A RESOLUTION OF THE MAYOR AND CITY COUNCIL .-. OF THE CITY OF APACHE JUNCTION, ARIZONA, AUTHORIZING THE CITY TO ENTER INTO AN INTERGOVERNMENTAL AGREEMENT WITH ARIZONA DEPARTMENT OF TRANSPORTATION FOR TRAFFIC SIGNAL EMERGENCY VEHICLE PREEMPTION MAINTENANCE, BE APPROVED; AND THAT THE AWARD OF BID FOR PROJECT NO. PW 2009-18, OLD WEST HIGHWAY AND WINCHESTER ROAD INTERSECTION IMPROVEMENTS, BE AWARDED TO AJP ELECTRIC, INC., IN AN AMOUNT NOT TO EXCEED $241,963 98; AND THAT AUTHORIZATION BE GIVEN FOR THE MAYOR TO SIGN THE CONTRACT PENDING APPROVAL AS TO FINAL FORM BY THE CITY ATTORNEY ROLL CALL VOTE NOTES: 20)/ 1 . 1))-Sc j Ni 1) ( W / ITEM # ( MEETING OF r MOTION BY: \.'(-(2 SECONDED BY: >20" - YES NO ABSTAINED COUNCILMEMBER COLEMAN COUNCILMEMBER ECK L COUNCILMEMBER SERDY L/ COUNCILMEMBER BARKER 1 COUNCILMEMBER WILSON V VICE MAYOR DIETZ V MAYOR INSALACO L UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL A A... Janet Mason From• Kathy Connelly Sent: Wednesday, October 13, 2010 1 15 PM To• Janet Mason Subject• FW Liquor license application for Hitching Post Pizza Pub Please include this information with the liquor license application for the Hitching Post kc This message and the ►nformat►on w►th►n ►s ►ntended for the rec►p►ent If you received this ema►l ►n error, please not►fy the sender and then delete the ema►l Ema►ls generated by counc►l members or C►ty staff perta►n►ng to C►ty bus►ness are public records and are preserved according to the C►ty's records retention schedule To ensure compliance with the Open Meeting Law, members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may reply to this message, but should not copy other members of the public body. From: Rudy Esquivias Sent: Wednesday, October 13, 2010 1:08 PM To: Fred Baker, Brad Steinke Cc: Kathy Connelly; Janet Mason; Joel Stern Subject: RE: Liquor license application for Hitching Post Pizza Pub I went by the site today and noticed two things 1)the unpermitted chicken statue/sign is still on the roof of the building; and 2)the owners of the Hitching Post have still not complied with all of the provisions of their development agreement with the City Council which required them to have three above-ground railroad tie planters along their frontage,filled with plants They've only got two From: Fred Baker Sent: Tuesday, October 12, 2010 10:25 AM To: Brad Steinke Cc: Rudy Esquivias Subject: FW: Liquor license application for Hitching Post Pizza Pub FYI I was not aware of the chicken installation and I do not believe Rudy is aware From: Rudy Esquivias Sent: Wednesday, October 06, 2010 3:17 PM To: Janet Mason Cc: Fred Baker Subject: RE Liquor license application for Hitching Post Pizza Pub Jan 1 The Planning Division has no objections the liquor license location and person tra..,rer to the Hitching Post Pizza Pub. The property is properly zoned CB-2 (General Business Zone)which permits both restaurants and bars outright. A bar use by itself would require more parking spaces to be added to the site However, since the Hitching Post is primarily a restaurant facility,and as long as the establishment continues to serve food,the shared parking agreement with the Dash In store next door should continue to work well for both businesses eettitaVia b Senior Planner/Zoning Administrator City Of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 480.474 2645 resquiv1as@ajcity.net SERVICE OVER AND ABOVE THE REST From: Janet Mason Sent: Wednesday, September 22, 2010 4:39 PM To: Fred Baker Subject: Liquor license application for Hitching Post Pizza Pub Fred: please have the recommendation back to me no later than October 6 They are stacking a bar license on top of their restaurant license Janet Mason Deputy City Clerk City Of Apache Junction 300 E.Superstition Blvd Apache Junction,AZ 85119 480-474-5068 imason@aicity.net Service Over and Above the Rest This message and the information within is intended for the recipient. If you received this email in error, please notify the sender and then delete the email Emails generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule To ensure compliance with the Open Meeting Law, members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may reply to this message, but should not copy other members of the public body 2 tri* Apache Junction Police Department * . Interdepartmental Memo AR 0 DATE 9/24/2010 TO Lt B Jackson#21 FROM Sgt T Parker#69 /Lc SUBJECT Hitching Post Pizza Pub, Premise Liquor Inspection Lt Jackson, At your direction I conducted a liquor and business inspection of the Hitching Post Pir7a Pub at 2341 N Apache Trail The inspection occurred on 9-24-2010 at 1135 hours During my inspection there were about four customers on site I contacted the restaurant/bar manager, Mohammed Zinitah(DOB 1I22/58) Mr Zinliah showed me the establishment and all liquor controlled areas The bar area was located along the east wall and contains a full cooler There is direct access to the kitchen area from behind the bar for employees only Alcoholic beverages were presented within the cooler,bar area,and additional storage area within the office at lime of inspection The bar office is located along the northwest comes of the building Within thc, office area there is shelving containing storage of additional hard liquor not currently being used At the time of my inspection I found the office/liquor storage area unsecured as the door was unlocked Mr Zinhah advised that the office door is always locked when they have more customers and are busy Mr Linliah was advised that due to the seriousness of Arizona liquor taws and to prevent possible liability concerns to the establishment it was advised to ensure the office/liquor storage area remained a secured and controlled environment My inspections indicates the following: • There are no reported liquor violations documented within the Apache Junction Police Department database. • There are no known liquor violations documented with the Arizona Department of Liquor Enforcement Therefore,with my findings and observations this law enforcement officer does not object in approving a liquor license for this establishment as long as all other laws and requirements have b,,c.n met to the City of Apache, County of Pinal,and State of Arizona �r CFAI l�'°N47411,1r� Apache Junction Fire District PRpuDLY SERVING 565 North Idaho Road, Apache Junction, AZ 85119 Hit•WS A Ir Phone (480) 982-4440, Fax (480) 982-0183 �.q�D� www a1fire org elk MEMORANDUM TO Kathleen Connelly,City Clerk City of Apache Junction 300 E Superstition Blvd Apache Jct,AZ 85219 FROM Dave Montgomery,Deputy Chief/Fire Marshal ,- 'FM DATE: October 6,2010 SUBJECT: Series 6 Liquor License Application—Hitching Post Pizza,2341 N Apache Trail The Apache Junction Fire District recommends approval of the above noted application for a Serves 6 liquor license at 2341 N Apache Trail for Hitching Post Pizza. The Apache Junction Fire District has reviewed the documentation and prevention p p e ention files for the applicant as noted above We have recently completed a preliminary fire and life safety inspection during which no major violations were found. Thank you for your notification on this matter Dpm ATTN Application PgACHE Q ✓ 2 CIO o f /pache function Home of the .Supet:f/Ptlon , fountains gRIzo g Print TO: City Manager's Office FROM: Chief Jerald Monahan DATE. October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: PROCLAMATION DESIGNATING OCTOBER 2010 "DOMESTIC VIOLENCE AWARENESS MONTH". ACTION REQUESTED. DISCUSSION/ BACKGROUND INFORMATION: Proclamation designating the month of October as"Domestic Violence Awareness Month " FISCAL IMPACT: OPTIONS/ALTERNATIVES. RECOMMENDATION. ATTACHMENTS: Click to download 0 Domestic Violence Proclamation Proclamati on DOMESTIC VIOLENCE AWARENESS MONTH OCTOBER 2010 Whereas, during their lifetime,an estimated 1 in 3 women will experience domestic violence,and Whereas, Arizona experienced l I l domestic violence related deaths in 2009, including one such death in Apache Junction, and Whereas, domestic violence in any community may exist as a hidden,silent,and often unrecognized reality that is often not reported to authorities, and Whereas, there is a need to challenge the assumptions made about domestic violence,become proactive in preventing domestic violence and hold offenders accountable,and Whereas, the City of Apache Junction,the Apache Junction Police Department, the Community Alliance Against Family Abuse(CAAFA)and other agencies,organizations and state coalitions across Arizona and the nation are committed to preventing domestic violence by promoting prevention awareness campaigns,educating the community and advocating for victim's rights. NOW,THEREFORE,I,John Insalaco,Mayor of the City of Apache Junction, Arizona,do hereby proclaim October 2010 as DOMESTIC VIOLENCE AWARENESS MONTH in Apache Junction and urge all citizens to work together to prevent domestic violence Signed and attested to this day of ,2010. JOHN INSALACO Mayor ATTEST KATHLEEN CONNELLY City Clerk leeple_r" c; /4°/�/il Janine Hanna-Solley ,6:G-Z 9 I 1 From Janine Hanna-Solley Sent: Friday, March 19, 2010 3 23 PM To 'dashin@mchsi corn' Subject: FW Hitching Post Statue Hello Zee & Mehmood, I inquired with Rudy about the placement of the chicken statue on the roof You'll see his response below Note that the statue is a separate item from the development agreement so I would encourage you to move forward with a permit and building requirements(i e , how it will be secured,stability of roof, etc )for it as soon as you'd like The other items that were part of the development agreement will need to be addressed, but don't let that discourage you from moving ahead with permitting of the statue now if that is your desire I'd be happy to drop off a sign permit if you'd like, or you can stop in at Dev Services and pick one up from the front desk Thanks'l Janine Solley Business Advocate City of Apache Junction Economic Development Department 300 E Superstition Blvd. Apache Junction,AZ 85119(Please note our Zip Code effective July 1,2009) (480)474-5076 tsollev oC�.aicity net CO Please consider the environment before printing this email This message and the information within is intended for the recipient If you received this email in error,please notify the sender and then delete the email Emads generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule To ensure compliance with the Open Meeting Law,members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may reply to this message,but should not copy other members of the public body From: Rudy Esquivias Sent: Friday, March 19, 2010 3 01 PM To: Janine Hanna-Solley Cc: Dennis Dixon; Sharon Edminster; Brad Steinke; Joel Stern; Fred Baker; Yanet Ochoa; Todd Kennedy; Bryant Powell Subject: RE Hitching Post Statue Janine After researching the project and discussing the request with Dennis,Joel and Fred, here's the consensus. Prior to the owners of the Hitching Post being allowed additional signage on their building(i e , signage not originally represented nor proposed under their development agreement)the business owners must first comply with their obligations detailed in said development agreement with the City 1) Still outstanding and past due is the construction of the screen wall around the dumpster The Landscape and Screening Requirements ("landscape codes")typically require a 6-foot masonry screen wall to be constructed around a dumpster on a commercial zoned property The screen wall must complement the main building on the property either through design and/or painting The construction of the 6-foot screen wall does not require 1 a building permit, but as a'courtesy,we would be happy to review the owners' plan for the placement and design of the wall 2) The development agreement also called for the construction of three above-ground landscape planters along the property frontage. The installation of a certain number and types of plants in the planters was also required, to meet the intent of the city's landscape codes Said code also requires that plants be properly watered, maintained and that dead plants be replaced We note that all of the plants in all of the planters have been allowed to die and have not been replaced. Furthermore,we note that the central planter is falling apart and is in a complete state of disrepair. The owners must repair and secure the planters accordingly and all of the dead plants must be replaced. We would be happy to discuss the possibility of putting up the chicken statue with the owners at any time. We are also agreeable to the owners submitting their permit application for the placement of the statue on the roof. The permit needs to demonstrate, at a minimum, how the statue is going to be secured to the roof, how the roof is going to support the weight of the statue, and how or if it is going to be illuminated We will also need an elevation drawing showing all existing attached signs on the building (including their dimensions), where the statue is going to be placed and what are its general dimensions (height and width). Once the two items above are satisfied, and if the permit application complies with the necessary codes and ordinances,then we can issue the permit. Please let me know if you have any questions. c cpciulviab Senior Planner/Zoning Administrator City Of Apache Junction 300 E Superstition Blvd Apache Junction, AZ 85119 480.474.2645 resqutvlas@aJctty net SERVICE OVER AND ABOVE THE REST From: Janine Hanna-Solley Sent: Thursday, March 18, 2010 4 21 PM To: Rudy Esquivias Cc: Dennis Dixon, Sharon Edminster Subject: RE• Hitching Post Statue Hi Rudy, Just following up on this placement question I'd like to get back to Mahmood tomorrow with an answer to his question Thanks!! Janine Solley Business Advocate City of Apache Junction Economic Development Department 300 E Superstition Blvd Apache Junction,AZ 85119(Please note our Zip Code effective July 1,2009) (480)474-5076 jsollev(a)_aicitv.net r,t Please consider the environment before printing this email This message and the information within is intended for the recipient If you received this email in error,please notify the sender and then delete the email Emails generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule To ensure compliance with the Open Meeting Law,members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may reply to this message,but should not copy other members of the public body 2 From: Janine Hanna-Solley Sent: Friday, March 12, 2010 3 59 PM To: Rudy Esquivias Cc: Dennis Dixon, Sharon Edminster Subject: Hitching Post Statue Hi Rudy, We were out at the Hitching Post today and Mahmood is now the proud caretaker for the Arizona Joe's chicken statue!! He currently has it on the little stage area inside the restaurant However, he wants to move it to the roof of the restaurant Now, I know from my recent "sign code" tutorial that statues are allowed up to 10' or up to 20'with a CUP, and they do require a permit. I want to get back to Mahmood and let him know but also need to know if he can put it on the roof. The code does not stipulate limitations on placement. If it were on the roof, I would assume the permit would take a look at building safety issues??? Mucho thanks! Janine Solley Business Advocate City of Apache Junction Economic Development Department 300 E Superstition Blvd Apache Junction,AZ 85119(Please note our Zip Code effective July 1 2009) (480)474-5076 lsolley(c�alcity net CO Please consider the environment before printing this email This message and the information within is intended for the recipient If you received this email in error,please notify the sender and then delete the email Emails generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule To ensure compliance with the Open Meeting Law, members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may reply to this message,but should not copy other members of the public body 3 PUBLIC HEARING 1. For APPLICATION FOR A PERSON TRANSFER, LOCATION TRANSFER, LIMITED LIABILITY CO.., SERIES 6 LIQUOR LICENSE FOR HITCHING POST PIZZA PUB 2. Will CITY CLERK KATHLEEN CONNELLY speak to the Council? 3. Will the applicant or spokesperson please speak to the Council on this item? 4. Is there anyone from the public who wishes to speak on this item? (Are there any "Request to Speak" forms?) 5. If not,this hearing is closed. 6. Is there any discussion? 7. Call for a motion. 8. Call for a second. 9. Roll call vote. ACkf✓G CiO o `Apache Junction U z Home of the ,Superctztzon Mountains ARlZO 8 Print TO: City Manager's Office FROM Parks and Recreation Department DATE: October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area Additional Item Outside Scope of Identified Council Priorities TITLE OF AGENDA ITEM. PRESENTATION OF CHECK BY SUPERSTITION HORSEMEN'S ASSOCIATION. ACTION REQUESTED. Information Only (No discussion) DISCUSSION/ BACKGROUND INFORMATION: The Superstition Horsemen's Association will present a check in the amount of$300 to the Parks and Recreation Department for the Little Buck-A-Roos Rodeo FISCAL IMPACT. OPTIONS/ALTERNATIVES: RECOMMENDATION ATTACHMENTS: Click to download No Attachments Available 1,p ACHE yo CIO of Apache Junction Home of the Superstition Mountains 4 R!z owk g Print TO: City Manager's Office FROM: George Hoffman, City Manager DATE: October 19,2010 Agenda Type Regular Agenda Council Priority Focus Area: TITLE OF AGENDA ITEM: MANAGER'S REPORT ACTION REQUESTED: DISCUSSION/ BACKGROUND INFORMATION. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download No Attachments Available PRACtif, I . y�z City of Apache junction Home of the .Supet:stltrot? Mountains 8 Print TO City Manager's Office FROM: Kathy Connelly, City Clerk DATE. October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area Required by Federal Law or State Statute TITLE OF AGENDA ITEM APPLICATION FOR A PERSON TRANSFER, LOCATION TRANSFER, LIMITED LIABILITY CO., SERIES 6 LIQUOR LICENSE FOR HITCHING POST PIZZA PUB. ACTION REQUESTED: Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION: This public hearing is the next step in the process for approval of a liquor license. The council shall make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control FISCAL IMPACT OPTIONS/ALTERNATIVES: •0.. RECOMMENDATION: ATTACHMENTS: Click to download O cover memo D application part 1 ❑ application part 2 ❑ notice O applicant letter ❑ department memo ❑ planning recommendation O police recommendation D fire recommendation Amok "oak, PP pCHF o `l' ( tZ .'ill 1--a-S fc t-CtiC '1/ i erpi Houle Of the Sttpei Stilton =t oitiitciin.s gRlZ0 41. OCTOBER 7, 2010 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH GEORGE R HOFFMAN, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK z, FROM JAN MASON, DEPUTY CITY CLERK ,i l rr SUBJECT AGENDA ITEM FOR OCTOBER 19, 2010 APPLICATION FOR A LIQUOR LICENSE FOR HITCHING POST PIZZA PUB An application for a Person Transfer, Location Transfer, Limited Liability Co , Series 6 Liquor License has been submitted by Mr Mehmood Mohiuddin for Hitching Post Pizza Pub located at 2341 N Apache Trail in Apache Junction Correspondence has been received from the planning department, 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 State Department of Liquor Licenses and Control • Vince(IBQ)982-8UO2 • FAN r-)80)982.7018 • I DD( 180) 983 009, • ,.;. vv ,,lcty nit ;UO [ Super-lition riouievar,l pache Junction. ,A/ S�3I') Print Form f1oii1i'_? 27 LIT. DC. 411 1 07 Arizona Department of Liquor Licenses and Control 800 West Washington,5th Floor Phoenix,Arizona 85007 www azliquor goy 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 file 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 requi-ements SECTION 1 This application is for a SECTION 2 Type of ownership 0 INTERIM PERMIT Complete Section 5 ❑J T W R O S Complete Section 6 0 NEW LICENSE Complete Sections 2,3,4, 13, 14, 15, 16 0 INDIVIDUAL Complete Section 6 PERSON TRANSFER(Bars&Liquor Stores ONLY) 0 PARTNERSHIP Complete Section 6 Complete Sections 2, 3, 4. 11, 13, 15, 16 0 CORPORATION Complete Section 7 l LOCATION TRANSFER(Bars and Liquor Stores ONLY) CI LIMITED LIABILITY CO Complete Section 7 Complete Sections 2, 3, 4, 12, 13, 15, 16 0 CLUB Complete Section 8 0 PROBATE/WILL ASSIGNMENT/DIVORCE DECREE 0 GOVERNMENT Complete Section 10 Complete Sections 2, 3,4, 9. 13, 16 (fee riot required) 0 TRUST Complete Section 6 ❑ GOVERNMENT Complete Sections 2, 3, 4, 10, 13, 15, 16 0 OTHER Explain SECTION 3 Type of license and fees LiCENSE it 06-110064 / o_ r c)C 1 Type of License t�7 2 Total fees attached l s APPLICATION FEE AND INTERIM PERMIT FEES IF APPLICAB�NOT REFUNDABLE The f ) The fees allowed under A.R.S. 44-6852 will be charged for all dishonored checks. SECTION 4 Applicant rIr Owner!Agents Name Ms Mohiuddin ©Mehmood ('I set one i lames'-)NLY fo ancea, oil license) Last F irs, Middle 2 Corp 'Partnership&L C Hitching Post Pizza LLC L--L. e., (Exactly as it appears on Articles of Inc or Articles of Org) 3 Business Name hitching Post Pizza Pub (Exactly as•t appears on the exterior of premises) 4 Principal Street Location 2341 North Apache Trail oApacheJct Pinal 85219 (Do no,use PO Box Number) City County Lip 5 Business Phone (480) 983-8800 Daytime Contact (602) 214-5365 6 is the business located within the incorporated limits of the above city or town" ®YES ONO 7 Mailing Adoress 2341 N Apa Trail Apa Jct AZ 85219 City State Zio 8 Enter the amount paid for a bar beer and wine, or liquor store license$ (Price of License en:y) 7 DEPARrMENT USE ONLY --7-r_./e/ _ Application interim Permit Agent Change Club Ell erf Pr.n S -1 �} 9 `3 g isC/ I T AL OF ALL FEES I Is Arizona StaterrleiV of Citizenship&Alien Status For State Benefits complete' S 0 NO Accepted by `•�--�'' Date :.. L+c # _yam— ( ei Lic 01900512009 Disabled individuals requiring special accommodation, please call (602) 542-9027 1 SECTION 5 Interim Permit If you intend to operate business when your applitatio4 is peheiA"yo i•wat deed an Interim Permit pursuant to A R S 4_2.33 01 2 There MUST be a valid license at the same`ype 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?0 YES❑ NO If no how long has it been out of use" ATTACH THE LICENSE CURRENTLY ISSUED AT THE LOCATION TO THIS APPLICATION decla7e that I am the CURRENT OWNER AGENT. CLUB MEMBER PARTNER (Print null name) MEMBER. STOCKHOLDER, OR LICENSEE (cycle the title which applies\of the stated license and location State of County of__ X _ The foregoing instrument was acknowledged before me this (Signature! day of My commission expires on Day Month 'fear (Signature of NOTARY PUBLIC) T^SECTION 6 Individual or Partnership Owners EACH PERSON LISTED MUST SUBMIT A COMPLETED QUESTIONNAIPE(FORM LIC0101),AN"APPLICANT TYPE FINGERPRINT CARD,AND$24 PROCI-SSING FEE cOR EACH CARD 1 Individual Last First Middle %Owned Mailing Address City Slate Zip Partnership Name (Only the first partner listed will appear on license) General Limited Last =trst Middle %Owned Mailing Address City SLite - II ❑ ❑ } (ATTACH ADDITIONAL SHEET IF NECESSARY) 2 Is any person. other than the above,going to share in the profits/losses of the business? 0 YES 0 NO If Yes give name current address and telephone number of the person(s) Use additional sheets if necessary Last First Middle Matting Address _ City State Lip Te:enhanarA SECTION 7 Corporation/Limited Liability Co. EAC'-i PERSON LISTED M+1S T SUBMIT A COMPLETED QUESTIONNAIRE(FOPM LIC0101) AN APPLICANT TYPE FINGERPRINT CARD ABED S2<PROCESSING FEE FOR EACH CARD ❑ CORPORA710N Complete questions 1, 2, 3, 5, 6. 7,ancf8 C� L C Complete 1, 2, 4, 5, 6, 7, a 8 s Name of Corporation L L C l -._ tie: — — XH^r s!t ao,)ears on Artlt.ies a IncorpuratOn or idle r: sf 2 Da'-(nco porated'Organized =� n %c State wnere Incorporated,Organized3 E AZ Corp ro+lon(C_ml,ils,lon —,le No aurnor.zed to OO business it AZ 4 AZ L L C File No I ` )0 C (3 Date authoozed to do b.tsiness in AZ COz1 N S s Cot, L L C Noci p of't?❑ YES X1NO List all directors -);" ...rs ana members in Curporation'L L C oat F i,>t middle Title t eArv, ` Hess y S;a 0\-\\ k \. '119'‘ -3'-\\ ( I If i ATTACH ADDIT?DN.:;L HEFT, NEC= :..�•r^r List stock.nolaers who are controlling persons or who own 1 g%or more L3:.t F,s Middle _a.•led 1 la tiny.,c:d ess Oil. 000. $r; `H13� 6 �.iN\ 1t1(`i � f ) t�±rt .� _ P q ATTACH.ADDITIONAL SHEET IF NL:ESS.AR 8 If the corooretioniL L C is owned by another entity attach a percentage of ownership chart and a d;r,ctor,offirernnember disclosure for tea carent entity Attach additional sheets as needed it order to disclose personal identitiEs of at owners OIN SECTION 3 Club Applicants EACH PERSON LISTED MUST SUBMIT A COMPt ETED QUESTIONNAIRE(FORM LUC0101f AN APPLICANT"TYPE FINGERPRINT CARD AND S24 PROCESSING PEE FOR EACH CARO 1 Name of Club Date Chartered ,EXac t`y as f+appears or Club Charer nr Bylaws) --� (Attach a.;opv o':.luk- har't'r or Bylaws, 2 Is rub non proEr ❑ YES 0 NO 3 I_st officer and directors LIS( -ir.i ivinidle '.lift, P:1 rlin, r=., t55 ( I I I I iTTTACH i::DDITI•JNAL SHEET IF NE+ ESSA.R'•) SECTION 9 Probate,Will Assignme, or Divorce Decree of an existing Bar or t.iqu_, Store License 1 Current Licensee's Name (Exactly as it appears on license) Last Fi st 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 eiS 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 `J-1 rn —ri Questions to be completed by CURB NT L CENSEE(Bars and Liquor Stores ONLY-Series 06,07, and 09) t,i � _ 1 Current Licensee's Name C�� 1� \ \1Q Entity Qi�i\Ct� �'; (Exactly as it appears on license) Last First Middle (Indiv Agent,etc) �- ti n 2 Corporation/L L C Name _ — -- tExs lY as rt appears on license} -" -W 3 Current Business Name C'1ZC C\O 0'e.S f;; (Exactly as it appears on lice`nse)) \� \ 4 Physical Street Location of Business Street V ` o�, i•-\�,. \\\4\C-�`P \ -C k City, State Zip .�_-_A•7 A --3 C. - L. �.AS i 5 License Type _ _ License Number 01..a\1 0 00014 6 Current Mailing Address Street `p_O\ �`"\:cc\\\ _ (Other than business) �y p__ Bc:S:Z\Ck City,State,Zr t. 7 Have all creditors,lien holders,interest holders,etc been notified of this transfer? DYES El NO 8 Does the applicant intend to operate the business while this application is pending? ❑YES EiiiNO If yes,complete Section 5 of this application, attach fee, and \current license to this application 9 I, V k tlo,.__t`- L e`\`Qt ,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 n w owns or will own the property rights of the license by the date of Issue I \(\(� i\_ �O �\12, ,declare that I am the CURRENT OWNER AGENT, MEMBER,PARTNER (print full name) } S rOCKHO DER, or LICENSEE of the stated license I have read the above Section 11 and confirm that all ,tatements are true rect, an complete F i ' f X l/► ` T \t, State o ' 1. County of4T C .0 f i i_L (Signalise of CUPPENT LI The fore oing instrut was acl5nowledgiftd before pne this ti ,tr O day o> ! \ !-u Year My commission expires on Gi. 4 ® ,, J(V D (Signahure of Nbt PUBLIC t 1 4 3 STATE, OF ARI ZONA DEPARTMENT LIQUOR LiCENSES • ALCOHOLIC BEVERAGE _LICENSE License 06 Issue Date- 2/7/1995 Expiration Date. 8/31/2011 Issued 1 o Bar IlNA M LOVLI.AD1 Ovs.nel Whaling Addrey, Location ARIZONA JUL 5 11NA M LOVE 1 AM( 417 S WINCI1LSlTR RI:) ARI/ONA JOl S APACHI JUNC 1 ION A7 $ 219 417 S WINCEif S I L R I{I) AYAC1iGJUNCLION AL 85219 • IOSI THISL1(1.NeI IN 1 0ONS1'1 t10US PLAC1 2E1 T Wd 'Dr1 'A6i1 r 836 OT. 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.--= _ -- Current Business Name Arizona Joes (Exactly as it appears on license) Andress 417 South Winchester Rd, Apache Jct AZ 85219 2 New Business Name Hitching Post Pizza Pub !Phvsu-al St.eet Locations Address 2341 N Apache Trail Apa Jct AZ 85219 3 License Type License Number. 06-110064 1r ,. I^ 4 What date do you plan to move? UL\JOI,_ Q-k t� CbV What date do you olan to ooen2 we are open SECTION 13 Questions for all to-state applicants excluding those aoplving for government,hotettmptel. ani restaurant licenses (series 5, 11, and 12) A P S §4 207(Ai and 1;8)state that no retailers license shall be issued for any premises which are at the time the license application s°eceived by ,he director within three hundred(300)horizontal feet of a church wi'hic,three hundred(300)horizontal feet of a public or private school buuding with kindergarten programs or grades one tt)through(i 2)or v1itrin three hundred(300)honzonal feet or a fenced recreational area adjacelt to such school cuileing The above paragraph DOES NOT apply to al Restaurant license(§4 205 02) c)Government license(§4 205 03) t)Hotel!mitel license i,§4 205 01 i d)Fenced olayung area of a golt course(3 4-207(Ep)1i I Distance to nearest school 2 miles ft Name of school Four Peeks Elementary Address 1765N Idaho A J AZ 85220 City, State, Zip 2 Distance to nearest church 5 miles ft Name of church Community Lutheran t(j0 !St f'.i2<1J/71. Address Superstiton &Valley A J AZ 85220 City, State Zip 3 I am the ❑Lessee 0 Sublessee x❑ 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"? $none or other (give details-attach additional sheet If Fasces:sary) 5 What is the total business indebtedness for this license/location excluding the leases$none Please list debtors below it applicable _as, -first Middle Amount Owed filatling Address C State ,3 i rtT -1 iATT,ACH AL'DIT1ONAf SHEFT IF NECESSARY) 6 What type of business will this license be used for be saecific)? Pizza Pub Restaurant, sellIng full menu vitieti SECTION 13 -continued tics a IL.erise or a transfer tiaense for the premises on this application bier denied Opine state Within the.past one(^)year? 0 YES ❑ NO If ves attach explanation - Does any spirtuous liquor manuian curer who esaler or employee have any imerest in your business' 0 (llES 0 NO 3 Is ne premises cu;ren.} itcenseo A'th a liquor license' 0 ES 0 NO If yes give icense number and licensee s name ir15EII hE'Q /)')d It pff11 License#12-1 13177 (exactly as it appears on ilcens i Name SECTION 14 Restaurant or hotel/motel license applicants ^ 1 :s there an exusting restaurant or hotelimotel liquor license at the Proposed location? 0 YES ❑ NO If yes give the name of licensee Agent or a company name and license# _ast trst Middle 2 if the answer to Question 1 !s YES you may qualify for an Interim Permit to operate while your application is pending consu A R S §4 203 01 and complete SECTION 5 of this application 3 ai restaurant and hotel/motel applicants must complete a Restaurant Operation Plan 1Fo m LICO1141 pray dad by the Department.of Liquor Licenses and Contra! 4 As stated in R S §4-205 02 G 2 a restaurants an establishment which derives at least 40 percent et its gross revenue tr;m the sate of foodGross revenue is the revenue derived from all sales of food and spirituous liquor en the licensed premises By applying for this 0 hotel/motel 0 restaurant license I certify that i understand that I must maintain 3 chinrmum of 10 perce it food sales based on these definitions and have included the Restaurant Hotelifvlrtel ReLa ds Required for/audit `corm LiC 1013)with this application applicant s signature A:, stated in A R S§ 4 205 02(B) I understand it is my responsibility to contact the Department of Liquor L,censes and Control to schedule an i^spec°ion,when all tables and chairs are on site kitcnen equipment and if appi cabie pauo harries are in pace on the Irensed premises With the exception of the patio barriers these items are not recap ed to be Trope lv installed for this inspection Failure to schedule an inspection wiil delay issuance of the license It you a e rot read, for ycut ispec`ion 90 days after fling your apo!icat,on please request an extension in writing specify why the e<terslon is necessary ara the new inspection date you are requesting To schedule your site inspection visit www aziiquor gov and click on tee 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 0 Entrances,Exits 0 Liquor storage areas Patio Contiguous euN 0 Service windows 0 Drive-in windows 0 Non Cont guous 2 is your Licensed premises currently closed due to construction, renovation, or redesign? CI YES 0 NO it yes, what is your estimated opening date? month/dayiyear 3 Restaurants and Motel motel applicants are required to draw 3 detailed floor plan of the kitchen and a:rrrg areas,',clue.'c t r oca1lors or al, Kitchen equipment and dining furniture Diagram caper is provided on Page 4 The diagram (a detailed boar plan)you provide is required to disclose envy the area(si wnere spintous Bocci is to be sold served consumed aispensed possessed or stored on the premises unless it is a restaurant(see N3 above) Proi,oe the square rno'age or outside dimensions or the licensed premises Please do rot include non-I cersed p cmises such as parking lots I!,'iiig 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 SECTION 15 Diagram of Premier /'S 4. in this diagram please show t.. .iy the area where spirituous liquor is ‘o 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 ? If a legible copy of a rendering or drawing of your diagram of premises is attached to this application, please write the words `diagram attached" In box provided below cc.' rri I- n 0 e' �= c— 42-- c,_ 6' VN Q... &- SECTION 16 Signature Block euS I. VI-I-Mo ,p d4-iftp 9/J) hereby declare that I am the OWNER/AGENT filing this (print full name of applicant) application as stated in Section 4, Question I I have read this application and verify all statements to be true correct and comp*e X _ __ ;signatur i action 4 Question 9)T f / State ti (— i .._ t:ounty of 1L ,1 Of � The foregoing instrument was acknowledged bef)re me this t C7Ci() Days tab, fear My commission expires on 2 Dray Month veal --' signature of NOT.A, PUBLIC f • ) > 1 .v. roma. _...- - _ - _ i _. ... . > 7� r ,—_._-._. .- _ ( f k •J 7 a y ._. ., _. „� ^ w:.. yr awew .^•"..'�.•- 1�i',fp 4:1h��} i .. t j11 ' I ,--,.6-- Y y. aee� . - Vu j_ —• — — l am_. �./ y „ , K 6f t1 �/t� �L _ .r. a — _ _ •... �..•.• �3f: t�Y _ F py t@.71tJ t.}; 1 N �� u. �� um.4.c� w.+.� .74S NE i DRl M..•{ am .rv..c,a� L j .4 n I i' &..i<� U wiarmo ° C� n 31i1G3M 1NH1kJifiD3 e . �= J� U�i _01 a9»a ;} i 9 ? i i Y 4 , .__.-.i t 1-it ; r)� 0 ,..; ,. a ante,, 1 :' t �. awwla , .1� r. • aarn Yxwwna oar:,�_} "°'°"'"'... eaw• 9.,ar).l•awv _ e }�...,-..�.'.._.� ,-,,,,,,-,, , __ .` 1111-%31.,71 ,,0 '1)'3' ' L , jt QM 4Ni/N'/d ."01 L OMxs•.1 Y.b Mawv--, avvs taN.A, ' a�raor.-- a • M.,n trim] lw. ., .. 'u....i .'- o`-:st i �-..1 q� -. -. fwo<qy!/.1 +p+ f!=Waalii{ a.:o aa..,. ttlOY/NwAMic^ 'Th { �+ 4M Q7YV,d laiA9 99a'}iYn9 Nf1,Y19` p10)GW>Jo ,--_.�.Pll y'V9 �1 1. (`` `/ `r% r�',� 4 1 ire m119P.i - - i+ 'ivw.iRal1 71+D'J COW* +G . 3a't ��Wqi r.,•-"ta o R 7/..1= \ 1,-& I ow m1,Nv4 ...• !a.o°raaw;ao0 4214.0 k --- Wit r,.iy 3..,..s ..1..,.. !t 4-..vim'-; i ... ::..tt:�e•.",r.:r, .'o-'.F �.104 ' n.0 a„a-a 1 n 1 a/r.1, , wwo j�. j 1 U unll.�i 47He ssr4 npp11 �^ 3p,N I1JOY �� 1 - V p - 3?hG3hG; usi++,.d woaa 0 ....•••,«. ".._1 J' rla V it Aa ad.nY .OYYYIR.C.X.i..1.1 Y,.O'9d,, 1.0.444 na S.V 1,nlyn:70 VI•KIY:.x< -„..;-j S aAI ION Ya-3Y 11°•141 70.Yl••9:TLu/.& - 4444.40,441, YY•M• + Si.CWIS WX,Ig.Hl1,NJ.M.a "^T.:L"62 ......„. arc4D31 1nvm 0 /./ ii!gozor - ZpQie In All i..1&lia) ARIZONA DEPARTMENT OF LIQUOR LICENSES&CONTROL— f 800 W Washington 5th Floor - Phoenix AZ 85007-2934 �1 { 02l 512-5141 ) QUESTsONNAtRE "o ) `' Attention all Local Governing Bodies Social Security and Bitthdate Information is Confidential This information ay Yivenlo local law enforcement agencies for the purpose of background checks only but Must be blocked to be unreadable , r post ) I or any-public view ` ^ r Read ca,efulty This instrument is a sworn document Type or print with BLACK INK ( t v An extensive investigation of your background will be conducted False or incomplete answers / could result in criminal prosecution and the denial or subsequent revocation of a license or permit TO PE COMPLETED BY:EACH CONTROLLING PEPSON AGENT {JP M N e;ER EAt.)-t PERSON COMPLETING THIS FORM MUST UBMIT- fd APPL ICANT'TYPE FINGERPRINT CARD WHICH MAY BE OBTAINED AT DLLG FI4C.3ERPRINTING I lUS.T BE DONE BY A BONA HD, LAW ENFORCEMENT AGENCY OR 4 FINGERPRINTING SERVICE APPROVED BY"OLLC`;.THE DEPARTMENT DOES NOT PROVIDE THIS SERVICE. Effective 10/01/07 there is a$24.00 processing fee for each fingerprint card submitted. Llq or Lice se / The fees allowed by A.R.S.$44 6852 will be charged for all dishonored checks i) J / (If the location is currently licensed) 1 Check jntrolIing Person glkgent -� Manager IOnly) appropriate i (Complete Questions 1 19) (Complete All Questions excekt#14,14a&21) box --10- ' Controlling Person or Agent must complete#21 for a Manager Controlling Person or Agent must complete#21 2 Name 100 l-{-j`(J i))/IV yifilinceD Date of Bi Las, Ciro Mridi, a u i 3 Social Secunty N imbe rivers Licer State 4-- - _a 15iititic recorei) (NOT a public record) 4 Place of Birtn po4i174,8 pAkr ca Nioht, f- I_ Weigt,T J' 0_,_ Eyes PAL) Hair WA) City State Country (not c unty)5 Marr;al SIatt.s j Single❑Marriedkl Divorced[]Wdowed Daytime Contact Phone !,C,.2 -'-2I1/4— S'6_3 _ Name of Current or Most Recent Spouse (I/117 Dare of Birt` i____'_ _ (List all for last 5 years Use additional sheet if necessary) Last First Middle Maiden (NOT]public record) 7 ((Du are a bona hide resident of what state? ,.,4e'.4 ., 113___._ ___._If Arizona date of-esiden:"y (d1 / t 8 T':lephone number to contact yoti dating business hot ors for any questions regarding,his document. j/r,( ),_ --.,2/ - _ 3,) 9 If you have been an Arizona resident for less than tnree(3)months submit a copy of your Arizona driver's license or i eter registration card 10 Name of Licensed Premises /./ /Vitit pCS7 / i? Pit 13 Premises Phone ? _,�` f.. 'i f%c[� A p u/i ,Te/A., invt.1 -. 11 Physical Location of I icensed Premises Address jZ 3 l L;/ /,ffi7 �i?I`�. ,�' 'i FtlR C _ / ct Street ddress y(Do not use O Box#) City t.ounty Zip 12 List your employment or type of business during the past`o.e(5)years If unemployed part of the time list those dates List most recent 1st FROM TO DESCRIBE POSITION EMPLOYERS NAME OR NAME OF BUSINESS0111111 t/ Month/Year Month/Year OR BUSINESS street address city,state&zip) a CURRENT l44 i / ' 7 1 c7 Nk0U {f...6 9' y_ _-.: up(A_A: t_ Caul li,M . 3'JAY' /ictyi/ .k23-' efAci_, • /4-A ATTACH ADDITIONAL SHEET IF NECESSARY IOR EITHER SECTION 1 Indicate otit resetunce address for the last five kb)yeas FROM TO Rent or RESIDENCE Street Address ,A;rthtYear MonthYear Own If rented attach additiona'sheet vath name,address and phone numh'r of lardio-d j C•ty State Zip i l`7 i CURREN` /Y(E/ Af.,% A-{-'n Z---Cit,1 ?.(L { ' r1 / 57' LIC 0101 9(2412009 — Disabled individuals requinng 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 wit you be physically present and operating the licensed premises'? ZYES(ENO If you answered YES how many hrsfday? /9 and answer#14a below If NO skip to#15 14a Have you attended a DLLC-approves Liquor Law Training Course within the past 5 years' (Must provide proof) ZYES ENO If the answer to#14a rs`NO",course must be completed before issuance of a new license or approval on an existing license 15 Have you been detained, cited, arrested, indicted or summoned into court for violation of ANY law or L YES gNO ordinance regardless of the disposition even if dismissed or expunged within the past ten(10)years (include only traffic violations that were alcohol and/or drug related)? 13 Are there ANY admintstiative law citations,compliance actions or consents criminal arrest indictments YES Vi NO or summonses PENDING against you or ANY entity in which you are now involved? 17 Have you or any entity in which you have held ownership been an officer member director or manager ES Fa 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 EYES XINO misrepresentation? fi 1' ,t " VER held ownership, been a controlling person been an officer member, %YES L D anager .they liquor license in this or any other state? If any answer to M r- l -s •u• • ES"YOU MU - • Give complete details including dates, agencies involved and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED 20 IMF>>1/}?� :77 1 " • hereby declare that I am the APPLICANT/REPRESENTATIVE (print full name of Applicant) f.i ftl'ng this questionnaire I liaye ad this auestionnatre and all statements are true correct and complete ry X -- - 7 -- —--- State ><County off t ,( i (Signature of Applicant) eigofr —it hi ark ed befort{ii • day !!LL//�}� io s 4 � t ear ; My commission expires on 4S x.> $- :: 1/4,/ Day Month Year (Signature of NOTAR ' RUC) 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 Tanager for the namec liquor license The manager named must be at least 21 years of age State of _--- _County of The foregoi 1g instrument was acknowledged before me this X — - --- — -- dayof — Signature.of Cortrolli,ig Pe son or Agent(circle one) month ear --.. .—--.--.---- —__. (:-:igna'u•e of NOTARY PUBLIC) Print Name My commission expires on Da, Month Year r j JJ- (r j �:i , 'ter'/ ;.:p j'S U ti) Wow-w -- ir:K C d7 - :' /9 7, / ' :�: 1.�%z-G�� p k I .�, t d4, 1.1it 2 /\- 4 / � `11 � 1 f 0(4 -1:1:/i11144/6 ct-&_e) ik/f)(-(-7 i -c 1 //?:/z- // f/a4A.aki4,0-6-64 -3 F(/' r J ( -11" 7/' (-) 44A/it-e--' 47/10 a(,,C11/Z- Z-1614,16:F /4•-"4"‘cer r1 ti /N /1//ui////21 f 3 1(/ //,6 / 7Z 1i _ (oxi /o/t Az TCW-i i/V7 ti N Ape a c r- °7' 77P/"(.._. 9/3 /71,7 :t, .j k1UZONA STATEMENT OF CITIZENSHIP AND ALIEN STATUS FOR STATE PUBLIC BENEFITS Professional License and Commercial License Department of Liquor Licenses and Control ^ Liquor License# cO / /(1 0 (tli Ownership Name /..I-I 7. -1IJj4, , fo S i ! . ),L._ (as listed on the current liquor license application or renev`al application) Title IV of the tederrl Personal R.esponsibihtv and Work Opportunity Reconciliation Act of 1996 (the 1cr'). 8 C S C y 1621, provides that \L ith certain exceptions. onis 'United States citizens, United States non citizen nationals, non-exempt "qualified aliens" (and sometimes only particular categones of qualified aliens), nonimmtgrants,and certain aliens paroled into the United States are eligible to receive state or local public bt nefits With certain exceptions ,i professional license and commercial license issued by a State agency is a State public benefit Arizona Revised Statutes $ 1-501 requires. to general, that a person applying for a license must submit documentation to the licensing agency that satisfactorily demonstrates that the applicant is lawfully present in the United States Directions• All applicants must complete Sections I, II, and IV Applicants who are not 11 S citizens or nationals must also complete Section III Submit this completed form and copy of one or more documents that evidence your citizenship or alien status with your application for license or renewal SECT ION I—APPLICAN f INFORMATION kPPLICANT'S NAME(Print or type)AEA e)2) WV HiIj/))/ii/ DA I.b. 9—j — //� TYPE OF APPLICA FION(check one) N. INITIAL APPI JC'A I ION 0 RENEWAL TYPE OT LICENSE f i SECTION iI—CITIZENSHIP OR NATIONAL STATUS DECLARATION Directions Attach a legible copy of the front and the back(if any),of a document from the attached List A or other document that demonstrates U S citizenship or nationality Name of document provided UJ S, ,a,a�j)a A Are you a citizen or national of the Unlit,'States'(check one) Ft Yes El No B If the answer is"Yes, where were you born? List city state(or equivalent),and country City LA LL_/,&fit// State(or equivalent) (3 f/A J]x1.�'?a Country or Territory 1214- /tSi Ai If you are a citizen or national of the United States,go to Section iV If you are not a citizen or national of the United States,please complete Sections llI and IV DLLC 1 11'09 AG 11/08/07 8166' Page 1 of 7 eiN SECTION III-ALIEN STATUS tiE e RA.TTa 1 Directions To be completed by applicants vvho are not citizens or nationals of the United States Please indicate alien status by checking the appropriate box Attach a legible cony of the front and the back(if any),of a document from the attached List B or other document that evidences your status A R S § 1 501 Name of document provided "''Qualified Alien"Status(8 L S C§§ 1621(a)(1), 1641(b)and(cl) Q 1 An alien lawfully admitted for permanent residence under the Immigration and Nationality Act("IN A) Q 2 An alien who is granted asylum under Section 208 of the ti\A Q 3 A refugee admitted to the United States under Section 207 of the INA Q 4 An alien paroled into the United States for at least one year under Section 212(d)(-I)of the 1NA Q 5 An alien whose deportation is being withheld under Section 24i(h)of the INA Q 6 An alien granted conditional entry under Section 203(a)(7)of the INA as in effect prior to April 1,1980 Q 7 An alien who is a Cuban and Haitian entrant (as defined in section 501(e) of the Refugee Education Assistance Act of 1980) Q 8 An alien who is, or whose child or child's parent is a`battered alien'or an alien subjected to extreme cruelty in the United States 'nonimmigrant Status(8 U S C§ 1621(a)(2)) Q 9 A nonimmigrant under the Immigration and Nationality Act 18 U S C § 1101 et seq] Nonunmigrants are persons vvho have temporary status for a specific purpose See 8 U S C § 1101(a)(1 s) Alien Paroled into the United States For Less Than One Year(8 U S C§ 1621(a)(3)) Q 10 An alien paroled into the United States for less than one year under Section 212(d i(5)of the INA Other Persons(8 U S C § 1621(c)(2)(A)and(C)) 0 11 A nonimmigrant whose visa for entry is related to employment in the United States,or 0 12 A citizen of a freely associated state if section 14 I 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 Stales of Micronesia,48 USC § 1901etsegl, 0 13 A foreign national not physically present in the United States Otherwise Lawfully Present(A R S § 1 501) 0 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 inellglble for licensure See 8 U S C § 1621(a) SECTION IV--,DECLARATION All applicants must complete this section I declare under penalty of penury under the laws of the state of Arizona that the answers I have given are true and correct to the best of my knowledge Paget of 7 x ffflJ! // APPLICAI< - 1N ATLRE tOri A r S D ATE "ct - r Attachment' Lists A and 13 EN idence of U S Citizenship,U.S National Status,or Alien Status, DI LC iii5'09 AG 1108'07-81662 Attachment to Form 1 Applicant'statement EVIDENCE OF S CITIZENTSHIP,U S NATIONAL STATUS, OR ALIEN STATUS ^ I IST A L'S CITIZEN OR US NATIONAL Note In this List the term'Service"refers to the L S Citizenship and Immigration Service,formerly the_'S Immigration and Naturalization Service(INS) [Source Proposed Rules,Verification of Eligibility for Public Benefits,8 CFR§ 104 23 63 FR 41662-01 August 4 1998),and Interim Guidance of Verification ofCitizenship,Qualified Alien Status and Eligibility Under Title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996(Interim Guidance') 62 FR 6134-1 (Nov I , 1997), Attachment 4] Evidence showing U S citizen or US national status includes the following a. Primary Evidence (1) A birth certificate showing birth in one of the'0 states,the District of Columbia,Puerto Rico(on or after January 13 1941) Guam,the L S Virgin Islands(on or after January 17, 1917), American Samoa,or tie Northern Mariana Islands(on or after November 4, 1986,Northern Mariana Islands local time)(unless the applicant wra5 born to foreign diplomats residing in such a Jurisdiction) (2) United States passport (3) Report of birth abroad of a U S cozen(FS 240)(issued by the Department of State to U S citizens) (4) Certificate of Birth(FS-54s)(issued by a foreign stirs ice post)or Certification of Report of Birth(DS-1350) copies of which are available from the Department of State, (5) Form N 561.Certificate of Citizenship (6) Form 1-197, United States Citizen Identification Card(issued by the Service until Apnl 7 I983 to U S citizens living near the C madman or'Mexican border who needed it for frequent border crossings)(fonneriy Form i 179,last issued in February 1971), (7) Form I-873(or prior versions),Northern Mananas Card(issued by the Service to a collectively naturalized U S citizen who was born in the Northern Manana Islands before November 3. 1986), (8) Statement provided by a U S consular official certifying that the individual is a U S citizen(given to an individual born outside the United States who derives citizenship through a parent but does not have an ES- 240,FS-54n orDS-1350),or (9) Form 1-872(or prior versions), American Indian Card with a classification code"MC"and a statement an the back identifying the bearer as a U S citizen(issued by the Service to U S citizen members of the fexas Band of Kickapoos living near the U S/NnIexican border) [Source Interim Guidance of Verification of Citizenship. Qualified Alien Status and Eligibility Under Tide IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996("Interim Guidance'),62 FR 6 344 (Nov 17, 1997), Attachment 4) b Secondary Evidence If the applicant cannot present one of the documents listed in(a)above,the following may be relied upon to establish U S citizenship er U S national status (1) Religious record recorded in one of the '30 states,the District of Columbia,Puerto Rico(on or after Jant ary 13, 1941) Guam,the U irt.in Islands(on or after January 1 7,1917), American Samoa,or the Northern Mariana Islands(on or after November 4 1986,Northern Mariana Islands local time)(unless the applicant was born to foreign diplomats residing in such a Jurisdiction)within three 3 months after birth showing that Page 3of7 "IN eilliN -...... -.::-.• Me''‘'eoretary of Sla e of ilye Uri,ed.Pates of itiqe=rica ber.by requests all wboeu it/nay colneert to Derne-t the„ur'en'M.i!On 1 1_ of the L ertea States named bor,:n.to pass uctisout delay or binaralue .-t„.... ... • ..„l_and-a case of need,o gs.se all lawful ard and Isrotecttons,,t.:-: lee iet-ratetre Sr.tat des Etats Lass trAutertpae -,,,101,e.par tes preseLtes,outes au'ors.es clampeteritei de lamer pa.s.er„e c--e!yr,.#„7, ressort sant des Eta;Lot;tztuiazre du urisent ,as pot .€,..s ael .‹.-:. •-li.4.. ';.?:.': IN .:„., .. ,.....„.., _... doff;cult"e„ er ear de aeso:r de ius -acerer route estate et proteczon legitisiaes k-1 Secretary,de Estado de los Estados UL•zdos de A mersci par el hresente.solncta a ,s- --s .t4- -•(dilto.ridadei mu:tweak',poring:2r eat polo del CZ tidada.120 o nacronal Sc toe Platte/0s ilnuttit:-' 42 rater motor-ado,s Is deSSZOra sic el ifiad lade., en caso de neees.a..ad,prestarle coda,a ‘ )pro e-'so l tta,v --..,, .4.4 7.// e„i ..., 1 , 1.-... „,, ;,-• 1,, //: e.--", .TSIGNATURE,OF BEO. /.51,.*,<T6RE DI) ETFULAIRE,FIRM,kDFJ Trri,,LA,_t,_._ 32 ,.... ...-- -,....„.. 7;4±...:. ....›--.1;,...'r r.,..;1 ..,, . .. .- NOT VALID UNTIL SIGNED. ---,1,•,•-• -.., ,....., _ PekSSPORT 3 ix.,—KN11.51-.. Titircura2, y ' r- • . PASAPORTE lope.tYP -fifit Coat,Coe-I6kulo Pass4041tia;'' ' ."'''' 6..de.Pali P USA it . .. „ ''.f-'1;711 :ftrOlittY;;:atii. 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R1ZONP• NOTICE The attached application for a Person Transfer, Location Transfer, Limited Liability Co . Bar Liquor License submitted for Hitching Post Pizza Pub located at 2341 N Apache Trail, Apache Junction, Arizona, was posted on the 22nd day of September, 2010, at 10 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, October 19, 2010, at the City Council Chambers, 300 E. Superstition Blvd , Apache Junction, AZ at 7 00 p m., at which time any objections filed will be heard Kathleen Connelly City Clerk jrm DO NOT REMOVE THIS NOTICE AND/OR ATTACHMENTS. REMOVAL OF THIS APPLICATION MAY JEOPARDIZE CITY COUNCIL RECOMMENDATION. 'voice(-4Yt1}982-8O0' I < (18(1)98'-70I8 • MD 14301 )83 195 • 4tiv !v alz.ih-net +III) E. 5Ut[uytmcot) E3auievdrd Apache lunetInt, \t 85219 Pp Ac NE G } /� 1�/�/, !i/�/+��// t j� �a/// an • CUf f flame of the SUJer stuuou :llounturr1s R{zoNP September 22, 2010 Mehmood Mohiuddin Hitching Post Pizza Pub 2341 N. Apache Trail Apache Junction, AZ 85119 Dear Mr Mohiuddin Please be advised that the application for a Person Transfer, Location Transfer, Limited Liability Co , Series 12 Liquor License submitted for Hitching Post Pizza Pub, 2341 N Apache Trail, Apache Junction, Arizona, was posted on September 22, 2010, in accordance with State law The Apache Junction City Council will hold a public hearing on October 19, 201C,, 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 00 non-refundable application fee and a $300 00 city alcohol permit fee that is due and must be received prior to Wednesday, October 6, 2010. in order for this application to be placed on the City Council agenda. If you have any questions concerning this matter, please contact my office at 474-5068 Sincerely, Kathleen Connelly City Clerk • \''otk.c (48Q)982-800.2 • Q82-70IS • i Di)080}0)81-000 • %. ,A a{�tt'. !tc: 100 I- St:retstittott BirdeWard. ;.pachL Junctu'n A/ 8,I reek,/ Vitetch ' 'tine/ion Hoare of the Svc' Tioirfrturir' gRrzoN� p SEPTEMBER 21, 2010 MEMORANDUM TO DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK --.4'4 .r SUBJECT APPLICATION FOR LIQUOR LICENSE FOR HITCHING POST PIZZA PUB Mr Mehmood Mohiuddin has submitted an application for a Person Transfer, Location Transfer, Limited Liability Co , Series 6 Liquor License for Hitching Post Pizza Pub located at 2341 N Apache Trail, Apache Junction Please conduct the necessary inspections and submit your recommendation by email no later than Wednesday, October 6, 2010, in order for this item to be on the agenda for the City Council meeting of October 19, 2010 Am. • \•I K&. (-- U)Q?,2 Sin) I \\ (48U )82-7C1!8 • l"L)D (-1sO) i1(i)' • g1CIR n�! 1.0O L ``uncr:,ut;on 13000IC di'd :Ap�uit�.t�it��uuu \L;>;-'_i O Janet Mason From. Rudy Esquivias Sent• Wednesday, October 06, 2010 3 17 PM To Janet Mason Cc. Fred Baker Subject. RE Liquor license application for Hitching Post Pizza Pub Jan The Planning Division has no objections to the liquor license location and person transfer to the Hitching Post Pizza Pub The property is properly zoned CB-2 (General Business Zone)which permits both restaurants and bars outright A bar use by itself would require more parking spaces to be added to the site However,since the Hitching Post is primarily a restaurant facility,and as long as the establishment continues to serve food, the shared parking agreement with the Dash In store next door should continue to work well for both businesses cR u "3qufvLab Senior Planner/Zoning Administrator City Of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 480 474 2645 re5quiv lasa aJcity net SERVICE OVER AND ABOVF THE REST From:Janet Mason Sent: Wednesday, September 22, 2010 4.39 PM To: Fred Baker Subject: Liquor license application for Hitching Post Pizza Pub Fred please have the recommendation back to me no later than October 6 They are stacking a bar license on top of their restaurant license Janet Mason Deputy City Clerk City Of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 480-474-5068 jmasonPaicity.net Service Over and Above the Rest This message and the information within is intended for the recipient If you received this email in error, please notify the sender and then delete the email. Emails generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule To ensure compliance with the Open Meeting Law, members of the City Council should not forward email correspondence to other .�. Amok Alma ITEM NO. 10 I MOVE THAT THE APPLICATION FOR A PERSON TRANSFER, LOCATION TRANSFER, LIMITED LIABILITY CO., SERIES 6 LIQUOR LICENSE FOR HITCHING POST PIZZA PUB, SUBMITTED BY MEHMOOD MOHIUDDIN, BE RECOMMENDED FOR(APPROVAL) OR(DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL. PUBLIC HEARING 1. For APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR THE FRATERNAL ORDER OF EAGLES, LOST DUTCHMAN#3850 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. ppACkF fG �•. 04( 00 City of 4p the junc;on Home of the ,S uperstitsoii Moatjrtazn s 4Pr2oto` c Print TO: City Manager's Office FROM. Kathy Connelly, City Clerk DATE: October 19, 2010 Agenda Type Regular Agenda Council Priority Focus Area: Required by Federal Law or State Statute TITLE OF AGENDA ITEM: APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR THE FRATERNAL ORDER OF EAGLES, LOST DUTCHMAN #3850. ACTION REQUESTED: Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION. The Eagles have requested a special event liquor license for October 30 and November 14. The public hearing is the next step in the process for approval. Council shall make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control. FISCAL IMPACT OPTIONS/ALTERNATIVES: Amb' RECOMMENDATION: ATTACHMENTS: Click to download O cover memo O application O applicant letter ❑ department memo 0 planning recommendation O police recommendation O fire recommendation 4........ „....% /7.-- t,i?NcH6. , 'r 0, re./ 7 i ( } k. ,,r'� � j . Home or the Supeistrtion .ttountaint 4 jZoNP OCTOBER 7, 2010 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH GEORGE R HOFFMAN, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK c" Y / FROM JAN MASON, DEPUTY CITY CLERK _ fr`-2, -- SUBJECT AGENDA ITEM FOR OCTOBER 19, 2010 APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR FRATERNAL ORDER OF EAGLES #3850 An application for a special event liquor license has been submitted by Mr William Wittman of Fraternal Order of Eagles #3850 for October 30, 2010 and November 14, 2010, at 2315 S Coconino, Apache Junction Correspondence has been received from the planning division, 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 • Vuts.e mil tis2-sow • i \x i--1SO 4i 2-7Oi s • I i)i)j4$O 9si-(iilgs • , ,,,";a+,City nit ;t)‘i I. ' p,r' trr,n I;ouleard r\Dache Junutwn ;a/ 8;_k`-1 ,R.IZONA DL ARTMEN F OF LIQUOR LICE\ & CONTROL 800 \i Washington 5th Flow. �� Congress r�21 1 neson AL 85701-1 352 Phoem\ A/ 85007-29 i-t t;?Oi 62 659 (602) 12-5141 APPLICATION FOR SPECIAL EVENT LICENSE t-ee-- $71 00 pet day for 1-10 ont) t 1 vtte (cc of `b 5 00 will he charged tor all dishonored checf.s(A R S 44-6U2) PLEASE`OTC "TIES DOCUMENT MU',I BF .FULL\ C.O\IPLF.I ED OR IT WILL BE RETURNED DEPT USE ONLY I OEN °'~kPPL IC A I ION \Iti'"1 BE,APPROVE D B\ LOC AL GOVERNMENT T 1LIC# I N Arne of Organization l�.�:i l L ( i' _v 2 Non-Proht.I [Z ' [ tx Exempt Number ) / —(I./7v} ( i 7 c, / -- The ctt?.:anvatt'n tti it (thed,cue ho\ on1\ ) EjC hat table X]Fraternal frnu5t ha‘c. rczrulat membersh=p tnd to e tot u\et 5 .cars) (� C .at [] Poltttcal Part, Ballet Measure _lt t ampti gn C onlmtttee [1 Reli tou, 1 tit hat ts the rill pose of this e‘ett' _ (� rftlk�r).! /lot is r,a.�> �v� e-r- _ ill it ifli evert. 5,/4)„ 4. -/`! cf�� "_� = _J— �7 `�_`� Z c .fii._;..:,f h"r„I t.t•i,nr,voti't) B .i i_,Y i,Ain Zi Applttanr trust be ntenthei of the quatifsing or2anizatton and author iced h‘ an Otficcr Dtrei.tor of C. pet on of the Or2dttr/ltion named in Question PI (titgnature requited itt section ti r; ppitcant -- 7 \pnlicant \-ailing address tiuc,r /tp 8 Phone INumi et s 1pVrairs[Cu rr:i —a p-Ecai t s t = Date(si c� EIc'ut+ E text —Mut ttr r.n "vita,.' fi ttu0110i hctn ti}!U ;m ,jl vIn la+ Date I)at ut t1et1. Flours horn -A NI \I ri A Ili P R[ Da‘ 247o cx,API Y 7�r [)z,, 2 &LE'f G`l ;e 2l.11 , ,/& 4 i Dt. + Da,, f)t a 0 Dislhtcd mt%tduals rcgtutro_j spec accummod;tutos please c II i602)c42-4O2- I 1 Ihis Organization has been issued a special event license tot days this yeas including this event (not to exceed 10(la)s pat \•e'u) 12 Is the of s anizatfon ustni the services ot a promoter of other pet son to manage the event'' ❑ 't FS a.NU Tt ves attach a c,ipy of the agreement l 1 ist all people and ortanizations who s\ill receive the pioceeds Account foi 1.00%of the pioceeds THE: ORG\NIZATION API'LS LNG VIES F RECEIVE 25% ot the gross revenues of Alcoholic €Reveragc Sales Name -address F_rccntai2e L,t <<l,.h r,,tat.,I c.:i tt't 4 •<,n 14 [�nt�t\led, of Ati'ona State I lautir Laws Title 4 is tmpcntant to picvcnt liquot lass \toltina+ps II ou have ar,\ gitestk'its ettaiding the I OI this application please contact the Atizana State Depaitmcni ci Liquor I lcenses and ( ontiol tot assistance NO fE •\LL AL.( OI IOLR. BEVERAGE SAI I S MUST BE COR C ONS(_iMP i ION Al II iF FVE\I SI i I t_11`i Y ICI ALE()HOCK Bi:VE RA(i[S SHALL, LEAVE SPEC IA1 T.V EN I PREMISES I` \\hat sec wits -tend coin ot measures skits \Gu take ii nievent \'riations.of state 1iquai (asks at this escnt' tspt and ilumhet ,if••cunt\ pi lice personnel ' id l 11.'ot tencln'a t?t eoint l bait lets it app.icablel 7 Pollee ❑ E nuri,_' Seeds its pet sonne l ,Bail'el` In Is there an esistili` I'gitot liceilii at the location \shtie the special ea cut .s being held \O If \Ls does the is'sting business agree to suspend their liquor license dui tug the t:f'le pci ted aid n the area in \\htch the special event license will he in use ' YES ❑ NO l AT Fa(. H c OP\ OF \GRELA'IEN'I ) _'— Name ot Business Phor:c Ntinlhcr I 'I UUI licensed piem,ses alai. died in \Mitch reds cae authorized to sell J i nciise.t)f Stet+c spi".Uili'S litiuois under the provisions of sour license i Ile lollo\sing page is to he used to prepare a diagram of vow special ;,vcnt licensed premises Please show dimensions seiv'in'c -treas i,nt, inc' h,titicad's tit other conti al measuics and security positiolis ROCK SHADOW^ PAGF 13q \r——'1411101 D --- — Arir 1 ..., r....„..,,,,,,...,.......,N.... . , •,:.. ._ _________.44: I I#1111% i 1 I I 1 1 it I , .......,_:, _ , .. ....., 1 -25 ...5— `... c.,,,......,,,,l•-•,d".) )1' . , 1 i ,--, f.--* I I 1 r.:Scrr,1-4 L. 4 t.4 ftrc.../2 t 1 I i i 1 i 1 { 1 i , I 1 i I 1 1 1 I 1 1 i 1 1 1 , 1 Pnc.?I') 7nin WEI 2'4 rt Cvi O�Pp ACHE Uy cl icio .ti c//e_ Acich e7 t n-c4 r#. , `� Home ofi/ic ,5`t.r��er strttvr� ;11ountcrtrts QRtZONP /'14, September 30, 2010 Fraternal Order of Eagles Lost Dutchman #3850 Attn William Wittman P O Box 1785 Apache Junction, AZ 85117-1785 Dear Mr. Wtttmani Please be advised that your application for an Extension of Premises and Special Event Liquor License for the Fraternal Order of Eagles Lost Dutchman #3850 for October 30, 2010, and November 14, 2010 at the 2315 S Coconino has been scheduled for a public hearing The Apache Junction City Council will hold a public hearing on October 19, 2010 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, .1 / Kathleen Connelly ` City Clerk • l,,>icc iJti(h 982-4;002 • I \X (WO 982-70l g• I Di)(•430)9S3 WO:, • vF',«v atctt% net 306 L Sup•..ranton Roul.v aril :Apache Junction. A/ S7'19 F / lLr f.. (, e ci/ta tad tt-PLetk n U tt '1 • 4 =� frffiri c (�j (�1c' .�lfl)e'rslmon .tf01.1710111S qRl pNP oak SEPTEMBER 30, 2010 MEMORANDUM TO DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK- `"'- SUBJECT APPLICATION FOR AN EXTENSION OF PREMISES AND SPECIAL EVENT LIQUOR LICENSE FOR FRATERNAL ORDER OF EAGLES LOST DUTCHMAN #3850 Mr William Wittman has submitted an application for a temporary extension of premises and Special Event Liquor License for October 30, 2010, and November 14, 2010 at the Fraternal Order of Eagles Lost Dutchman #3850, 2315 S Coconino, Apache Junction Please conduct the necessary inspections and submit your recommendation be email by Wednesday, October 6, in order for this item to be placed on the agenda for the City Council meeting of October 19, 2010 oak • V/tuts (48())9S'-SUOl • i \t ItiU)9V,-7U;g • I Di)(Igo)t)X ootl, • vcN%vvt it> n,t 300 E. '�upQrUiioli 3otili• .)n.1 \p LLht.JucR.tion iu Janet Mason From Yanet Ochoa Sent. Thursday, October 07, 2010 9 30 AM To. Fred Baker Cc Janet Mason Subject RE extension of premises and special event liquor license for Eagles No objection to the interim permit The property is zoned CI-1 (Light Industrial and Warehouse Zone) and the use has been established No objections Thank you, ;Veer Assistant Planner 300 E Superstition Blvd City of Apache Junction yochoa@e jcity net (480)474-2636 From: Fred Baker Sent:Thursday, September 30, 2010 3.35 PM To: Yanet Ochoa Cc' Janet Mason Subject. FW• extension of premises and special event liquor license for Eagles Janet Please review and respond by to Jan by October 6`" Thanks. Fred From:Janet Mason Sent'Thursday, September 30, 2010 3 33 PM To: Brett Jackson, Fred Baker; Dave Montgomery(dave montgomery@ajfire org)' Subject. extension of premises and special event liquor license for Eagles The Eagles have requested these for two dates Please have your recommendation to me no later than Wednesday, October 6 Thanks Janet Mason Deputy City Clerk City Of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 480 474-5068 imason@alcity net Service Over and Above the Rest 1 Lieutenant - Bureau of Patrol October 5, 2010 Amk SUBJECT Fraternal Order Of Eagles Extension Permit TO Chief Jerald Monahan FROM Lieutenant Brett Jackson THROUGH Captain Arnold Freeman In review of the application for extension along with its premises drawing submitted by William Wittman on behalf of the Fraternal Order Of Eagles Lost Dutchman #3850 I found minor information omitted from the application In review of the Police Department computer records William Wittman, the applicant shows no contact with the Police Department The Police Department has experienced six (6) calls for service at the Fraternal Order Of Eagles, 2315 S Coconino Dr in the past twelve (12) months However, none of the calls for service were alcohol related, or significant The Police Department has no objections in granting the Fraternal Order Of Eagles the premises extensions, which allows the extension of their premises on Saturday, October 30, 2010 and Sunday, November 14, 2010 CFAI vtri'°N� Apache Junction Fire District ate : 565 North Idaho Road, Apache Junction, AZ 85119 41:�, FIRE• `UDLY �! Phone (480) 982-4440, Fax(480) 982-0183 1 ~ �E�.!st�`,J www ajfd org ��, MEMORANDUM TO: Kathleen Connelly,City Clerk City of Apache Junction 300 E Superstition Blvd Apache Jct.,AZ 85219 FROM: Dave Montgomery, Deputy Chief/Fire Marshal UM DATE: October 7,2010 SUBJECT: Application For Temporary Extension of Premises and Special Event Liquor License for the Fraternal Order of Eagles, Lost Dutchman Post#3850 The Apache Junction Fire District has reviewed the application documents for 2315 S. Coconino Drive, as related to two special events to be held on October 30, and November 14,2010 As of our last fire and life safety inspection for this business,no major violations were noted We would recommend approval of these applications based, as always, on good practices for the general safety of all patrons and employees during these special events Applicant shall ensure that all local fire and life safety codes and ordinances are adhered to for the duration of the events Thank you for your notification on this matter Dpm ATTN: Application / ROLL CALL VOTE NOTESii) . AA A ...... y) \ J i., 0 ITEM # \\ MEETING OF I MOTION BY: ► SECONDED BY: Y YES NO ABSTAINED COUNCILMEMBER SERDY \/ VICE MAYOR DIETZ COUNCILMEMBER ECK ti COUNCILMEMBER WILSON COUNCILMEMBER COLEMAN l)/ COUNCILMEMBER BARKER V MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL \ij ITEM NO. 11 I MOVE THE APPLICATION FOR A SPECIAL EVENT LIQUOR LICENSE FOR THE FRATERNAL ORDER OF EAGLES, LOST DUTCHMAN #3850, FOR OCTOBER 30 AND NOVEMBER 14, 2010, SUBMITTED BY WILLIAM WITTMAN, BE RECOMMENDED FOR(APPROVAL) OR(DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL ON ON PUBLIC HEARING SS 1. For APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR THE FRATERNAL ORDER OF EAGLES,LOST DUTCHMAN#3850 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. ON PpACH 4 GO of Apache Junction U Z Home of the Superstition Mountains 4Rizotok 8 Print TO: City Manager's Office FROM• Kathy Connelly, City Clerk DATE: October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Required by Federal Law or State Statute TITLE OF AGENDA ITEM• APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR THE FRATERNAL ORDER OF EAGLES, LOST DUTCHMAN #3850 ACTION REQUESTED: Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION. The Eagles are applying for a temporary extension of premises for October 30 and November 14 This public hearing is the next step in the process for approval. Council shall make a recommendation for approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control FISCAL IMPACT. OPTIONS/ALTERNATIVES .•. RECOMMENDATION ATTACHMENTS: Click to download O cover memo • application O applicant letter O dep_artment memo O planning recommendation D police recommendation 0 fire recommendation k 740-Cfresse"\\ `� re .c� `'t, fiach cfncdicw/ nti; t` Home (If the Sopet-,Strt/ate ,Viou itai,is 4R►zottP OCTOBER 7, 2010 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH GEORGE R HOFFMAN, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK SUBJECT AGENDA ITEM FOR OCTOBER 19, 2010 APPLICATION FOR AN EXTENSION OF PREMISES FOR FRATERNAL ORDER OF EAGLES #3850 An application for an extension of premises has been submitted by Mr William Wittman of Fraternal Order of Eagles #3850 for October 30 2010 and November 14, 2010, at 2315 S Coconino, Apache Junction Correspondence has been received from the planning division, 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 "mak denial to be forwarded to the State Department of Liquor Licenses and Control • VniLe 1180)982-800_ • 1.Ay (480)982 7018 • I Di) I480)981-0095 • v, a asctpv net )00 I ispLrAttt()n 13rnuIc'at-ci \rnii, i1tnct+on \/ 8'7 7IQ A IZO A DEPARTMENT OF LIQUOR LICENbES & CONTROL 800 Washington a'" W. Floor 400 W Congress#521 Phoenix AZ 85007-2934 Tucson AZ 85701-1352 (502) 542-5141 (520)628-6595 APPLICATION FOR EXTENSION OF PREMISES/PATIO PERMIT THIS APPLICATION MUST BE RETURNED TO THE DEPARTMENT OF LIQUOR Permanent c�ange of area of service—Give sper..ifie purpose of change _ _ 3 ti Al Temporary change for date(s)of C-e-r- '-'t ,- Y,/,--) `cT : 1- /7/ 41 e !s'.. —___ ..w�... .1' . / r1' /,fr. fz-' t,'f Gl t`/ �' Q Licensee's Name Last r,st wi,iie 2 Mailing Address et' 4) c >t I 7/Y5 j '4 �. .9/ `7 ..ti Mate _,. 3 Business Name Lr✓"'a. r N, r ,. %C' ,." S 5 ' LICENSE#. / / 1/ /6fC''./ 4 Business Address :.21.9t,.S a, - 2. c c_./2„,i .-t-Li ,_.: , L 4 Z.- .-`-'f r ~Gf COUNTY State 'p ur. 5 Business Phone ( J Z? I 9 _ -4 7 -/ Residence Phone i t-i -1 6 Do you understand Arizona Liquor Laws and Regulations`? El YES 0 NO FAX ( 5 % -\ '.5c,2 i Have;ou received approved t.quoi Law Training? fa NO 0 YES Wen 8 Whar security precautions wll oe taken to prevent liquor violations in the extended area? , r/( ,'Z 9 Does!his extension burg your premises within 300 feet of a church or scno,i? 0 YES ElNO 10 IMPORTANT ATTACH THE REVISED FLOOR PLAN CLEARLY DEPICTING YOUR LICENSED PREMISES AND WHA r YOl PROPOSE TO ADD � ;.. --'-At ter completing sections 1-9,take this application to your local Board of Supervisors, City Cour etl or Designate i for their recommendation This recommendation is not binding on the Department of Liquor 3 This change in premises is RECOMMENDED by the local Board of Supervisors City Council or Designate 4 !Authorized Signatures !Title) (Agent-y) I I. 1 11/L1 ji,, 61 r vt rik`' ,e, Fit _ being first duly sworn,loon oath hereby depose swear and declare (Pont full name' under penalty of penury that I am the APPLICANT making the foregoing aopiication I have read this application and the content and all statements are true correct and.complete i1 , A�}r ! {� . State o` .%!,/ rL:' Cuur.ry of f"[ - C_: _ lf VcAsil<t,'0-\ (e r �t� '�U�t 41't' N SUBSCRIBE CI IN tlIY PRESENCE.AND S''YORN 1 v 4etore me=t': date' (Signature Owner or Agent) —, .. g pi, , va( f ) `�l /s7 ) , 4A f ey !'"l �d My commission expires on ___e _ , 4,-- ; /%� r _ r-ianaturA .)f NOTARY r'u?E IC' roves,gation Recommendation 7.1 Approval (T Disapproval by pat,= Director Signature required for Disaporovais _.�_ Date _ ..._. re yr O rr' AY• [Ionic at the 5'upef.y"trtron Mountains 4Rizo3 September 30, 2010 Fraternal Order of Eagles Lost Dutchman #3850 Attn William Wittman PO Box 1785 Apache Junction, AZ 85117-1785 Dear Mr Wittmanl Please be advised that your application for an Extension of Premises and Special Event Liquor License for the Fraternal Order of Eagles Lost Dutchman #3850 for October 30, 2010, and November 14, 2010 at the 2315 S Coconino has been scheduled for a public hearing The Apache Junction City Council will hold a public hearing on October 19, 2010, 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 /nok If you have any questions concerning this matter, please contact my office at (480) 982-8002 Sincerely, Kathleen Connelly City Clerk • v„,„ ogo,,x2_s002 • I Ax (4g(i)ci 2-70i;{ • i t)1)(-i80)`1 + 1)OQ-, • fsU() I. Supc.r,,trtton Bouloird Apancc lunito.,n AL 3i'icti Aft. Auk RCti FPp 2 /J1MI-eh& XI:file& Home of the Sttf)et cotton illolitttnut.s SEPTEMBER 30, 2010 MEMORANDUM TO DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK '`' SUBJECT APPLICATION FOR AN EXTENSION OF PREMISES AND SPECIAL EVENT LIQUOR LICENSE FOR FRATERNAL ORDER OF EAGLES LOST DUTCHMAN #3850 Mr William Wittman has submitted an application for a temporary extension of premises and Special Event Liquor License for October 30, 2010 and November 14, 2010 at the Fraternal Order of Eagles Lost Dutchman #3850, 2315 S. Coconino, Apache Junction Please conduct the necessary inspections and submit your recommendation be email by Wednesday, October 6, in order for this item to be placed on the agenda for the City Council meeting of October 19, 2010 isiok • V'n:<1Imo)<)S2 soft)_ • 1 V", 1Si)i 9S--7U1S • i Di)t1x()i (JS'-t1t?9; . , alp it's, n,,, �011 L pdLi1L AL 83219 Janet Mason From Yanet Ochoa Sent; Thursday, October 07, 2010 9 30 AM To• Fred Baker Cc. Janet Mason Subject. RE extension of premises and special event liquor license for Eagles No objection to the interim permit The property is zoned CI-1 (Light Industrial and Warehouse Zone) and the use has been established No objections Thank you, '71a4ter Assistant Planner 300 E Superstition Blvd City of Apache Junction yochoa@ajcity net (480)474-2636 From: Fred Baker Sent:Thursday, September 30, 2010 3.35 PM To• Yanet Ochoa Cc: Janet Mason Subject. FW extension of premises and special event liquor license for Eagles Janet Please review and respond by to Jan by October 6th Thanks, Fred From: Janet Mason Sent:Thursday, September 30, 2010 3 33 PM To: Brett Jackson; Fred Baker, Dave Montgomery(dave.montgornery@ajfire.org)' Subject: extension of premises and special event liquor license for Eagles The Eagles have requested these for two dates Please have your recommendation to me no later than Wednesday, October 6. Thanks Janet Mason Deputy City Clerk City Of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 480-474 5068 imasonfaalcity net Service Over and Above the Rest 1 Lieutenant - Bureau of Patrol October 5, 2010 SUBJECT Fraternal Order Of Eagles Extension Permit TO Chief Jerald Monahan FROM Lieutenant Brett Jackson THROUGH Captain Arnold Freeman In review of the application for extension along with its premises drawing submitted by William Wittman on behalf of the Fraternal Order Of Eagles Lost Dutchman #3850 I found minor information omitted from the application In review of the Police Department computer records William Wittman, the applicant shows no contact with the Police Department The Police Department has experienced six (6) calls for service at the Fraternal Order Of Eagles, 2315 S. Coconino Dr in the past twelve (12) months. However, none of the calls for service were alcohol related, or significant. The Police Department has no objections in granting the Fraternal Order Of Eagles the premises extensions, which allows the extension of their premises on .. Saturday, October 30, 2010 and Sunday, November 14, 2010 CFAI , Q"A`� ► Apache Junction Fire District !oacm..o p �r a�„W = 565 North Idaho Road, Apache Junction, AZ 85119 :g FIRE•D, �� Phone (480) 982-4440, Fax(480) 982-0183 1 '�En�sVR� www ajfd org MEMORANDUM p TO: Kathleen Connelly,City Clerk City of Apache Junction 300 E Superstition Blvd Apache Jct,AZ 85219 FROM: Dave Montgomery,Deputy Chief/Fire Marshal UM DATE: October 7,2010 SUBJECT Application For Temporary Extension of Premises and Special Event Liquor License for the Fraternal Order of Eagles, Lost Dutchman Post#3850 The Apache Junction Fire District has reviewed the application documents for 2315 S Coconino Drive, as related to two special events to be held on October 30, and November 14,2010 As of our last fire and life safety inspection for this business, no major violations were noted We would recommend approval of these applications based, as always, on good practices for the general safety of all patrons and employees during these special events Applicant shall ensure that all local fire and life safety codes and ordinances are adhered to for the duration of the events p Thank you for your notification on this matter Dpm ATTN Application LL CALL VOTE 9) NOTES: • \:9,/ dy I� rVA' O V./ ,.ki . Ck 1 l 1 ITEM # II)/ MEETIN OF 1 i.) MOTION BY: SECONDED BY U v YES NO ABSTAINED COUNCILMEMBER BARKER COUNCILMEMBER COLEMAN COUNCILMEMBER WILSON COUNCILMEMBER ECK vI VICE MAYOR DIETZ J COUNCILMEMBER SERDY J r I MAYOR INSALACO UNANIMO)JS IN FAVOR OPPOSED ABSTAINED TOTAL Alank ITEM NO. 12 I MOVE THE APPLICATION FOR A TEMPORARY EXTENSION OF PREMISES FOR THE FRATERNAL ORDER OF EAGLES, LOST DUTCHMAN#3850, FOR OCTOBER 30 AND NOVEMBER 14, 2010, SUBMITTED BY WILLIAM WITTMAN, BE RECOMMENDED FOR(APPROVAL) OR (DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL. PUBLIC HEARING Amok 1. For APPLICATION FOR A LOCATION TRANSFER, CORPORATION, SERIES 7 LIQUOR LICENSE FOR DESERT LIQUORS 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. Auk (? JO Ci .y of Aach. e Junction 2 Home op he Superctmtion Al ountumns g Print TO City Manager's Office FROM: Kathy Connelly, City Clerk DATE. October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area• Required by Federal Law or State Statute TITLE OF AGENDA ITEM: APPLICATION FOR A LOCATION TRANSFER, CORPORATION, SERIES 7 LIQUOR LICENSE FOR DESERT LIQUORS. ACTION REQUESTED: Recommendation for Approval DISCUSSION / BACKGROUND INFORMATION: This is the next step in the process for a liquor license application. Council shall make a recommendation of approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control FISCAL IMPACT. Budgetary Approval Not Required OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS: Click to download ❑ cover memo O application part 1 ❑ application part 2 ❑ appjicationpart 3 O notice O applicant letter O department memo O planning recommendation ❑ police recommendation ❑ fire recommendation v4, re9 ..&/ e C Iter" C i 0 • HHoiiic of the iiperslit1c i"i 'W0uftUiii,l 4/3/Z0N4 /'14k OCTOBER 7, 2010 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH GEORGE R HOFFMAN, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK ,:FROM JAN MASON, DEPUTY CITY CLERK SUBJECT AGENDA ITEM FOR OCTOBER 19, 2010 APPLICATION FOR A LIQUOR LICENSE FOR DESERT LIQUORS An application for a Location Transfer, Corporation, Series 7 Liquor License has been submitted by Mr Jeffrey Lawrence Golzio for Desert Liquors located at 650 W Apache Trail, Apache Junction Correspondence has been received from the police department, planning 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 State Department of Liquor Licenses and Control • \;.>iLc i is())982. 8UO2 • I.-A\ 1'-180)982 7018 • TDD 080)983-uu9 • vAvv nCt 111ti L 5uprr-tinun Boulc‘ard Apaehe Jtnuhon Al 85219 - Arizona Department of Liquor Licenses and Control 800West Washington; Sth Floor Phoenix,Arizona 35007 Evt��r�Jaz(ttquor.go., 5+02-542-5141 APPLICATION FOR LIQUOR LICENSE TYPE OR PRINT WITH BLACK INK Notice Effective Nov f 1997 All Owners Agents,Partners,Stockholders.Officers or Managers actively involved in the day to day operations of the b..isiness must attend a Department-approved liquor law training course or provide proof of attendance within the last five years Sea page 5 of the Liquor Licensing requirements c d ^ SECTION 1 This application is fora ' SECTIONi'1' Type of ownership I] 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 0 PERSON TRANSFER (Bars&Liquor Stores ONLY) 0 PARTNERSHIP Complete Section 6 Complete Sections 2,3, 4, 11,13, 15, 15 ❑,CORPORATION Complete Section 7 ❑LOCATION TRANSFER(Bars and Liquor Stores ONLY) ❑LIMITED LIABILITY CO Complete Section 7 Complete Sections Z, 3,4, 12,'13, 15, 16 ❑CLUB Complete Section 8 PROBATE WILL DECREE ❑GOVERNMENT Complete Section 10 Complete Sections 2, 3, 4,9, 13, 16 (fee not required) ❑.TRUST Complete Section 6 CJ GOVERNMENT Complete Sections 2,3,4, 10, 13,15, 16 ❑OTHER Explain SECTION 3 Type of license and fees LICENSE# Department Use Only i Type of License 2 Total fees attached j $ APPLICATION FEE AND INTERIM PERMIT FEES (IF APPLICABLE) ARE NOT REFUNDABLE The fees allowed under A.R.S.44-6852 will be charged for all dishonored checks. SECTION 4 Applicant tJ ( ^ 1 Cwner1Agent's Name IA l 01 CL, Q.C-Fy r� _ Insert one name ONLY to appear on license) Last First Middle 2 Corp/Partnership`L L C /Exactly:s it appears on Articles of Inc or Ar'i;oes of Orq) —— 3 Business Name (Exactly as it appears on the exterior of premises) 4 Principal Street Location 4.43U ��lc.-� � VA'c.:, S r7(,at !'v-3 ,)JS t cil)_. .. ( � (Do r'oi use PO Bvx,Ndraleri City County Zip 5 Business Phone _ Daytime Contact — — 6 Is the business located within the incorporated limits of the above city or town? OYES ONO 7 Mailing Address City State Lip 8 Enter the amount paid for a bar Deer and wine or l,ouor store licenses (Price of t icerse only) DEPARTMENT USE ONLY Fees I I Application Interim Permit Agent Change Club Finger PnntsI Y7'r-) TOTAL OF ALL FEES Is Ar.zona Statement of Gittzership&Alien Status For State Benefits complete? ❑ YES ❑ NO tc' ; Accented by r)v-111 Date 1 T((L I is tic oioo os,2.o09 `Disabled individuals requiring special accommodation, please call(602) 542-9027 1 i ` eiN 1-11lt f"Di :' 3 �10 Flu 26 I_;=y, D.C.; P ,'-:;_) Arizona Departrnent d 3g rorticenses-and Control 800 West Washington,5th Floor Phoenix,Arizona 85007 www.azliquorgoy 602-542 5141 APPLICATION'FOR LIQUOR LICENSE TYPE OR PRINT WITH BLACK INK Notice Ef'ecti tiav 1 1997 All Owners Agents Partners Steci hoidors,Officers.or Managers activov,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 eiN SECTION 1 This application is fora SECTION,2 Type of ownership ❑ INTERIM PERMIT Complete Section 5 0 J T W tO S Complete Section 6 ❑NEW LICENSE Complete Sections 2, 3,4, 13,:14, 15, 16 0 INDIVIDUAL Complete Section 6 ❑PERSON TRANSFER(Bars&Liquor Stores ONLY) 0 PARTNERSHIP Complete Section 6 Complete Sections 2, 3,4, 11, 13, 15, 16 NCORPORATIION Complete Section 7 118,LOCATION 1 RANSFER(Bars and Liquor Stores ONLY) 0 LIMITED LIABILITY CO Complete Section 7 Complete Section 4.), 13, 15, 16 ❑CLUB Complete Section 8 0 PROBATE/WILL ASSIGtI / ORCE DECREE; 0 GOVERNMENT Complete Section 10 Complete Sections 2,3,4`9, 13, 16 (fee not riesuiredy ❑TRUST Complete Section 6 0 GOVERNMENT Complete Sections 2,3, 4, 10, 13, 15, 16:`.; 0 OTHER Explain SECTION 3 Type of license and fees LICENSE#• Q r \,`Q VCO Department Use Only J- 1 Type of License 13 j n� 2 Total fees attached $ APPLICATION FEE AND INTERIM PERMIT FEES(IF APPLICABLE) ARE NOT REFUNDABLE The fees allowed under A R.S 44-6852 will be charoed for all dishonored checks SECTION 4 Applicant V t O t t`- 1 Owner/Agents Name Ms (TO L-1AC Ste `ZCq L NW Zt k•-\_LL• (Insert one name ON)Y t•-i appear on license) Lasf First B Middle 2 Corp/Partnership/L L C � .k( 4\5V-\ \`\OLb It A S 1 rlC.-• h I uZ' 1 (Exactly as it appears on Articles of Inc or Articles of Org) 3 Business Name � --Si R-T \--.1(,), 1 di-Z., (3 c C(` �` .'Z (Exactly as it appears on the exterior of premises) 4 Principal Street Location C\3LQ LA") Os? (-NA : \Rkk aL �., tAA.G 1\-! �� Z- (Do not use PO Box Number) Ci i County Zip ellS - 5 Business Phone t gcii ' d 1,\ Daytime Contact `- Ay (R,�5LQ " 6 Is the business located within the incorporated limits of the ab vepcity or town? YES ONO 7 Mailing Address -\) L') i\V(0 - e-k\(--- \�CV\t,. -s)t-LC\\U'-\ P\Z.- )`.3\a° City State 8 Enter the amount paid for a bar be'rr and wine or liquor store ken, $ _ _a Y_-r (Puce of I c.enso only) 1 Cat �c t�.'00 �^ DEPARTMENT USEONLY Fees Application Interim Permit Agent Change Club Finger Pnnts$ TOTAL OF ALL FEES Is Arvona Statement of Citizenship &Alien Status For State Benefits complete? ❑ YES 0 NO Accepted by—_ _____ Date _ Lc # _�--- Lic010005;2009 *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'?0 YES 0 NO If no, how long has it been out of use? ATTACH THE LICENSE CURRENTLY ISSUED AT THE LOCATION TO THIS APPLICA f ioN 1 declare that I am the CURRENT OWNER,AGENT CLUB MEMBER, PARTNER, (Pont 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) day of—_ My commission expires on Day Month Year (Signature of NOTARY PUBLIC) SECTION 6 Individual or Partnership Owners EACH PERSON LISTED MUST SUBMIT A COMPLETED QUESTIONNAIRE(FORM LICOIal) AN APPLICANT"TYPE FINGERPRINT CARD AND$24 PROCESSING FEE FOR EACH CARD 1 Indrodual Last first Middle %Owned Mailing Address City Stati Zip Partnership Name (Only the first partner listed will appear on license) General Limited Last First Middle %Owned Mailing Address City State ❑ ❑ I❑ ❑ ❑ ❑ _-_ (n FTAC-H ADD Tl(MAI i HEF t li NFCE `=ARY) 2 Is any person other than the abo,re going to share in the profits/losses of the huslne.ss"7 ❑YES El NO If Yes give name, current address and telephone number of the person(s) Use additional sheets if necessary Last First Mailing Ad ire C:itf State Zip Tel hone# r - — - -- t I SECTION 7 Corporation/Limited Lity Co EACH PERSON STED MUST SUBMIT A COMPLETED QUEST OMNAIRE(FORM MOW) AN"APPLICANT'TYPE FINGERPRINT CARD.AND 524 PROCESSING FEE FOR EA CARD CORPORATION Complete quesbons(14 aL,aneC. :' . �- • _ ❑ L L C Complete 1,2,4, 5, 6, 7,and 8 1 Name of Corporation/L.L C ___._._.i N(.-C.. isc5\--, c x...tj krA-(3'S 1 G --- (Exactly as it appears on.Articles of Incorporation or Articles of Organization i 2 Date IncorporatedlOrgantzed 4-3t-1 `(0 State where incorporated/Organized A e-kZo'1-A 3 AZ Corporation Commission File No 4 3\ ( -' r) c Date autnonzed to do business in AZ r I U co 4 AZ L L C File No Date authorized to do business in AZ 5 Is Corp.IL L C Non-profit?0 YES lANO eRS 6 List all directors. officers and members in CorporationtL L C I,Pst First Middle Title Mailing address A State Zip 1 �. _ - -.)LA�C-1U1-t I A Z bS\ o t Z. k — , L ; -2 , tiI�rk (�)t_ZiC; ;fit tL � i �� �' `� i i` � ,�;�L 3,21---C-c tv`►--t r A Z (65\` t) (ATTACH ADDITIONAL SHEET If NNELESSAPYI 7 List stockholders who are controlling persons or who own 10%or more Last Frrsa Middle °%o Owned Mailing Address City 3ttate Lip ca c 17 t,_? "‘Cd —\Lt_ C L �c-'� -{ �1-)r 6 21,:,, 1..�.., P1S'�C. tC S Q\ [ ?A(A- 1 ( ' )---ic\‘o;-� ts,L yA\D o __ (ATTACH ADDITIONAL SHEET IF NECESSARY) 8 f the corporationlL 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 emS EACH PERSON LISTED MUST SUBMIT A COMPLETED QUESTIONNAIRE(FORM LiC0101I AN"APPLICANT TYPE FINGERPRINT CARD,AND$24 PRO'..FSSING FEE FOR EACH CARD 1 Name of Club Date Chartered (FzauUy as it appears on Club Charter of R,flaw,) (Attach a copy of Club Charter of Bylaws) 2 is club non-profit? 0 YES ❑ NO 3 List officer and directors Lair tics Middle rise MailingAddr�ss Ciyta,e Zip —A l I —-- I (Au V-H '-.r1);i i:-''NAL St-IFFT IF NFr'FSS,AP ' SECTION 9 Probate,Will Assignment 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 SPECIF iCALLY 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 Ondn+ •ag t etc.) 2 Corporation/L L C Name (Exactly as it appears on iicensc) 3 Current Business Name (Exactly as it appears on license) 4 Physical Street Location of Business Street City. State Zip 5 License Type License Number _ 6 Current Mailing Address Street (Other than business) City,State,Zip 7 Have all creditors, lien holders, interest holders etc been notified of this transfer? 0 YES 0 NO 8 Does the applicant intend to operate the business while this application is pending? 0 YES❑NO If yes complete Section ons 5 of this application, attach fee, and current license to this application 9 I, , hereby authonze the department to process this application to transfer the (print full name) pnvilege 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 cr will own the property nghts of the license by the date of issue 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 X State of _County of Signature of OUPR=NT t ICENSEE) The foregoing instrument was acknowledged before me this day of Day Month Year My commission expires on ` (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 TIiE:S-TATE' 1 Current Business Name 1b. ,c.St.1Z i L-\(.k1UCZ.S (Exactly as it appears on license) t� t7� Address C\310 ,il ri�p1(..kA �RA.LL- N?k,.KC:~ uN(C_jut--( NZ- 2 New Business Name (— V'U V Q3 �'�\` ,Phys -ai Street Loca'ron) r Address (o O t.L) , A 4 Crime. 1 QA\L t4C 0\ i A Z Ty De.- \� `c: 9-0 3 License 3 2.. License Number Or) ! 1..0 00 t 4 What date do you plan to move? C.X..\ �j\ e\0 What date do you plan to open? t'AQN . \ , C_i`0 SECTION 13 Questions for ail in-state applicants excluding those applying for government. hotellmotel,and restaurant licenses(series 5, 11,and 12)• A R 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 direr or within three hundred(300)horizontal feet of a church wih.n,hree hundred(3001 horizontal feet of a public or p:Nate ate school building with kindergarten p og.an,s or grades one(1 i through 02)or within three hundred 13301 honzonal feet of a fenced recreational area adjacent to surf'sc`oot oultdr•lo The above paragraph DOES NOT apply to a)Pes,aurant license(§ 4 205 02i of Government license(§4 205 031 bl Hotel/motel license(§4-2'15 Cl 1 d,Fenced planing area of a golf course i§4 207 iB)i5' ( 1 Distance to nearest school c 0 ft Name of scnool .\.)�•-\-k1: ?..-`\\L_ Ic-"\\�t1 SCE C..)13l— Address TiCit-6 .'‘) Mflc1-t t\\L. f) 1 r`1LR.: 3 vt,_lcty,A4 i A L- ( �Ciity State, Zip as1c�-v 2 Distance tr. nearest chu cn ,�7 L�Jd ft Name of church t\l�Sl ?)�i 1NS\ CkkOZCk‘ (. AVAck. \j &Ci co-A c:: 7 S, 1k-CN.A47Cg.blZU tit'-\UL. M\(k` k.;t-ic i 10t- City, State Zip AL bS0.0 3 I am the *Lessee ❑ Sublessee ❑ Ownernn 0 Purchaser(of premises) 4 If the premises is leased give lessors Name I--�`{tsl:. 1.ltSS Address 3 \ 5 CN-07..1t. A -.\tSA ,A Z fi S30(3. — City State Zip 4a Monthly rentalilease rate S 1;\a(�, What is the remaining length of the lease 6yrs C} mos 4b What is the penalty if the lease is not fulfilled? $ - or other (give details attach additional sheet if net assery) 5 What is the total business indebtedness foi this licenserlocation excluding the lease?$ 6,) Please list debtors below if applicable Last First Middle Mount Owed Mailing Address City State pia I - -- — —1 -- 1 — - --_ . I. — i.A TACI I ADDITIONAL SHEET II NECLSSAPYJ 6 Whet type of b,s,ness will this license be used for;be specific)? R 0 I lc \,.)}1-\c s ALE-3 t--c g Lci -\ZCiV\\ 2C) ( 1.1C) rt)2 \? �` -. \\VO t ..),ol'_ C u1`\��%t�1 '` if.j R (L k Z \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 iX NO If yes attach explanation 3 Does any spirituous liquor manufacturer wholesaler or employee have any interest in your business? ❑YES NO 9 is the premises currently licensed with a liquor license'? ❑YES IA NO If yes give license number and licensee's name License# ' (exactly as it appears on license) Name SECTION 14 Restaurant or hotel/motet license applicants 1 is there an existing restaurant or notel/motel liquor license at the proposed location? ❑ YES 0 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 interim 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 LlC0114) 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 nor this ❑ hotelrmotel 0 restaurant license I certify that I understand that I must maintain a minimum of 40 percent rood sales based on these definitions and have included the Restaurant Hotel/Motel Recoros Required for Audit (form LIC 1013)with this application applicant s signature As stated in A R S §4-205 0? (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 applicante patio barriers are in pace 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 inspection visit www azliquor gov and click on the "information' tab applicants initials SECTION Diagram of Premises. (Blueprints not accepted,diagram must be on this form) 1 Check ALL boxes that apply to your business Entrances/Exits 0 Liquor storage areas Patio ' Contiguous ❑ Service windows pltDrive-in windows 0 Non Contiguous 2 Is your licensed premises currently closed due to construction, renovation, or redesign? )YES 0 NO If yes, what is your estimated opening date'? 4 l c9,U\O month/day/year 3 Restaurants and hotel/motel applicants are required to draw a detailed floor plan of the kitchen and d.ning areas including the locations or ail kitchen equipment and dining lurr iiture Diagram paper is provided on page 7 4 The diagram ka detailed floor plan) you provide is required to disclose only the area(s)where spintous liquor is to oe sold served consumed dispensed possessed or stored on the premises unless it is a restaurant (see#3 ahoy& 5 P•ovide The square footage or outside diinensior;of the licensed premises Please do nol 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 appliiEants tit als omt.,i tutu i utagram or rrem 4. In this diagram please show "oily the area where spirituous liquor is La 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, stag , and.aame room._ Do not include parking lots, living quarters, etc When completing diagram;NNoith-is up `; • L. - If a legible copy of a rendering or drawing of your diagram of premises Is attached to this application, please write the words "diagram attached" in box provided below \1.1 (''-:4\ CV\t•,--- SECTION 16 Signature Block I, - �T-1?l U L t 4 t lereby declare that I am the OWNER/AGENT filing this (print full name of applicant) application as stated in Section 4, Question 1 I have read this application and verify all statements to be true, ccFe om re X __ (signature of applican isted en Sectio,i 4 O iestion 1) State of �-U.4A County of jilt fir.. MATT STEELE 4.�y NOTARY PUBLIC ARi2CN l The foregougwas instrument as acknowledged'before me this `;" i' MARICOPA COUNTY +ar, J My Commission Expires ,9 of J} ‘,96)/0 March 14,2012 / �r Day tr Year My commission expires on / /—47.4x909 - /* / Day Month Year • nature f4t0 RY Py UC 3 u\ 1 11 ,, ' , f-'• - .\\ t � ' (\ 9 —' _ -- 0 (Th-) 771 5L. 0. FI\l CI �0 � �r c �-) o r c V zit , . o 7c• Iff, 2 -.L.7-1)0\_\)1 # � 0 U� o 0 Li 0 --0 0 0 --- LA r al ccll —J C r A r' ✓ g C 0C C c C C CccC o c c, 0 J a 6 N r J v� 4i 0 \ c, r IN - ^ 7 ; r G�� r U c $i o (1 1 r /C- e eiN ARIZONA DEPARTMENT OF LIQUOR LICENSES&CONTROL 3DO W\ iashington 5th Floor Phoenix AZ 85007-2934 (802) 542-51411 QUESTIOr4 A[PE Attention all Local Governing Bodies Social Security and Birthdate,Informatio_n is Confidential This information may be given to local law enforcement agencies for the purpose of background checks only butThust be blocked to be unreadable prior to posting or any public view Read carefully This instrument is a sworn documen `Type or print with BLACK INK An extensive investigation of your background will be conducted False or incomplete answers could result in enmrnal prosecution and the denial,or subsequent revocation of a license or permit. IN TO. 3E L'Jt.7•'LETED of EAC.i C3NTPOLLiNG PERSON AGENT OR MANAGER_ ._A! H PER50N COMPLETING THIS FORM MUST'>UBMIT AN .°PLICW,i r r-r PE-iNGLr'PPINT CARD IVHIChi MAY B JBTAlNED AT DL Lf- F(NGERYklflTING MUST BE DONE BY A BONA HOE LAW ENEOPi_:EMEN-Alt ,.,R A Fit:-,CRP RINTING SEC ICE At'PPOVED t Y DL'LC' T'-iE C?`r A:°TMENT DOES NOT OPt)`.'DE Ti1IS SERVICE Effective 10/01/07 there is a$24.00 processing fee for each fingdorinf card submitted. Liquor License # The fees allowed by A R S §44-6852 will be charged for all dishonored checks. - ,-' v (If the location is currently licensed) 1 Check I--]Controlling Person ❑Agent ❑ Manager(Only) appropriate ' (Complete Questions 1-19) (Complete All Questions except#14,14a&21) box ! Controlling Person or Agent must complete#21 for a Manager Controlling Person or Agent must complete#21 ? elan- __. _ �� �Z_ U �__- �'rf,-�- Date of Birth / / i.-it F is ) Millie (NOT a Public Record) 3 So/...ell S-c city N 1t iher — _ D.vers License# State (NOT a public record) (NOT a public record) 4 °Ia-e of Birth. H31•^,hr. Weil C ity •.tae Country (not county) 5 Ma.•to'Status - S,nale tl]Mar-!ec f]i vorced +'iiti,rwed E avt,me Contact Phone 6 Name of Current or Most Recent Souuse Data of 13,r`h (List all for last 5 years Use additional sheet if necessary) :1st N o kliddk. ttaitlrn (NpTr a public record) 7 You are a buna fide resident of whet sta e^ __ _____If Angora date of hesid'nce relephone no i beg to contact you during business hours for any questions rego,d•ng this docuinsctt 3 l`you!ave been an An7ona resident for less than three i 3)months submit a Cary of your Arizona drivers license or voter rsgist alien card 10 Name of Licensed Premises Prerniseq Phone i 1 Physi!al i•e,o t:on of t.!r erased Premises Address (4'`L;L �_a_-a T?,-v.,2C-i 1c ', 1__ PO C'_(_\-\2 \v.,c,z. vt ^;c t IC, otree'Address (Do not use PO Box#i City County - Zip 12 List your o;mployrnen;o pe of business dunngthe 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 Montt"car Mot itul'e-ai OR BUSINESS (street address,city state&zip) CURPEtvT I -- ______.._ . - -I--- —- - ---- I i Ail ACH ADDI i I :NAL bi'ELT IF NEC LSSA.RY FOR El[HER`CECi IONA -- --- -. 13 iothcate your reside,ac,.3 address for the last five(5)yeas V FROM TO Rent on RESIDENCE Street Address r �me t•/'dear i`17t O ic-ar Own 'If r-riled,atiach additional sheet.e h i.ane address anid phone our of iiriJlo 1 i.ity tutc. Zip r.:-:,p,to(I __. ------ . ._ - 1- ----— - — — -- -- ! t IC 0101 9,24/2009 Disabled individuals requiring special accommodations please call.he Department(602)542 9027—` ARIZONA DEPARTMENT OF LIQUOR LUCEE.$€S&CONTROL 800 Vd-11i'airigt6'ri'5th_' oor Phoenix AZ 85007-2934 F602)542-5141 QUESTIONNAIRE Attention all Local Governing Bodies Social Security and Birthdate Information is Confidential This information may be given to I local law enforcement agencies for the purpose of background chocks only hut Must be blocked to be unreadable prior to posting 1 or any public view. savor documer t Type or print'.rth BLACK INK Read carefullyThis u�s�r�r�e;t is a� :u�„u�„e,.�. An extensive investigation of your background will be conducted False or incomplete answers ^ could result in criminal prosecution and the denial or subsequent revocation of a license or permit. TO EF COMPLETE")i,Y FAC'i CONTRO:-LIMO PERSON AGENT OW MAN,:ER EACH F RsON COMPLETING THIS FORM MUST SUBMIT AN APPLICANT TYPF F,NGEPP°INT OARD WHICH MAY BE UBTAtNEDAT DL i FUGC RBRINTING MUST BE DONE BY 4 B.)NA FIDE L;by EN-'OPl_EtvMENT AGE',.Y OP A FINGERPRINTING,SERVICEAPPROVED BY DLJ-4; THEDEP,ARTMENT DOES Ny,T opOVil)E THIS SEER VICE - 4 -.r•. Effective 10/01/07 there is a$24 00 processing fee for each fingerprint card submitted, Liquor License # The fees.allowed by_A R S 5 44-6852 will be charged for all dishonored checks. Uri t \ 0 COO __ (If the location is cu••entiy licensed) � 1 Check El Controlling Person Agent `j Manager(Only) appropriate (Complete Questions 1 19) (Complete All Questions exceet#14,14a&21) box --ps Controlling Person or Agent must complete#21 for a Manager Controlling Person or Agent must complete#21 2 Name _ 62 LZ_\� L) � 1 2 LP, Z04.0 Date of Birth -- Last rIra Middle (NOT a Public Recor 3 Social S'cu,,ty Numb - Drivers I icense#• 11111111.1111111 Stale ('t--(- MOT a public record) t (� (NOT a public record) 4 Place of Birth 5 � 11`1_.___ U__ �/�T 1-leignt -,j'k\it Weight ZZ() Eyes t��- Hal,1D L C,ty State Country (no'county) 5 Mental St xtus ❑Singre lfvtar i?d 0 Divo ced'/' Wdowed Da sme Contact Phone _-. 6 Name of Current or Most Recent J {� l pouse \ ..ZACi k Ltc,-- Lr,1).,C.tt2l Date of 81,41/181/011 (List all for last 5 years Use additional sheet if necessary) Last First Miid'P Maiden (NOT a public re�cordt `roil`roila C a ho,,a fides'esider�t o'what sta,a? _ L --It Arizona date of residency '`�1.� �(, t C 8 Telephone number to con`act you du rig business hcx,rs for any questions regarding this document ��� ,`-O 10 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 'L-� . \ `--t(4\2OZ.-S f� Premisese�©Phone 4(6t, cl-�t�-r Ctip\�-._. 11 Physical Locatx n of Licensed Premises Address � , rAJ , AP ki-k.� 1�\: (l._. t�l AAu<. . L.l r 11 k 1'\P {t Z- Street i idess (Do not use PO Box#) City - County Zip f'�j}1�- 12 List our em io merit or tine of business during the past five'5)years If unemployed part of the time list those dates List most recent 1st O FROM TO DESCRIBE POSITION EMPLOYER'S NAME OR NAME OF BUSINESS tvlo'rihivear Monihfyr"ar II OR BUSINESS rsiroet address city state&zDOrr i"i I L CURRENT f - ' n� I' �JC CA. Q t-, D O Q L -C IQ -z_S 93tp •t'U +s'^IJ i1^ p Lc�,-k. _ ¢�t {N-Ak ATTACH ADDITIONAL SHEET IF NECESSARY FOR EITHER SFCTION4 13 Indicate— yx°,r re dr nee address`or the last fi 1e(5)years ' ! tROM i TO TRont or RESIDENCE Street Address I 6,7,,^t^.h'..ar,Nor tt, Own If r it A,larh aiditi trial¢tifir.t.;ith name ridn°ss and,.i or=pi-ter c ;-i`'di ord ..ii, sate•; Zip I q Zo�.<4`:u/i�RENT I (,i:-41 \z-i`C I_\ Z .L'� t - — - 1�1� N A,L �?VC3 q ki �Lti�`.XC rZ ,65 % I i I i . I _ LiC 0104 912412009 Uisahie-1 rnd,vidi,ais rr~rytr-,,q hr.,ai_'crommodations plesse call,hr'Depsrtme_nt(502)5-i7 9027 f^1 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 phy ically present and operating the licensed premises? gS'ES(]NO If you answered YES how many hrs`day? 10 Ip ,and answer#14a below If NO skip to#15 14a Have you attended a DLLC-approveo 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 detained. cited, arrested.indicted or summoned into court for violation ofANLy law or El YES 1NO ordinance regardless of the disposition even if dismissed or expunged within the past ten(10)years (include only traffic violations that were alcohol andfor drug relates)? 16 Are there ANY administrative law citations, compliance actions or consents, criminal arrest indictments VYES r NO eN or summonses PENDING against you or ANY entity in which you are now involved? _ 17 Have you or any entity in which you have held ownership, been an officer,member, director or manager YES 0 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 iudgment against you, the subject of which involved fraud or EYES ENO misrepresentation? 19 Ai wi`;- "` - EVER held ownership,been a controlling person, been an officer member VES 0 NO dir e r or manager on any other liquor licens- in this or any other state? . .- If any answer to Questions 15 through 19 is"YES"YOU MUS a'-c a signed statement Give complete details including dates, agencies involved, and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED \' - :FFt2-tc t � LZ�Ci � �3�kw�, herebydeclare that I am the APPLICANT/REPRESENTATIVE (print full name of Applicant) filing this qu ire l ve read this q' tionnaire and all statements are true,correct and complete —— — State of 4 ice'\(',. __ County of f�liur�-_ (Signature of Applicant) The foregoing instrument was acknowledged before me this .'► � MATT STEELE Year NOTARY PUBLIC ARIZONA L �� ,r t ' misikdtRlB �blfY _ �! l�k�2'� _ l� 'ib►i1i '' My Commission Expires Day Month Year t. (Si re of N T RYpUBLIC) _ March 14,2012 COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21 The applicant hereby authorizes the person narnrd cn this questionnaire to act as nanager for the,lan-ied liquor lic>nse The manager named must be at least 21 years of age State of County of The foregong inctru nrpnt w+ ack'owiadged nefo c me this X _ _ _ _ _- day of _ __ Y_ Signature of Controlling Person or Agent(circle one) Month 'i ear _ — —.______ (Signature of NOTAPY PUBLIC) Print Name My commission expires on Day Mot.th Year t� , 0 J + 'cl. ...) ) ..-il e -.A.:, .4 ., \ , 1,,,,i .0 .4 ) 0 2 ...,. i> .., ..... .... 4,, . e... :-,) ; \...,i , _4, df- 0 -,-L - -.) v ,:) J <z • --- . `' 3 '4 7- -... - ._) c?.- 1 \ -.'? 2 '-- �� .0 4- J p '=„ e z. .� 'rS j :7 i +J \ )- �- , , N . r�, 3 g• c _. C ARIZONA DEPARTMENT OF LIQUOR LICENSES&CONTROL 800 W Washington 5th Floor '= _ - Phoenix AZ 85007-2931 4602)542-5141j QUESTIONNAIRE 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 be blocked to be unreadable prior to posting or any public view Read carefully This insiruinent is a s"orn doctienei!t'-Type or print with BLACK INK An extensive investigabon of your background wilt be conducted False or incomplete answers could result in criminal prosecution and the denial or subsequent revocation of a license or permit. elliN TO BE c-)f<rLETED 8v EACH CONTROLLING PERSON AGENT OR 14 NAGI=R E-sOHPERS.ON COMPLETING THIS FORM MUST SJEMIr AN "APPLICANT T`-PE FINGERPRINT Cf PD WHICii MAY BE OBTAiNE ATKLC-'FINGE(tPl2INTING MUST BE DONE BY A BONA FIDE J W ENFORCEMENT AGENCY OR A FINGE°PPINTING SERVICE APPROVED i3`pIrC,THF'OE�PARTMENT DOES NOT PPOV;DE THIS SERVICE Effective 10/01107 there is a$24,00 processing fee for each fingerprint card submitted. Liquor License # The fees allowed by A.R.S,,§44-6852 will be charged for all dishonored checks, Or) \ \ Co C CC j (If the location is cu,rently licersedl 1 --��--Check [J Cantroitmg Person "Agent Manager(Only) — —� appropriate (Complete Questions 1-19) (Complete All Questions exeunt#14, 14a&21) box —_ _Controlling Person or Agent mustn complete#21 for a Manager Controlling Person o e#21 2 Name ("SC 1--7-1 0 rt-1 eG_--LAVY=,PY1 Date of Bi Last I i.st Middle_ (NOT a Public Record) 3 So al Security Nur _ Drivers License# 11111111111 state ,42-( Z.O It 4.. �/� (NOT a pu c record) (jib!(ea 4--, (�I a public record) 4 Place of 0irt.t f ) S ' Li / i,t-feight S r1.� Weight if 6 Eyes - Hair 2t . fJ City State Country (lot county) 1( , 5 Marta!Status D Single iv1arned 0 Divorcedi]Widowed Widowed Dayttii/m Fio , e Contact re t 3 J_4� `J'_ 2-O q (( 6 Name of Current or Most Recent Spouse ti7D L Z--(6 - 3 -(i L Date of B:rtilliMill (List all for last 5 years Use additional sheet if necessary) Last First Middle Maiden (NOT a public ) 7 1 ou are a bona fide resident of what sate^ -/4L.I 201'N f\.___ It Arizona,date o residency I(1 CF—3 ( 8 Te,ephone number to contact you curing business hours for any questions regarding this document +Si 3 2 6 `i- "p 9 If you have bean an Anzona resident for less than three(3)months submit a copy of your Arizona driver's Nc ro „�,a, 10 Name of Licensed Premises be•s e v-i 1-4 tli 6 V.5 Premises Phone• U 00-; U eu .F ". 11 Physical Location of licensed Prenraes Address —1.3 �� kp�~,Ge�- ^ t AI -, t itr(t Ci S• - . . . P tc * ( i 'tkri&t'J Street address~(Uo nat use PO pox#) City k ce' t 12 List your employment o of business dunng the past five.(5)years If unemployed part of the time list th• #00,,, FROM TO DESCRIBE POSITION EMPLOYER'S NAME OR NAME OF BUSINESS Month/Year Month/Year OR BUSINESS (sireet address city state&zip) _ Cl,i>I?FNTL° � 5��t � ��`i r tz_ortti7 Iq 'A cl z vtC I Lc-A v/(4,/ U_ LA„�l401 1)e.st'fv 1 LfryUVVS '136 Z"tr.)- 'tVritl/'-C� (��1.�Ii Apc.CC-.L.F -..1 f.of tiVi•"l /-'t2- - f t < c:-S1-2..0 i ATTACH ADDITIONAL SiiEE1 IF NECESSARY FOR FITHFR SFCTtON t i 3 indicate our residence address for the last five(5)years FROM TO Rent or RESIDENCE Street Address __J u r,c-:'h Year Monti rear Own If rented a•tach addiiional sheet,.nth ranee address and phone uimber of andlthd v : Siete ` /Lt l ;t R°FNT 11t.r\ 12.4 7 N got,ILII Otf�S(„ A2r g`.)LI} 1 I� J/�_ .fit. '-- �� '7 f �r.� Jtii� 1 11 _�tl r LIC 0101 9/24/2009 Disabled individuals requiring cpsrril accommodations phase rail the Department (S021 5.1 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? ( Es ONO If you answered YES how many nrslruay? V ,and answer#14a below If NO,skip to#15 14a Have you attended a DLL C-approved Liquor Law Training Course within the past 5 years? (Must provide proof) i ES 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 detained,cited, arrested, indicted or summoned into court for violation of ANY law or LYES ii NO ordinance, regardless of the disposition even if dismissed or expunged, within the past ten (10)years (include only traffic violations that were alcohol andror drug related)? 16 Are there ANY administrative law citations compliance actions or consents, criminal arrest indictments b/yES fNO or summonses PENDING against you or ANY entity in which you are now involved? 17 Have you or any entity in which you have held ownership, been an officer, member, director or manager �ES ✓ 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 dNO misrepresentation? 1 r �� z '•VER held ownership been a controlling person been an officer,member, 1YES ❑NO Irect'or or manager on any other liquor license in this or any other state? If any answer to°rw e dins"1 rciu`g 19 is"YES"YOU MUS pin i s attemenf Give complete details including dates, agencies involved, and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED ar -11Ye -s --Z- )L ( C' hereby declare that I am the APPLICANTfREPRESENTATiVE ''(print full name of Applicant) `iling this questionnaire I have read this questionnaire and all statements are true, correct and complete x _Le461 1-4 4t b n CO G� State of TM n2 County of /}n�1 C. e of Appii a tj 't`s''r 5EN CRISS IRViN The foregoing instrument was acknowledged before me this Notary PublicArlaont �' c—day of 1 .0 f, ; _a3 O i t3 Mar/sopa County Mon inn Year .s'�l tsen;E wat4(res�J,4104 013 r� tM�`� � 13 8 Day Month Year (Signature of NOTARY PUP'iC) 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 'strurne*.t was acknovAedfyed bef',re me jets X stay of Signatuhe of ConVolling Person or Agent(ci cie one) month Year — — (Signature of JOTAPY PUBLIC Print Name Mj commission expires on soN Cll. ‘ LOVeti,d,t4c /ac 2--Q(?5 Lt (1/\ v evvt vp u \ sio i(GaLsal ei‘_-RTy_,,j 1(5) 0 v._ -1/t/m/folk ,eie, 15 2-668 I Kemved a.. 1TbtA Sv-v v j 1,1 cl(9) VJ a et- 6,0 v-vgiN T7 v4 c\-tn ert , v Tk NThInet4- STItiU& 601,\ CAXI(eAkTlY L/t6 td 2- liC-- SrS 9 64&-d- -6y -14 CAFIA_P_ yavr yovv_ ZzLaA.z. - • \ kt ( t_5-\ C• Arizona De of Liquor Liar. artid C�rttrof =` i8 es whin • �P H QFy? a r r CERTi6Cf11R (1 - Ole Certificates must bcs m p e, by a stA prNier i*cb 6 rovide ink,on an original form } f • • �• �r rrz- �� > -s�rurc� .� .r '� Attu;Sr z3, 7,r7to Training Completion Dater � Y aic}a dmpleted(check Yes or No) No AS Yes ❑ No ON SALE AJA�'r- z 7 2or S 7 , MANAGEMENT ■Yes ❑ No OFF SALE Certificate Expiration Date ❑ No BOTH ❑ Yes 1111 No OTHER (5 years from completion date) n Name of Licensee Business Name Uquor License S Alcohol Training Program Provider Information ra Company or Individual Name(please print) e Address (1�e-71 ita.za-A SS?vS c Loa) C 33s 3 City State Zip Daytime Contact Phone S I certify the above named individual has successfully completed the training specified above In accordance with Arizona Revised Statue Arizona Administrative Code,and the training course curriculum pproved by the Department otLiquor Licenses and Control EcLi6„ Name f Trainer(please print) Trainer Signature Date Pursuant to A.R.S 4 4-1 12(G)(2),mandatory Title 4 liquor law training Is required prior to the issuance of all new liquor license applications submitted after November 1 1997 The persons(s)required to attend both the BASIC and MANAGEMENT Tide 4 liquor law training,on or off sale,will include all of the following Owner(s) Licensee/agent or manager(s)actively involved in daily business operation Proof of attendance within he past five years mLst be submitted to the Department of Liquor Licenses ana Control before the liquor licen.e application is considered complete Before acceptance of a manager's questionnaire and/or agent change for an existing liquor license,proof of attendance for the BASIC and MANAGEMENT Title 4 liquor law training(on-or off sale)is required 7/2009 Disabi•d.ndividua's requiring special accommodations,please call("02)542 9027 els r'"h. "t Arizona Dep rtinent cif Liquor Lt- 5`es ancLCoritro#- -- .• 80(0W W�`shtn9ton Sth1Floor a 1 t` �' f,1 g d�Pto I)Ct rfz is$ C O 1 r,.CERTIFICATE OFTITLE'4 TRAILING CO P4 T1ON \ '+ =Oo I161,Ouplicate:This for �rt/1 Certificates must be complet'edJb a state i apprc d tra niri4 co w provide Waal*on an original farm \ s,,t.ilis.4 .4;4.- 1 , , //�� k c ';a.�x Full I+arse(ii`rint) $ fik 7E e ass. TrainingCompletion Date,.3 'r l LTA er 0 illin ofri feted(check{es or No) p' =""''4,. . r " 4 ;s4Y --'L 1 No `.BAS)C" Yes ❑ No ON SALE AJAiSr u'► 7,o1S t'`- fl � d'"'MANMENT ®Yes ❑ No OFF SALE Certificate Expiration Date �`" .7 7 s,e 11 No BOTH ❑ Yes (5 years from completion date) ,M .Yes No OTHER If Trainee lcE r yeedd By A Licensee Name of Licensee Business Name Liquor License# inAlcohol Training Program Provider Information Ci f� -;r, KaskiiNt 50(mot.4%) S Company or Individual Name(please print) 6'41•� e • P -I/JCxc Ia. Address fuccA 40-1.(,)-6 9s20S ( lbl) 3(C 33c 3 City State Zip Daytime Contact Phone ft I certify the above named individual has successfully completed the training specified above in accordance with Anzona Revised Statue Arizona Administrative Code and the training course curriculum approved by the Department otLiquor Licenses and Control. awtcT' eSName f Trainer(please print) 1 hullo rainer Signature Date II Pursuant to AR.S§ 1 (G)(2) mandatory Title 4 liquor law training is required prior to the issuance of all new liquor license applications submitted after November 1 1997 Die persons(s)required to attend both the BASIC and MANAGEMENT Title 4 liquor law training on or off sale will include all of the foil)wing Owner(s) , Licensee/agent or manager(s)actively involved in daily business operation Proof of attendance within the past fi✓e years must be submitted to the Department of liquor licenses and Control before the liquor license application is considered complete Before acceptance of a manager's questionnaire and/or agent change for an existing liquor license,proof of attendance for the BASIC and MANAGEMENT Title 4 liquor law training(on-or off-sale)is required 7/2009 Disabled Individuals requiring special accommodations please call r602)542 9027 3\ K J i. ,-...--0S t i .4 ,.„,s .f 77 ARIZONA STATEMENT OF CITIZENSHIP A_IND ALIEN STATUS FOR STATE PUBLIC BENEFI FS Professional License and Commercial License Department of Liquor 1 icenses and Control eN I..lquor License L s O Nnef ship Name ..)k.-`(- Ns 0 O CADO s-CTS \l— C (as listed on the current liquor license application or renewal application) isle. Ic- of the federal Personal Resporsihiiitv and Work Opportunity Re.roncioation Act of 1996 (the ",tct'). 8 I.1 s t. § 1621 prncides that, wins Lei-cam exceptions, only United States citizens, United States non-citizen nationals ion-exempt "qualified alien,' (and sometimes only particular categoric:, of qualified aliens) nonirnmigrants, and certain aliens paroled into the United States are eligible to receive state or local public benefits 'A ith certain exceptions, a prof:ssiorai license and commercial license issued by a State agency is a State public. beneut Arizona Revised Statutes § 1-501 regimes. m general that a person applytng for a license muoo submit documentation to ins licensing aeeney that sausfsctorilc demonstrates that the appicant is lawfully present in the Un ted Stites Directions All applicants must complete Sections I, El. and IS Applicants who are not U S eiti/.ens of nationals must also complete Section IIi Submit this completed form and copy of one of more documents that ec idence your citizenship or alien status with your application for license or renewal SECTION I-APPLICANT INFORMATION _ . .�- ;„ `r L 20-iLe, L oL`Lk_C) APPLIC'AN 1'S NAME(Pnnt or type) .i 1-- DATE ill 2-4 1 t U TYPE Of APPLICA LION(check one) X INITIAL APPLICATION El RENEWAL r 'f't PE OF I ICENSE SECTION II.—CITIZENSHIP OR NATIONAL STATUS DECLARATION Directions Attach a legible copy of the front. and the back(if any),of a document from the attached List A cr other document that demonstrates U S citizenship or nationahts tame of document provided T,, A Are sou a citizen or national of the United States°(check one) g."‘i es 0 No P lf the answer is"A.es"..herrtc etc'.i:o horn' 1.istcm,state(or cap ital'ni),and cowl r, Ctty ''¢it kSAS CRC-1 State t-r equtvatcnt) tA-O Country i,rlerntorc UCPC If'uu ire a citizen or national of the t titcu States go to Seaton IV if you are pot a citizen or national ut the T'nttcd States,please complete Sections ill and IV DI LC 2 11.09 RC• 1 i/Q8'O' 8lo62 Page 1 of 7 /\ SECTION ilk—ALIEN STATUS DECLARATIOl Directions fo be completed by applicants who arc not citizens or nationals of the United States Please trdicate alien status by checking the appropnate box Attach a legible copy of the front,and the back of any),of a document from the attached List B or other document that evidences your status A R S § 1-501 Name of document provided "Qualified Alien Status(8 U S C§§ 1621(a)(1) 1641(h)and(c)) Q I An then lawfulh admitted for permanent residence under the Immigration and Nationality Act(INA) Q2 An alien who is granted asylum under Section 208 of the LNA Q ? A rcfui ce admitted to the United States under Section 207 of the INA Q 4 An alien paroled into the United States for at least one year under Section 212(d)(5)of the IN Q 5 Nit alien whose deportation is tieing withheld under Section 243(h)of the INA Q 6 An alien granted conditional entry. under Section 203(a)(7)of the LEA as in effect prior to April 1, 1980 Q 7 An alien who is a Cuban and Haitian entrant (pis defined in section 501(e) of the Refugee Education Assistance Act of)980) Q 8 An alien who is, or whose child or child's parent is a"battered alien'or an alien subjected to ecirene cruelty in the United States Nonimmigrant Status(8 L S C§ 1621(02)) Q 9 A nonimmigrant under the Immigration and Nationality Act [8 1 S C § 1101 et seq 1 'looimmigrants are persons who have temporary status for a specific purpose See.8 U S C' y 1101(a)(15) Alien Paroled into the United Stites For Less Than One Year(8 U S C I6'_11a)(i)) Q 10 An alien paroled into the United States for less than one seat under Section 212(0(5)of the rN Other Persons(8 L. S C§ 1621(c)(2)(A)and(CO © I 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 to Public Law 99-239 or 99-658(or a successor provision)is in effect[Freely Associate()States include the Republic of the Marshall Islands,Republic of Palau and the Federate States of Micronesia.48 USC § 1901etsegI, 13 A foreign national not physically present in the United States Otherwise i awfully Present(A R S § 1-501) 14 A person not described in categories 1.—I 3 who is otherwise lawfully present in the. United States PLEASI NOI I- fhe federal Personal Responsibility and Work Opportunity Reconciliation Act may make persons who fall into this category Ineligible fot. he-ensure See 8 U C C & 1621(a) SECTION l.V—1)ECL RATION All applicants must iompkcte this section I declare under penalty of ncr)ur\ iiridk r the I ilkj of the oats.of \ri ona that the anstvera 1 have given are true and correct to the best of rm knit-leo;c. Paget of 7 eiN ZL Z •\PPLJC.;<tNT'S SIGNATURE TOL y'i S t)ATE Attachment L'st:s 4 and B Evidence of t-S C irzzensh,p,L'S National Status or Alien Status, DLL.. 1 15,09 ACT 11'0SI07-81612 Attachment to Form I Applicant Statement EVIDENCE OF L.S. CITIZENSHIP, L. S ^r kTIONAL STATUS OR ALIEN SIAPL'S LIST A i-) S C ITIZ_LN OR Li S NATIONAL rote to this I a t he term S.n-ice'refers to the t_ S Citizenship and Immigration Se'-ac,e torment the t S Immigration and Naturalization Sers ice(LN:S) [Source Proposed Rules,\enf cation of Ivtterbitrty for Public Benefits 8( `R v 104 23,63 FR 41662-01 August 4, 1998),and Interim Gmd,stcc of\endi ation of C ruzen,.hip Qualified Alien Status and Lhgibili t Under rrtle IA of 0ersr:nal R,esponc.,'rilr•v and Wod Opportunity R.eetinic.zlia'ion Act of 1996(Interim Guidance';,(2 FR 61 3-14 (Nov 17 1997), A+tachment 47 Evidence showing US t.rttzco or U.S.national status includes the following a Primary Evidence 1 i A birth certificate showing birth in one of the'0 states,the District oz Colombia,Puerto Rico(on or after January 1 1941),Guam,the U S Virgin Islands ton or after Januart 17 1917 t, American Samoa,or tie Northern Manama Islands(on or after November 4, 1986 Northern Mariana Isianus heal tunnel(unless die applicant was born to foreign d+ploniats residing in such a Jurisdiction), 2) United States passport Report of birth abroad of a I t S citizen(I S 210;(issued bs the Department of State to U S crttrema), i 11 C>-rnf;cate of 13r-tti(FS ;.t5)(issued n) a t i,re._n pc't)ra Rep,,rt-af Birth(DS 1..,50) copies of ss nick are available tram tree Department of State (>i Form N-Idt.Cern fis.,ateofCitizenship Form 1-197 Limed States Citizen Identification Card(,ssued by the Service until ri pril 7, t 981 to I'S emzens In log mar the Canadian or Mexican border who nccccd it fir frequent border croscn.gs l(tor zcrly Form I-I 79,last issued in February- 1974)_ (7) Form i-873(or prior versions),Northern Marianas Card(issued by the Service to a collectively naturalu ed t 7 S citizen who was born to the Northern l Ianana Islands before November 3 1986). (8) Statement provided by a U S consular official certifying that the individual is a U S citizen(given to an individual born outside the United States who derives c'tizeusntp through a parent but does not have an I S 240, FS-^)4i,or US-13c0),or (9) Form i-8i2(or prior versions). kmernean Indian Card with a classification code 'K_1.C"and a statement or the back identifs tog the bearer as a U S citizen(issued by the Seri,ice to U S citizen members of'the fexas Band of Krckapoos In rng near the U S/Mexican border) [Source interim Guidance of\enl-rcatAon of Citizenship,Qualified Alien Status and Fligibility Under Tale tZ ref the Personal Re:,ponsihtlity and Work Opportunity Reconciliation Act of 1996("interim Guidance ),67 FR 61114 17 1997i Attachment 4j b Stcotndars l vidence if tlr,tpplttlnt earn it present one of flu d,_ruments listed in(a)ah i,e the tollostng 3nai be retied upon to c,ct.-tbli,h I S ciuz,nf;hip or t.;ti na'wn-i'st itus t I) Retrtnous record reccrded in one of the 10 states the District of Columbia,Puerto Rico(on or after Jarman 1 + 19)41),Gunn the t S Virgin Isf,mds(on er otter)anu-tri 1" 1917) American Sancta,or the Nordic n \sari-rna Elands on or after Novetnbcr 4 1986.Northern \4ariana 1st rids lc>c.t nine)tunics'the applicant -s as Him i f rein diplomats res idenr in such a yu-rsdi'.tion)with,ri three 3 mouths afar birth show ink tl-pit Page 3 tit, the birth occurred in such Jurisdiction and the date of birth or the individual's age at the time the record was made (2) Evidence of civil service emplovmen:by the U S government before June 1. 1976 (3) Early school records(preferably from the first school)showing the date of admission to the school,the applicant's dare and t S place of birth,and the names)and place(s)of birth of the applicant's pareats(si, (4 Census record showing name L3 S nationality or a U S place of birth,and applicant's date of birth or age (c) A de piton finalization papers showing the applicant's name and place of birth in one nf the 50 states,the District cf Columbia.Puerto Rico(on. or after January 1, 1941),Crum,the U S Virgin Islands(on or attei Januan 1 7 1911, American Samoa,or the Northern Mariana Islands ton or after Nos ember 4 1986. Northern Mariana Islands local time)(unless the applicant was born to foreign diplomat»residing in such a turuciictiop.I or,when the adoption is not finahzed and the state or other Ul S Jurisdiction lifted above will not release a birth ceittficate prior to final adoption a statement from a State-or junsdiet:ion-approsed adoption agency showing the applicant's name and place of birth in one of such Jurisdictions and stating that the source of the information is an onirinal birth certificate (6) &ny other document that establishes a L?S place of birth or otherwise indicates L S nationality(e t,a contemporaneous hospital record of birth in that hospital in one of the 50 states,the District of Columbia Puerto Rico(on or after January 11, 1941),(3uam,the U S Virgin Islands(on or after January 17, 1917) American Samoa.or the Northern Manana islands(on or after November 4 1986 Northern Mariana Islands local time)(unless the applicant was born to foreign diplomats residing in such a Jurisdictiaini. c C ollectne Naturalization If the applicant cannot present one of the documents listed in(a)or(b)above,the following 1,4111 establish LI S citizenship for collectiycly naturalized mdtytduals Puerto Rico • Evidence of birth in Puerto Rico on or after April II, 1899 and the applicant's statement that he or she was residing in the U S a L'S possession or Puerto Rico on January 13, 1941 or • Evidence treat the appl,c-tnt was a Puerto Rican citizen and the applicant's statement that he or she was residing in Puerto Rico on March I 1917 and that tie or she did not take an oath of allegiance to Spain IT S \item Islands • E4 idence of birth in the L S G train Islands and the applicant's statement of residence in the II S,a U S possession or the Li c V trgin Islands on February. 25 1927 • fhe applicants statement indicating restdent in the U S Virgin Islands as a Danish citizen on January 17, 1917 and residence in the U S,a I. S possession or the U S Virgin Islands on February 25, 1927,and that he or she did not make a declaration to maintain Danish citizenship,or • Es idence of birth io the U S Virgin Islands and the applicant's statement indicating residence in the U S,a U S possession or territory or the Canal Zone on June 28, 1932 ;northern Mariana Islands(.'Nil)(formerly part of the Trust Territory of the Pacific Islands(TI'PI)) • Evidence of birth in the NMI,TTPI citizenship and residence in the NMI,the U S,or a U S territory or possession on November 3, 1986(NMI local time)and the applicants statement that he or she did not owe allegiance to a foreign state on November 4, 1986(NMI local time) • Evidence of FTPm citizenship,continuous residence in the NMI since before November 3 1981(NMI local ION time),voter registration prior to January 11975 and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4 1986(NAM local time),or • Es idence of continuous domicile in the NMI since before January 1, 1974 and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4 1986(N1'fI local time) Note if a person entered the NMI as a nonimmigrant and lived in the NIvU since Januar% 1, 1971 this does not constitute cOittinti0.1- 1..n4tcile acid the inch%i;tita]is not a L: c citizen d Dertsative Citizenship If the applicant cannot present one of the documents listed in a orb above,the follow trig may be used to make a determination ofdenvatise L S citizenship ,pphcant born abroad to two I S citizen pa mats Ls idence of the Il S citizensnip of the pare its and the relationship of the applicant to the parents and evidence that at least one parent resided in the L S sr arc cody mac possession prior to the applicant's birth =Applic ant horn abroad to a 11 S citizen parent and a I. S non-citizen national parent• Es idence that one parent is a U S citizen and that the other is a it S lion-citizen national,evidence of the relationship of the applicant Page 4 of 7 13 Th7 s r,=azen parent and evhdencc that the.L'S cir en parent re..tderfin the L'S a J S possessior,A-ertear Samoa Swains Island for a period of it least one year prior to the applicants omrth Applicant born out of wedlock abroad to a U.S citizen mother Evidence of the U S citizenship of the mother, -t;derive of the relationsinp to the appheant and,for births on or before t)ec"..mber 24, i 9'2 evidence that*h_. h-'ther resided in the I' S prior to the applicant's o'rth or.for births after December 24, 1952 e,idence that iae nr,tn r nad resided prior to the child's burl,in the U , or S possession for a period of one year &pphc_ant born in the C anal Lone or the Republic of Panama • A bit tP .C,if1C'te s:T o'.ins birth in the t-7nd.t Lone•an or after f ebm arts 26, 1901 and h..3.ire.(L' 'ber 1 079 a'-'d idety'e that Incone parent was a C S citizen at tb'time of the anpmcant s birth.or • A birth certificate scam inch"'th in the Republic.of Panama 0-cc'att ar l ebrua-s 2„6 1904 and l w1.ire Ciot.ther 1, 1 Y 79 acid evidence that ai teas,one parent was a I' 5 ct''zen and 'rpio;ed by the I c' .-nnien. or do- PIN Panama Railroad i_ointians or its successor in retie hi all other si.uatictns rn which an applicant claitns to ha.e a C S '.irtzen pars-',nt and an aIi m( t"nt_ 1a m,1:,fail ,thin one o,f the above c.ategones hut is unable to present the listen documentation • if'Ile applicant is in the t S the applicant should contact the Inca; t S Citizenship and Immir,.,tic,' Sersice rffic fc. determinatit,n of t S citizenshtp, • U the applicant ,s outside the I_'S. the applicant should co-IL-act the State Department for a t S citizenship determination • :Adoption of Foreii n-torn Chtltl l b S Citizen • 1, the birth certificate tlll?'.ss r fore'4n TOace of birth and the Flpplie.ant cannot be etett,'Ciiincd to be a- to I zed citizen under any,if the above criteria.obtain other evidence of U S citizenship • f ecaase for van-horn adopted children do not automaticall` acquire C'S citizenship b. v'rlue.of,'dc,p.i.'ri by I_ 5 citizens,the applicant should contact the local L! S t it'rem:hip and Iminiwatton Service oi1,c4.for a &terrnination of S citizenship i'the applicant pna,id_s no evidence of IT S citizenship f 1 S Citizenship By Mar ri ige ati Oman L111'en.hrp thrc_, eh marxrage to aft S e,ttzcn befo c September 2:' 1 22 fc's lc; td'n,:c.of[ S vim•aenal.ip,.t Olt h..shand and et'dense she'atno the m mace oc"urrer: l ei,r= Sertembe-22 lcr,2 v. If the hutbaad vas an alien at the time of tn'marriage and becam:.naturalized be_to.e.Siptembcr 22 I` .1,2 the..ire al t<tcgt•'r'd pa,,ralized cui'enchtn It the shirr lit terminated the is (e niiaiaca,ncd r.,t,..'nsh'p if sits wit re tdir un'I t t sat that time and continued to reside in the 1J S LIST B QUALIFIED ALIrNS,NONIMMIGRANTS,ANiD ALIENS PAROLED i'i rO i1 S FOR LESS THAN ONE YEAR I he documents listed hcloss ,hat arc.,eg.istratwn documents are indicated with an asterisk('.*OMNI a 'Qualified Aliens'. L ,dunce of `Qualified:then state_.tn..ludes the follcn;me ,tlu'n LutaJull1 -Admitted for Permanent Residence *Form 1551 (Alien Registr,tion Receipt Card,commonly knotin as a"green card"),or 1_i,te tin d Ternporars i 5.1 stamp in forma passport or on *I 1 orris I '14 f nlee. .`.I arm 19,1,innutat'^-I',i itti star ip !toss in .':'ini of ass liiin under.,e :'cci 208 of IhL t`t I air t I (185B(t_mpl:_s ptcitt tctl7,r;,_dihca l'nit attitc+rlt d •„1,: f unn I-766 i Lmplos meat \u'horizatton Dnctnent i innota.ted Dr-u t h•ttcr fro,a the y''lttm t:)'-tttz of the t!S ( itizenship and i•nmigrltton"en-ice or Order of ti imtnit;raitnndiid4.;e iranting u- lunl 1'-ice 5„t Refugee - *Form 1-94 annotated with stamp showing admission under§207 of the 1N A, *Form f-688B(Employment Authorization Card)annotated" 74a.12(a)(3)",or -* Form 1-766(Employment Authorization Document)annotated"A3" Page 6 of 7 ,Alien Paroled Into the CS for a Least One Fear y * Form 1 94 with stamp chewing admission for at least one year under section 212(d)(5)if the IN i Applicant cannot aggreate perious of admission for less than one year to meet the one-year requirement) Alien If'hose Deportation or Removal Was ll'zthheld - ' Form 1-6SS13(L inployment Authorization Card)annotated "2 74a 12(ait 10)', - *Form 1-66(Employment =uthorization Document)annotated"Alt)' or -Oruer from an immigration Judge showing deportation withheld under§24 3(h)of the INA as in effect prior to April 1, 1997,or rsmosal withheld under§241(6)(1)of the NA Alien Granted Conditional Entrr - * I orm i-94 with stamp chewing admission under§203(a)(7)of the LN& * Form 1-6883(Employment Authorization Card)annotated '274a 12(a)(31".or * Form J-766(Frnplosment Authonzation Document)annotated"A3 " Cuban/Haitian Entrant * I orm 1-5c 1 (Alien Registration Receipt Card,commonh known as a'green card")with the code CUb.CL 7 or CH6, Unexpired temporary I i I stamp in torei gii passport or on * Form 1-94 ss ith the code CU6 or CU7,or Form 1-94 lint;stump showing parole as"Cuba,Haitian Entrant"under Section 212td)5)of the INA then JWIzo Has Been Declared a Battered Alien or Alien Subjected to Extreme Cruelty t.! S Cit'zenshtp and Immigration Service petition and supporting documentation b Nonimmigrant Evtden'e of"Nonimmigrant"status includes the following - * Form 1-94 with stamp snowing authorized admission as nonimmigrant c Alien Paroled into U S.for Less than One Year Esidenue includes I orm I-91 with stamp showing admission for less than one year tinder section 212(d)(5)of the IN Di I C 2 13'09 AG 1 U08/07 81662 Page 7 of 7 I\ �+ PP pcii • , 'y .N �'-)i / ac,f I+ aae�of( li/� e ie<", 4 Home of the Super stttrorr Mountain,'4RIZ4‘4P Ili%a NOTICE The attached application for a Location Transfer, Corporation, Beer and Wine Bar Liquor License submitted for Desert Liquors located at 350 W Apache Trail, Apache Junction, Arizona, was posted on the 22nd day of September, 2010, at 10 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, October 19, 2010, at the City Council Chambers, 300 E Superstition Blvd., Apache Junction, AZ at 7 00 p m , at which time any objections filed will be heard ��• Kathleen Connelly City Clerk DO NOT REMOVE THIS NOTICE AND/OR ATTACHMENTS. REMOVAL OF THIS APPLICATION MAY JEOPARDIZE CITY COUNCIL RECOMMENDATION. • ue i+5()j 083_s,00.1 • I '0, (*})98 -?018 • I[)I)LIStii E18 t_)95 • ,v. i, _t oi; [ -,;!p r.,t1;I n (3oitIe:and 'A,'',{,hi Iuncts n \/ 8ii! `) p p to?AC HE J (1)171IL'+�re et lCite' f netlo,z Home of the Superstition Atom/hum September 22, 2010 Mr. Jeffrey Lawrence Golzio Desert Liquors 936 W Apache Trail Apache Junction, AZ 85220 Dear Mr Golzio' Please be advised that the application for a Location Transfer, Corporation, Series 7 Liquor License submitted for Desert Liquors, 650 W Apache Trail, Apache Junction, Arizona, was posted on September 22, 2010, in accordance with State law The Apache Junction City Council will hold a public hearing on October 19, 2010, 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 00 non-refundable application fee and a $300 00 city alcohol permit fee that is due and must be received prior to Wednesday, October 6, 2010, in order for this application to be placed on the City Council agenda If you have any questions concerning this matter, please contact my office at 474-5068 or 474-5050 Sincerely, Kathleen Connelly / City Clerk • Voice(480)982-8002 • FAX (180)982-'0i8 • MD (480)981_0095 • A aicit% ikt ‘ti(` i �l�i�_1';tltU�tl {it.rtllCAal'i( .11)di.hL 'unL tk fl 1/ iSi2I0 • et/1r. - d . tarite ftweltele Home of the Super S1i1i it Mott/limas gRfZONP Alook SEPTEMBER 21, 2010 MEMORANDUM TO DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH KATHLEEN CONNELLY, CITY CLERK FROM JAN MASON, DEPUTY CITY CLERK SUBJECT APPLICATION FOR LIQUOR LICENSE FOR DESERT LIQUORS Mr Jeffrey Lawrence Golzio has submitted an application for a Location Transfer, Corporation and Series 7 Liquor License for Desert Liquors located at 650 W Apache Trail, Apache Junction, Arizona Please conduct the necessary inspections and submit your recommendation by email no later than Wednesday, October 6, 2010, in order for this item to be on the agenda for the City Council meeting of October 19, 2010 p • (-m-i) -)S2-S00i • LAX f•IBU)982 7018 • I DI)(-180)`)S • iti,v‘y aitrt% it-t 300 h Suo.Htutort B uIc and apaJic JuniUtm AL Ss2i ) /'\ Janet Mason From• Todd Kennedy Sent: Monday October 04 2010 2 18 PM To Janet Mason Subject RE Liquor license for Desert Liquors Yes That is correct I saw that both applications were for 650 West Apache Trail Todd C Kennedy Assistant Planner /1 City of Apache Junction 300 E Superstition Blvd Apache Junction.AZ 85119 (480) 474-5093 tkennedy@alcity.net From: Janet Mason Sent• Monday, October 04, 2010 2 12 PM To: Todd Kennedy Subject: RE. Liquor license for Desert Liquors is that for both applications? Janet Mason Deputy City Clerk City Of Apache Junction 300 E Superstition Blvd Apache Junction AZ 85119 480 474-5068 Jmason@aicity net Scrvice Over and Above the Rest This message and the information within is intended for the recipient If you received this email in error, please notify the sender and then delete the email Emails generated by council members or City staff pertaining to City business are public records and are preserved ^ according to the City's records retention schedule To ensure compliance with the Open Meeting Law, members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may rep y to this message, but should not copy other members of the public body From• Todd Kennedy Sent: Monday, October 04, 2010 2 10 PM To• Fred Baker Cc. Janet Mason Subject. RE• Liquor license for Desert Liquors Jan, Planning has no issues with this application Thanks ,- aow Apache Junction Police Departmel • t icy Interdepartmental Memo DATE 10/4/2010 TO Lt Jackson THROUGH FROM Sgt Durkin SUBJECT Desert Liquors Sir, Upon review of this application, both Desert Liquors/Cactus Club are within the City Of Apache Junction and under our jurisdiction Our CAD (only three) calls show a liquor violation that was turned aver to Dept Of Liquor/ Welfare Check on a 911 Hang-up / and an intoxicated woman (Fanny Young-which I was on that call) when she left COBB's Restaurant, very intoxicated, and fell in the roadway near Desert Liquors The Applicant is a citizen/business owner in 'good-standings'-oer CAD No acts of criminal activity and/or violence When I arrived at Desert Liquors, that business is approximately 74 yards (222Feet) from Apache Trail High School, but Desert Liquors was an existing-current business When they move to Cactus Club, that buildings lot is approximately 290 yards from Apache Trail High School (approximately 810 feet) and the closest Church, LIFE GATE 555 W Apache Trail,Apache Junction, is well over 250 to 275 yards away NOTE Mr Golzio did not know this church existed, it's in the old plaza across the road and blocked from view by Village Inn, and the AJ Chamber of Commerce The Baptist Church on South Thunderbird is well out of the area Per Title 4-207, schools and churches must be over 300 feet away Mr Golzio's requests are well outside that distance/limits We went to the Cactus Club, which had been closed for over 3 year This location was checked in CAD, and has not had any cnm:nal or suspicious activity The interior of the building is 'under construction' The floors and walls are striped, and the walls were in the process of being framed to include the plumbing repaired or changed Mr Golzio explained the floor plan and they were 'in-line' with the drawing I did not see any discrepancies, nor any reason to challenge this request This request is approved by the Apache Junction Police Department CFAI 11". Apache Junction Fire District ro a` z 1. PRO„aYSER,,N 565 North Idaho Road, Apache Junction, AZ 85199 �4, FIRE•HAS ` It Phone (480) 982-4440, Fax(480) 982-0183 1 ~ �FD�I�iii/ www.aJfire.org MEMORANDUM TO Kathleen Connelly,City Clerk City of Apache Junction 300 E. Superstition Blvd Apache Jct,AZ 85219 FROM Dave Montgomery, Deputy Chief/Fire Marshal b, r'` DATE October 7,2010 SUBJECT Application for Series 7 and Series 9 Liquor License for Desert Liquors located at 650 W. Apache Trail,Apache Jct.,AZ The Apache Junction Fire District has reviewed the applications as noted above regarding the facilities located at 650 W Apache Trail, (designated to be newly occupied by Desert Liquors) We have recently completed a fire and life safety inspection in conjunction with the remodeling that has occurred in this existing structure, with no major violations found. We therefore would recommend approval of these applications 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 982-4440 ... Thank You Dpm ATTN Application )\ji) ROLL CAL 'VOTE NOTES: 1 i, ,k � L l ,...., , A... \ i, ITEM # \I)) To n \ lo MEETIN OF 1 i,„,, A... i I MOTION BY SECONDED BY: 1 iYES NO ABSTAINED VICE MAYOR DIETZ COUNCILMEMBER WILSON / COUNCILMEMBER BARKER I COUNCILMEMBER SERDY if COUNCILMEMBER ECK I/ COUNCILMEMBER COLEMAN I MAYOR INSALACO UNANIMO S IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 13 I MOVE THAT THE APPLICATION FOR A LOCATION TRANSFER, CORPORATION, SERIES 7 LIQUOR LICENSE FOR DESERT LIQUORS, SUBMITTED BY JEFFREY GOLZIO, BE RECOMMENDED FOR(APPROVAL) OR(DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL PUBLIC HEARING 1. For APPLICATION FOR A LOCATION TRANSFER, CORPORATION, SERIES 9 LIQUOR LICENSE FOR DESERT LIQUORS 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. AM. 2 ty of C Apache junction Home of the .S uper:ctitiott $ I ountain i g Print TO: City Manager's Office FROM: Kathy Connelly, City Clerk DATE• October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Required by Federal Law or State Statute TITLE OF AGENDA ITEM: APPLICATION FOR A LOCATION TRANSFER, CORPORATION, SERIES 9 LIQUOR LICENSE FOR DESERT LIQUORS. ACTION REQUESTED: Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION This is the next step in the process for a liquor license application Council shall make a recommendation of approval or denial to be forwarded to the Arizona Department of Liquor Licenses and Control. FISCAL IMPACT: OPTIONS/ALTERNATIVES: RECOMMENDATION: ATTACHMENTS Click to download cover memo ❑ application • applicationpart 2 ❑ notice ❑ applicant letter ❑ department memo ❑ planning recommendation ❑ police recommendation ❑ fire recommendation PPACHEJG 0 .1 lb re•, ., ,_:::tell- 6/..4/1.(trite; (If f Ite110117 i? .% �� Home of the Superstition Mountains ,Jr gRIzONP OCTOBER 7, 2010 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH GEORGE R HOFFMAN, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERK , , .- FROM JAN MASON, DEPUTY CITY CLERK , SUBJECT AGENDA ITEM FOR OCTOBER 19, 2010 APPLICATION FOR A LIQUOR LICENSE FOR DESERT LIQUORS An application for a Location Transfer, Corporation, Series 9 Liquor License has been submitted by Mr Jeffrey Lawrence Golzio for Desert Liquors located at 650 W Apache Trail, Apache Junction Correspondence has been received from the police department, planning 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 State Department of Liquor Licenses and Control • Vonc, i.ig)i 9s'-s(7ic • I A'i i ISO)`)$2- OIS • 11)f) (-ISO) 98;-O()95 • ,v v,, alcEt, nct _1)(1 i- 'uper,u1 un Booley,trc Apachc. .lunc.tzun A/3)219 -^n.a Department of Liquor and Cont~cl S411tiestWashrngtr ,Sxt rlo_ r Pncertux,,Artzon i 5OOr APPLICATION FOR LIQUOR LICENSE 5.: TYPE OR PRINT WITH BLACK INK fiobca Errectrve Nc' t 1937 All Owners.Ansnts.Pattie:-3ia,khoiders.O;r_ors or fiLanaosr a ci, i d in the day to day operations of ha-)usi-is as must a`tend a Dad.:, -n_n,.approved liquor ia. 3 coos or prc vide proof of aUsirldarics iivitain the last five years See page 5 of the_iiuor Licensing requi-a-rc^s ' • ^ SECTION 1 This application isfora SECTION 2 Type of ownership ❑ INTERIM PERMIT Complete Section 5 • J T ttv R O`S Complete Section 6 NEW LICENSE Complete Sections 2.3,4, 13, 14. 15, 16 Q INDIVIDUAL Complete Section 6 CI PERSON TRANSFER',Bars&Ligjor'Stores C": ❑ PARTNERSHIP Complete Section 6 Complete Sections 2,3,4, 11, 13, 15,16 I]CO:'PO ATION Complete Section 7 ❑ LOCATION I ttANSFE R !Bars and Lip+.icr-Stor>_s ONL- ; ,� LIMITED t_IABILiT'Y CO Complete Section 7 Complete Sections 2,3 4, 12; 13,.15, 16 C1 C:LUB'Complete Section 8 ❑ OBA i Er1 diLL ASSIGNMENT'DIV'OPCE DECREE 0 GOVERNMENT Complete Sec don 10 Complete Sections 2, 3,4; 9, 13 16(feernOt r- :T L ST Cote. lete Section 6 C� GOVERNMENT Complete Sections 2,3,4, 10 13 15, 16 U Oil ER Explain SECTION 3 Type of license and fees LICENSE _` Oepartrr-n Use On!v Type of License 2 'TO'ai fees attached S APPLICATION FEE AND INTERIM PERMIT FEES OF APPLICABLE) ARE NOT REFUNDABLE The fees allowed under A R S 44-6852 will be charged for all dishonored checks. SECTION 4 Applicant i4 i t honer Agent s Name it L^cam c,'1,oa-ye ONL f to aooe e 2 lore (Partnership/L L C taxa.';fy as if apoea s on Articles of rm.. o Articles of Orq) 3 Business Name (Exactly as it appears on the exte or of premises) ---.._.. 4 Principal Street Lo.;ation jV C• � (anry c.+_, y (/';1;L:,C'. 'kL ( , (Do not use PO Lox Number) City C ou-'y =i 5 Business Phone Daytime Contact 6 Is the business located within the incorporated limits of the above city or town? DYES L.iNO 7 Mailing Address -- City State 8 Enter the amount paid for-a bar beer and wine,or rigdor store Ir ense$ _i Pr,_e of Li::en,- :only.) DEPARTMENT USE ONLY Tees iL Application Interim Permit Agent Cnarge Club Linger Punts S I L,(,t TOTAL OF ALL FEES 1 I Is ,-n,_ona Statement of Citizership&Alien Status For State Benef`s complete? LI YES ❑ NO A:.ct pted by_ ti� Cafe Cl((L' I o # 1 '`j l LC( ) 2 �. L,C)')0 05/2009 "Disabled individuals requiring special accommodation, please call(602)542 9027 LIT L t- Pm Arizona Department of Liquor Licenses and Control 800West Washington,5th Floor Pioenix,Arizona 85007 www azliquor gov 602-542-5141 APPLICATION FOR LIQUOR LICENSE TYPE OR PRINT WITH BLACK INK Notice Effect%e Hot 1 1957 All Owners.Aqo^M.Da-'rers Stockholders Offices,or Manage's active!;:^Jofved in the day to d;y operations of the business must attend a Department approved liquor law training course or provide proof of attendance within the last five yeas See page 5 of the Liquor Licensing requirements SECTION 1 This application is for a SECTION 2 Type of ownership ❑ 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 ❑ PERSON TRANSFER (Bars& Liquor Stores ONLY) 0 PARTNERSHIP Complete Section 6 Complete Sections 2,3 4, 11, 13, 15,16 *CORPORATION Complete Section 7 I I LOCATION TRANSFER(Bars and Liquor Stores ONLY) ❑LIMITED LIABILITY CO Complete Section 7 Complete SectionZ 3 4 12, 13, 15, 16 0 CLUB Complete Section 8 ❑PROBATE./WILL ASSIGNMENT/DIVORCE DECREE 0 GOVERNMENT Complete Section 10 Complete Sections 2,3, 4, 9, 13, 16(fee not required) CI TRUST Complete Section 6 ❑GOVERNMENT Complete Sections 2,3,4, 10, 13, 15, 16 0 OTHER Explain + }I SECTION 3 Type of license and fees LICENSE# lj \j coal, :sep artnCMr_nt Use O i Type of License _L\ c.Ac- 5T07e __ 2 Total fees attached S _T _ APPLICATION FEE AND INTERIM PERMIT FEES (IF APPLICABLE) ARE NOT REFUNDABLE The fees allowed under A.R.S.44 6852 will be charged for all dishonored checks, SECTION 4 Applicant ( ( ot'-�c��� Mr 1 OwnerlAgeat'i.Name ^,1s L.,)-oL.Z`U (Inser•one nami if•4l'a to appear oft license, t�Last r irst Mrddl? 2 Corp/Partnership/L L C \-OL.)j S I t`( 1 ( b1_ tLxactly as it appears on Articles of!no or Articles of Org) ` s � 3 Business Name 1L \\ L \C ..'t��Z� IJ DC) � - rr __ (Exardiy as it appears on the extpnor of promises) 4 Principal Street Location C.t` �'� ACI,C �` kL_. `C�' (Do not use PO Box Number) City County J'""� Zip /� 5 Business Phone `�1.ev 1% ,�UC�� Daytime Contact q(t c; �iS(G' tF 1 6 Is the business located within the incorporated limits of the abovej city or town? l3lYES ONO 7 Mailing Address lit-) t?c1 t .. Lk) "� `�-. t '` CSC \ ��,\ --w Lckkol-, A Z >�i ke)-0 __.__ C tt} State 8 Enter tta amot'it paid for a bar peer and wine,or liquor store license$ ki v2taC},_ 'Pace 0'L c.ense orly) DEPARTMENT USE ONLY Fees _L ? Application In;ert^i Permit Agent Change Club Finger Prints 3 I OCT"-: TOTAL OF ALL FEES Is A'izona Statement of Citizenship,k A ien Status For State Benefits complete^ ❑ YE;; ❑ NO Accepted bd rt- Date `7-1\(A\l 0—____-. Lc # ei1\\\(ivy �= LIC 01C•00S/2009 'Disabled individuals requiring special accommodation,please call (602) 542-9027. OIN 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 A 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 RAF TNER OIN (Print full namel MEMBER STOCKHOLDER OR LICENSEE(circle the titie which applies&of the stated license and location State of County of X — The foregoing instrument was acknowledged before me this (Signature) day of My commission expires on Day Month Year (Signature of NOTARY PC Ll j SECTION 6 Individual or Partnership Owners EACH PERSON LISTED MUST SUBMIT A COMPLETED QULSTIONNAIRE(FORM LICE AN"APPUCAN T TYPE FINGERPRINT CARD AND$24 PPOCESSING FEE FOP EACH CARD 1 Individual Last -irs Ili,Owned Mailing Address City Sta•e lip Partnership Name (Only the first partner listed will appear on license) General-Limited Last First Middle %Owned Mailing Address CI State Zi ❑ ❑ Ho I A.LDITI 'N'+L SHEET'F NECEEsARy) 2 I-any person other than tha above no!ng to share in the pi-oats/losses of the busine ss i 0 YES 0 NO If Yes give name current address and telephone number of the person(s) Use additional sheets if necessary I a,t ;it>. Fi;i t-; M i n9 Add ess t4 �t ' .__.- r elephoner i - i g egN SECTION 7 Corporation/Limited Liability Co EACH PERSON LISTED MUST'SUSMIT A COMPLETED QUESTIONNAIRE(FORM UMW),AN"APPLICANT'TYPE FINGERPRINT CARD,AND 524 PROCESSING FEE FOR EAC CARD V. CORPORATION Complete quesfions(f.CO 6, 7,and 8 ET' L.L C Complete 1,2,4,5,6, 7,and 8 1 Name of Corporation/L L C -V\C-'r=- N5A 1 kC3� 1[s-L(„- 11-1C. - i_xaeiiy as 0;,:pc,,_:,,?;s.n,Y.rticios,-1 ctor po anon a;Article;of Oraanwatian) 2 Date Incorporated/Organized Ca 0L"(C State where Incorporated/Organized A Z L7 WA, 3 AZ Corporation Commission File No 17)1 Co r- r, t Date authorized to do business in AZ O L`+ r O 4 AZ L L C File No Date authorized to do business in AZ 5 Is Corp it.L C Non-profl;O 0 YES FiNO eliN 6 l ist all directors officers and members in Corporation%L L C Last First Liiiic e t Mailing Address City State =ip: (:- Zt a _�t`h-iz-q LN4v t K pV:t3iDtI-t'► _ ` i W F' ,c « 1 R L ?. t c L c L\ `c-t titc_t P,ZL ct .� .�,t' c't� - t I .,k?4\C't-tL .7;rt-lC\Ic.,1-1 A Z bSGo, to ITAC;i ADDITIONAL SHE,T IF NECL:SAR 1) -M 7 l,st stoc holders An ho are controlling persons or who own 1 f'i, or more Last First tiiddie Owned Mailing Address City State Zip I V �'��\v �k t"Y j.04- ' '`stir,- .'tiL� i.Jo k 0',`t P �''-1 PNPAC \ ;k___ r _ P C xU�Z : ;�: , 1tp..,,Zt .ki 6, t„ f.s "� hC:rt= lV kt, — 1 k4s.cc\E r\cT\ot-t J)Z OS -- - -� (ATTACH ADDIT tONAL SHEET IF NECESSARY) _-. 8 If the corperation/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 A EACH PERSON LISTED MUST SUPMITA COMPLETEC Q,iESTIONNAIRE(FOPti L_IGoiol,AN APPLICANT' TYPE FINGERPRINT CARD,AND$24 PROCESSING FEE 1 FOR EACH CARD 1 Name of Club .__. ._..__.__ ,_. Date Chartered ,C saoty as tt appears on Clot charter s;r E via,.•s) Attach a copy of CLb Charier of djlaw ni 2 Is club non profit x 0 YES 0 NO 3 List officer and directors 1 P7t E _I 0`11 nYr f"ai y a i=ir: ate v_. r :I Ti — i .. i .. ,�rf ta. . c,�1f=�T 17!;r.^F�.i �'ii SECTION 9 Probate,Will Assignment 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 rirst Middle 3 License Type License Number Date of Last Renewal 4 ATT4C+-I 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 Go e.mmental Entity PIN 2 Person/designee Last First Mrddie Cjntact PhOne N..^nber 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 Licensees Name Entity i_xactiy as it appears on license) Last First (1.1.3ry \gent etc.) 2 Corpora*ion/L L C Name __.... _xsctiy as'appear,an lice,tse) 3 Current Business Name (Exactly as it appears on t rensr) -- 4- Physical Street Location of Business Street _ _ --- City. State, Zip__ 5 License Type — License Number - 6 Current Mailing Address Street_, (Other than business) City,State Zip 7 Have all creditors lien holders,interest holders etc been notified of this transfer? ❑YES ❑ NO 8 Does the applicant intend to operate the business while this application is pending? ❑YES ❑ NO If yes complete Section 5 of this application attach fee and current license to this application 9 I _,hereby authorize the dr partment to process this application to transfer the (print full name) privilege or the license to the apclica it provided that all terms and conditions of sale are met Based on the fultillment of these conditions i certify that the applicant now owns or will own the property rights of the license by the date of IssuC I declare that I air th CURREN F OWN`R, AGEN1, MEMBER PAR1NER (print futi naru S TOCKI!OLDER or LICENSEE of toe Stated il;:ense I nave read the above Section 11 and confirm that all statements are true co,rect and complete X State of Corty of 7rre;t,rr of r'1P?i N t I(L-J:a i The footegoiN Instrun�'nt was acknowledged before,Tre this day 17ay Month Yi?. My commission expires on i Signature of TARY 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. C'i ren'Business Name (,Exactly as it aprews r. iF encal Ad-Ir sst� �:� L:� SPAC!-k 1 �` �- ' NL t T1 � f\•_. ,651-Qc, 2 New Business Name LAri \US V‘;?.> q�j or v;rcal St+ear Lncati.m) Address .\C 1 v0.0 ZA tl _ 6�t ���� .1[01-k 1A‘Z 3 l I•:_ se ae I`G, ‘CZ— L .e se Nur~ber C � \\ Ct,3(4) 4 VVhd-Cate dC y plan to move? Cc-1 . t —�L!4 Lr What dale oo you c+ian to open° 'HP'V , )-O I E% / mN SECTION 13 Questions for all in-state applicants excluding those applying for government,hotel/motel,and restaurant licenses(series 5, 11, and 12) A.P S §:"--2 (=')and I•f3'sta:e`ha`no tssuea for any prerri'scs trruct,are at;he.time the license application'i received b. t = e t r :;`hin three nunj ed(2.333)nc'Tzorral-ee.r,r:.hunch ,'rh•n three h:.nd,ed i,3001 nonzortal Tee of a oublic or urivate scnoc I building ws h Yarns or grades one'1)thraugi i 12,or'Yithin twee h ored+300)horizoral Test o'a tencea reoicational area a lace"t tc sacn scr of bull']'? DOES NOT apply to a)Resaurant license(§G 205 02) Sovernrrieni II( rise l§4- 05 03! of Hotelnotel license is 4 205 31r d)Fenceo playing area of a oolr course l§4 207 Sir51' 1 Distance•o ne?rest school C W ft Name of school i'3 AC�'tll, t F� l� \'L'+'t'k S(Ak0V�- - Adeross 94S w ,�� E i R��� 4RAtat ,1 Z r City State Zip est _c) 2 Distance to nearest church VZ U ft Name of church r1Z51s f)Al \ C -PAck-k a!t-I C.ICc- Ajdressi ^�D 5 --)\- l-Ab,-.'2.3\+2--0 City State Zip Z- �''j51 c)-O 3 I am the Lessee ❑ Sublessee D Owner C] Purchaser to`premises) 4 If the premises is leased give lessors Name A dd.ess 3e\ S C t\ct_ 1\11 s,D0 City State Do 4a Monthly rentaltlease rare S I ZOO, What is the remaining length of the lease r+rs 4 mos 4b What-s the penalty if the lease is not ful illed7 S or other (g14e ettac:n,'-f'kiitinnal;:t'eet if IlE?C25�u'J' 5 Vv-iat+s the total business indebtednirss Tor this licenserlocration excluding the lease?$ Please list debtors below if applicable Last I r,+ r'Add, Amount Uw."a,d t-1 iin A,dre y :,,at- p ---—------- ------— - .�I .'4 oDT$ON-L SHE,TIf NF;:ESS;;R• 6 What type of ousines „'I this lic=rse or,b.:specific)?__tit_ \;L12— S titZr._�K� ,1�Zt✓ �\��t l0N 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)yea? ❑ YES ENO If yes attach explanation 8 Does any spirituous liquor manufacturer wholesaler or employee have any interest in your ousiness? ❑ YES f NO 9 Is the premises currently licensed with a liquor license? 0 YES ( NO If yes give license number aria icensee's name License# �' 'exactly as it appears on license) Name SECTION 14 Restaurant or hotel'motel license applicants 1 is there an existing restaurant or hotel/motel liquor license at the proposed location? ❑ YES ❑ 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 Interim Permit to operate while your application is pending consult A R S §4-203 01,and complete SECTION 5 of this application 3 Ail restaurant and hotel/motel applicants must complete a Restaurant Operation Plan tr arm LlC0114i provided by the Department of Liquor Licenses and Control 4 As stated la A R S §4-205 02 G 2 a restaurant is an establishment which aenves at least 4'9 percent or its gross revenue from the sale of fooa Gross revenue is the revenue aerived from all sales of food and spirituous liquor on the licensed premises By applying for this ❑ hotel/motel 0 restaurant license i certiny that I understand that I must maintain a minimum of 40 percent food sales based on these defin:tions acid have included the Restaurant Hotel/tvlotel Records Required for Audit(form LIC 1013)with this application applicant's signatu,e As stated in A R S§4 205 02(B', I understand it is my resod sib Lty<o contact the Department of Liquor Licenses and Control to schedule an inspection when ail tab,es end chairs are on site kitchen equipment and if applicable patio barriers are in peace on the licensed premises With the exception of the palo oarners 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 you, 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 inspection"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 Vs Entrances/Exits ❑ Liquor storage areas Patio Contiguous ^ 0 Service windows t5t. Drive-in windows ❑ Non Contiguous 2 is your licensed premises currently closed due to construction, renovation, or redesign? Fl Y ES ❑ NO If yes what is your estimated opening date? 1A , ` dt O monttlJday/year 3 Restaurants and hotel/motes applicants are required to draw a detailed floor plan of the kitchen and dining areas in'lud.ng the locations of all kitchen equipment a'd inning furniture Diagram paper is provided on page i 4 The diagram to r9.tail rl fl<.sor pla.,! you prov'de Is required to d•sciose only the a ea(s)yvhere spintous 'iquer is to b, sold served, consumed dispensed, possessed, or stored on the premises unless it is a restaurant(see#: above) 5 Pmovide the square fo)tage or oiits,de dimensions of the lie nsed premises Please do not include nOn-iicr used 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` orservice windows,or increase or decrease to the square footage after submitting this initial drawing 2ppkcan's r,•tials 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 t If a legible copy of a rendering or drawing of your diagram of premises is attached to this application, please write the YYords `diagram attached" in box provided below *co\ii\s„ SECTION 16 Signature Block I, )Eefq- 4 6.00 t tereby declare that I am the OWNER/AGENT filing this l� (print full name of applicanfl application as stated in Section 4 Question 1 I have read this application and verify all statements to be true,,c rr. rid-po,, fete-- X :signature of isled in wrticr,4 Surst<an 1) BEN CMS INSIN State of 42- County of Alfat.CC P Notary Public-Adam The foregoing instrument was acxno,viedf3ed before me th+s '� '� larkopa Courtly �{ • My Comm Ex{ftrtta May 14,2013 of r 4-V e ve T v U (Day 'rear N7y comrrssron expires on 1 !r/N t ) Oav Month tear signatu,e of NO VARY PUBLIC IL., '' C5 . •q? , -, , I -"" CI :a P•P , _1 _Ji 0 >K LI. ._ ? ) i ...._-------- _____ „___L__ y 1 L___. , ,),, ...., 0 \ \ o cLi = r..1. o 0 a 'D 0 0 o 0 0 3 ( 0 0 ,, ,....,.„._.. _... ._._ i.:__,,, 4 c.)-- ,-,•.: ty C"-- --v-, c) 111 1, ' o I /....-- 0 <:., , °''' 0 ,0 0 az 6 .4E0 Q) 0 ( 0 1....-- Vfl 0 0 _ 0 I" N11) $ -.) - ,.,'M C). 10 .,---- .4_\.(r\C.N tk.-11-A, _ ,iN I S ( "0 t 0 (°-- ' ( '- si\- — . ) ,. ..--z...3 \ri) . o ( 1 ------ r- 45) ..--t — c:i r's• -- k, 4 )--- - c.) 0 r- ( C OS eS &RIZONA DE°AR T(fi'i=ITT OF 1_i01.JOR LICENSES&CONTROL �'..+U`:r'v''Washington bth Fa Phr!t r,tx AZ n3;iO7-_-).4 f'k802) 542-5 i 4.1" QUESTIONNAIRE 1 `,tten*ion all Local Governtog Bodies Soc Security,Sec rity and'Btrtftdie fn aforineton is Confidential This information may be.gvan to 1 !_+cat la\i enforcement agencies for the parpc>'of ha Agroursd cfiecls onlybtit must be arcked to be unreadable prior to;costing (__ _ __�_.� 'or at3,y p!iisfie-vi....A _ Read carefully This ins*rutxieilt la a awn t7,fonutnent Type or print with BLACK INK ---� An-extensive investigation of your bacf-ground Will be conducted False or incomplete a-iswers :o.ad result in criminal prosecution aoa the denial or subse4gent revocation of a license or permit l,41PI_E-c BYEACH OOONThU[LI d..3 1-LP !h A ch,T-C)RM? A :Ef@ iL° I S74 COMPLETING THia t OPM IO_S 7 Slikric-r--.t: C!•=.rsi i T ' I d. 'PPL\T C'r : ,'HLr LA 'UPT,d t"3 iT Di;,f-r1liIGc' itvF3t4._tv T, BE DONE E 4 BJ04A EL-_A1'tr ter,(_IJ't,-,`clsi- .e?A f f!d.,,E,-)-�.J`". " , r",l T'I A TPr'C ED V1,r' T.HE_!_P.' 1 _h, •j a E-NOT ' ILi't -NS \IG'EP = g5 Effective 10±01t07 there is a S24 00 processing fee for each nngarp of card submitted Liquor License t'r Th fees flowed L. A.R.S.§fit•-6S52 will be charged for all dish}pored che• k;s; (If the location is care ntly ticersed) 1 Check + ( Controlling Person Agent Manager(Only) appropriate (Compiete Questslris 1 19) ! (Comoicte All Questions x, ctir 14,14a&21) box ----> ! i;ont oliing Person or Agent must can plea_ _1 a Manager I Controlling Person or Agent must complete tI 21 Na,`i= ( iGl7 +' ''c� , t Del of 3ir'h 3t -i., ) Jvi,iie NOT a Public roc>i-d) Scvcai., :.unh N r b.: _ _ _,,:er Lr.:_ - — -- 'Sate _ — (NO T a public:^,.ordi tNOT a public rer irdl i r-,c--- a,`i` _ C , S ate Country ;n>>i co:,n,', !Janta S,- je '] Si: de ri 1'Tsar-ied l_;Dire--a Li''.,+!fc'v,,,e.i NaTP pf C,..i,-_Tito 10 sf Re.c.,=.nt':T-,, s- —._ D.it.a "sit . (:ist all fir las'5 years Use additional shoe,. f necessan I t -fiat 1,41diir Laden (NOT a public record) _. a -e hone i'i..i .side t a whatto I`A. or d ..,,.•- ._. `•,' -,; ,-r-.c -,-, r° ,.,f � m a',=pf r?'t00r1,`r 2V.>lG�1G.:,^r,, 7-:r-.,� .. .f tr.,coP4N.t;J'vt,.:,,1 l,r;I..,..L-i;S ri r .^_f::Y4 any"iJE:., i-ic egar71ng i t5•''.UG't^.lerl` ---------._.�-�. 0 If you`'^eve`-Bel'an•ArL?J-'a,esif ri^,r fur i?Ss than ihr,e,°I-o n-ilnr. ',ih,oit a Cap,/or your An?u,a driver's license o voter r,ayi:4feboo ca ci 10 game of L.i'oe sed Premises _.. _ -.--_ Premises Phone 1 1 Physical L oc-iv"of Licensed hr=r'+.es r1 'rss C.- C:: C-i ) Fa( .i7 e 1 � �= f'-c ti" _ - 1 ,r c ���€ t} S l E 1 Slree,Ai tries ;Du fed ups.PC'B is#) City County T Zip 12 List your employment or type of business during the past five(ri)rears If unemployed part of the time,list those dates List most recent 1st FROM TO DESCPiBE POSITION EMPLOYER'S NAME OR NAME OF BUSINESS — 1 MorithTi`earJ Ma'ihrnepr OR BUSINESS (siren add.ess city state 8.rip) t i 1 NI l t ii i' 1 ,i_SHEET IC t4E .,:-.R• FC?R FIT!-It W';r-t;IlON4\ nr it ',_1 , r 1:rr,. +.1.," s r t, t ) are fir [ROM TO Ffiert or PFSIDFN+ F Stroet Add :ss lhudhi fil, oi l'i. vii 0i1 i' kid i'.i'f oiciiti in,i. ,l tn,' rime 3d+, 1-i f nurG ‘el'a dual,-- --'- - - -- __ Cif( 3f._ite Zip I C''I , f I i i - -- - - t 1. f I L. t I i 1_ - LIE 0`01 9124,12009 Dis.thir d.uiividt Ms regt'tn ig t'.rci,l tcrommoddlions,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 phv caliy present and operating the licensed premses? (ES LINO If you ans vexed YES how many hrstaay? i1`) (Q,and answer#14a below If NO. skip to#15 14a Have you attended a DLLC approved Liquor La Training Course within the past 5 years? (Must provide proof) MCES(ENO 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 detained, cited,arrested. indicted or summoned Into court for violation of ANY law or ❑YES : NO ordinance, regardless of the disposition,even if dismissed or expunged within the past ten (10)years (include only traffic violations that were alcohol and/or drug related)? es 16 Are there ANY administrative law citations, compliance actions or consents criminal arrest, indictments YES ❑NO or summonses PENDING against you or ANY entity in which you are now involved? 17 Have you or any entity in which you have held ownership been an officer member, director or manager �!JYES i 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 D YES (ENO misrepresentation? 19 Are you NOW or have you EVER held ownership,been a controlling person, been an officer. member YYES ❑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 I,-�"� L V.,F w 1 `i�C(: 3L:00hereby declare that I am the APPLICANT/REPRESENTATIVE sprint full name of Applicant) filing this I 0r4 ., ad this questionnaire and all statements are true correct and complete X -- �- _--- __ _-__ _— State of fris aG t_ County of {/r2 (Signature of Applicant) j The Nforegoing instrument was acknowledged before me this ! day of ;:vibe•. MATT STEELS • __ Year ,�►..,. NOTARY PUBLIC ARIZONA emi t.,yal �; . mis37cR�i>pt4JEJNTY 44 _Year MY Commission Ecprcge Day Month Year (Sig ur of AIRY P LIC) I March 14,2012 - COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21 The applicant hereby authon7es the person named on this que',tionna,re to act as manager for the named liquor license The manager named must be at least 21 years of age State of--_ _ _ Coiiriy of The foi-ring instrument " s arknovAednel before me tI is X da'of - — Sign•a`urs of Controlling Person or Agerf(circle one) mo ilri 'rear --- —_-- — {Signature of NOTARY PUBLIC) Pnnt Name My cnrlmissio^expires on "iy Month Y.-ear ...c7). , _______________ ._„,,,, c--3-) 8 ,, , _v._ -_--,_,A --,.2 \,.\ c 1 1, (--_---, ', --; o T- r.; --i-:) o ,? ijeti -P .7;-1 9 0.,________________ Lc ci 2 r r r v 3 N n C 6 < I U 70 cJ ? r� -- E - c ✓ n �i y C if, ( r '7 (-: 0 N 7'. 1 I r � c..,) r- o E\ t 0 is , 3 ARIZONA DEPARTMENT OF LIQUOR LICENSES&CONTROL 300 W Washington 5th Floor Phoenix AZ 85007-2934 1;602)542-5141-°:. QUESTIONNAIRE i Attention all Local Governing Bodies Social Security and r3irthdato Wont—ration 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 i any pubic View Read carefully This instrunient is a sworn docuire t.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 dental or subsequent revocation of a license or perm,t 21?G C,Ot1PLE7FD i3'r EA.31.1:'ONT ROI..u,r(.,PERSON AGEJIIT,OR n1AN,tifE'i EiCtiPERSON C,OMPLFTING THIS FORM MUST='UBMIT AN } 'L CANT-"1-','PEINC, -r'PPINT nAPD WHICH MAY BE OBTatfJED AT ciLLCT F1NrsCPPRINTING MUST BE DONE BY b.BONA c Ot LAY,/ E F"iRr:E.,9E1.t 4GE_NC,r CAP A FiNGEPPRINTIN'=SEPViCEAFt=RO a�-O BY GLLC THE p'tPA—TMEN r DOES NOT PROVIDE .-sS,,ERv'IC:=, Effective 10/01/07 there is a S24.00 processing fee for each fingerprint card submitted Liquor License # The fees allowed by A.R.S.$44-6852 will be charged for all dishonored checks. V 1 0 6 2 to / (If the location is currently licensed) 1 Check 1T^Controlling Person Agent 0 Manager(Only) appropriate (Complete Questions 1 19) (Complete All Questions except#14,14a&21) box —{`fir Controlling Person or Agent must complete#21 for a Manager Controlling Person or A en ust complete#21 2 Name b-C i—Z-(() Ate[. -bcr>Yz e i'l Date of Birth L:...at =t,t Middle (NOT a Public Record) 3 Social Seam+}Numb Drivers License#, State / 121 Z 0h.f: (NOT a tp"ublic record) (NOT a public record) / 4 Puce of Bit- t) Sim /T12JZ6It4t L)5({ Heiant 5'4, Weight 11() Eyes tOC— Ha!r BtLe.k.\rl City State Country (not county) , r 5 Mantel S`alLs Single Ivlarned I✓Divorced D Widowed Daytime Conta.,:Phone -1--- 6 9 S a--a-Ct`){ -_ / 6 Name of Curie, or Most Recent Spousel?D L. .;.t ti J e.ic _(_._ Care of Si ,111111111 (List all for last 5 years Use additional sheet if necessary) Last F!rst Middle (Maiden (NQT a public record) 7 Yo�:are a bons tide resident of wl-at sate% f�;<t 2-u%/1/L.- 'f Anzona date of resident rye+ i L/41 C.8 Telephone n imber to c.o itact you during business hours for any questons regarding this document. 4 .3 2-{ u"3'+8- 9 If you have been an Anzona 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 _ b c'S e`,' r L' e S P! s TM_ t I,IC.tY. Premise, ion., _ - �sr..,..oi< 11 Physical Location of Licensed Premises Address e-, ? ,-a+.[ { �� K uI l l , -�, A Street Address (Do not use PO Box#) Lit y routs} tpc �"n ;` 12 List your ern to merit or 'pe of business dune thepast five(5)years If unemployed part of the time ii t'thbse dates Lsst gtf?s;, t'I t': PIN FROM TO DESCRIBE POSITION EMPLOYER'S NAME OR NAME O W.M. Month;fear M rnt`Pe a- OP BUSINESS (street address city state S.zip){{ ` ric 0tf'/��DI cur)P.i-Nr %il ,� !t L� fJ}'(,kei- Jute !E'eeAroy t'-'110 . t fs' A fT��.0 Gh1G( r.ors RCS I l-c iY.6;_ C4'r"�F1•t beSerT L(t(U11K C1 w 3tYriliveite,. ]t-rt..t 04�(L JOi\ Ifc\ f 2 &SIZE ATTACH ADDITIONAL SHEET IE-trECESSARY rOP EITHER SFCTr0N•A 13 indicate our residence.address;Or the las`five i5)years .y FROM TO :Rent or l RESIDENCE Street Address t io ti: le,,,1 'i.1,th'r a-r i Own IV r..nied attach addirenal.,beet 1.h njrne address a:rd,.ice iu r o id.=diord (.Ley Sat e I :i;? aptyoea e RON,r 1 t t.�A 1245 k3_ .uit�(-z I'vlr S E( k z_ v _____ Y11 ':Sa �r-L (/J 7-4 G1 = - Ae-� I t- . I I � G ,Ilea,1:iltT � zi� -ti 1 1 r— L/C 0181 9/24,2009 D,sabind individuals registring spec ial ic.^nmmodntionc pleas-'call the Drparmr'nf (602t,42 n02' ON eS If you checked the Manager box on the front of this form skip to#15 14 As a Colt-oiling Person or Agent,will you be phys9lly present and operating the licensed premises? [V YES FIN() If you answered YES `low many hrslday? 5 ,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) v 'ES 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 detained,cited,arrested, indicted or summoned into court tor violation of ANY law or ''YES ❑NO ordinaice regardless of the disposition, even if dismissed or expunged within the past ten(10)years (include only traffic violations that were alcohol anchor drug related)? 16 Are there ANY administrative taw citations,compliance actions or consents criminal arrest, indictments :AYES . NO ^ or summonses PENDING against you or ANY entity in which you are now involved? 17 Have you or any entity in which you have held ownership, been an officer,member director or manager GtrYES 0 NO EVER had a business, professional or liauor application or license rejected.denied, revoked, suspended or fined in this or any other state'? 18 Has anyone EVER filed suit or obtained a judoment against you the subject of which involved fraud or EYES al0 misrepresentation? 1 A ,;` ' EVER held ownership been a controtlincLperson been an officer member !{YES El NO director or manager on any other liquor license in thi or any other state, If any answer to euestions 15 throng 19 is"YES`YOU MUST `5 -"r Gve complete details including dates, agencies involved and dispositions SUBSTANTIVE CHANGES TO THIS APPLICATION WILL NOT BE ACCEPTED E' l'1 f�LG-t b hereby declare that I am the APPLICANTiREPRESEN`:AfIVE print Bill name of Applicant) filing th s questionnaire I have read this questionnaire and all statements are true correct and complete X 1 J G` ? d _ _ State of___-__ Z County of ✓r't AR 4(t;42/9 tSi.-tria?urG Applicant) The foregoing instrument was acknowledged before ine this ,).. _,day of tJ C✓i t` .2 0/ fJ �,` $EN GRISS IRVIN Month Year s,, Notary Public•Arizona j 'v1^-! t« r., � 2 min:ssM fit fltyt. I y yY1(� ti l7j S+�r it" .. "... ,>'My Comm Expires May 14,2013 Day Month Year (Signature of NOTARY PUBLIC) eN COMPLETE THIS SECTION ONLY IF YOU ARE A CONTROLLING PERSON OR AGENT APPROVING A MANAGER'S APPLICATION 21 The applicant hereby authorizes the person named on this questionnaire to act as manager for+he named liquor license The manager named must be at east 21 years of age State of County of Th.,ferc 3:ang.nricument was acl,nowtedtgmi hr r-+e me ttu, X day of Signature of :ontrotltna°erson o: Agent SCircte ole', Month Year --.— _ _ _ ______ - . (Signature of NOTARY PUBLIC\ Print Name My commission expires r?n Day ivinn,h i ear 3 „. .._ _ . __.. _,. 1 ..." - - _, - - v-:.___\ (7) __ ... ---,7 0 —.,..,....—, ...; .....$) f...._ • <, e" ____c?; m . ,,, ...._.. ... ''' ). "':',C"' ,.... _, --..- cr• - '----.c m• '. "-. -010.', ) (‘') C7 7- — ;--- -, G.,„ ,,t L:„..,, .--,-'^ ''• <\ ;.. (-- 1 .-=`, .,•-• --,1„.: C -V '.(0% *'' i •C --'/_ e• C, „A "...< -1, -r ir- .5 ,Z1It.,,, .S.:•—•— ,,,.. 7\ \,...._v., \— \i'-‘ — 7 v 0 .:-, \s• \,. T7 '.,-.-, -7_7 :1--)1 :4 -5' cc, e ,,----' c f' '4; -----, ---- ck, omQ ci> . •-: , e- 5,., -5' :11. -c, -,•\, 7- r''', T Ir• (I) C.'1 '-\ C ', 1 › e-_\ , (Th .5 ts ' k--- rr" --,.., -•-, 0 t G 4--( 1 rc -- a''' ve r r p r , r" ki.1 eS es Arizona Dep`artment df Liquor Li erases and Control t 800,Vest Waashington'5th�F�por x I i TP6io of trzona 85UQ7 1 F �' r, ;a iquc r9OV ,t 1 CERTIFICAT dFT'TEE 4111AtNVlN COMPLETION aI ;O7 NtitDuplicate-This olnk TZ:etb —,t#1,/, Certificates must be compitstedi by a state=apprave'd tratnirig courit provide`,(n.btIckink,on an original form A \- er �:.. 1 t7--,1,,;fi",,N,A,?fillh' tt-,r-..& 4.a Y- 0:4: Training Completion Date .': ; - ,'y D O it{nf�. ompleted(check Yes or No) r ""' '.'i Yes ❑}No;`.BA_SIC "" , ®Yes ❑ No ON SALE 4JC,s saw LZ, Zor c `"-"''�.---N-Z e; 1 Mist [J Nrr"MANAGEMENT $Yes El No OFF SALE Certificate Expiration Date "T" - ,;es r'❑ No BOTH ❑Yes No OTHER (5 years from completion date) If Trainee Is ErI pio ed By A Licensee Name of Licensee Business Name Liquor License 4 Alcohol Training Program Provider Information "�6) rn t1W', -t1..1 1113 c�f?t1. 06150 Cam)i 3 Company or Individual Name(please print) .44a e P,-4-ifocr c tba. Address NC-CA 4070. O 0s ( tol) gt4-33c3 City State Zip Daytime Contact Phone 4 I certify the above named individual has successfully completed the training specified above in accordance with Arizona Revised Statue,Arizona Administrative Code,and the training course curriculum approved by the Department ofrLiquor Licenses and Control aLt4,Cr look Name f Trainer(please print) g3/ro Trainer Signature Date Pursuant to A_R.S 5 4-I 12(G)(2),mandatory Title 4 liquor law training is required prior to the issuance of all new liquor license applicatior5 submitted after November i,1997 The persons(s)required to attend both the BASIC and MANAGEMENT Title 4 liquor law training,on or off sale mil include all of the following' Owner(s) Licensee/agent or manager(s)actively involved in daily business operation Proof of attendance within the past five years must be submitted to the Department of Liquor Licenses and Control before the liquor license application is considered complete Before acceptance of a marager's questionnaire and/or agent change for an existing liquor license proof of attendance for the BASIC and MANAGEMENT Title 4 liquor law training(On-or off-sale)is required 7'2009 Disabled individuals requ;ring special accommodations,please call(602)542 4027 'IN eiN r, --1 I r Arizona Department of Liquor L enes and Control 8QQ V ei:t.yV4 hinrgi-ori ittt 066r Pfioierti rizor�a 85o7 f j t :1 .�N W S!r I I o „ , ,, , ... CERTIFIC.Ar1:OE TITLE 4,TR tN RRG�-COMPLETION { p 4d r :3 < oaN,,,ou.It t T is o , e �r Certificates must oe completed by a sta e approved inning course provider nbla" ink:o an orirzinal form $, ; Fu111 ame(plea p t1 Sigj di'r AJ4,v>i 2-3, jot o fr e r ' f-° y `-y ),'.+,.,..... '' \ paining Completion Date i ;r,,,,� {•f 0 h=4 i'Y-,E'9 't a rK competed icheck Yes or No) r `� «?` F ,,, :�. �i�,� No `,$ASlC4"t� Yes too ON SALE Aas al Zols --" `" i�►13. • MAN GA EMENT ®Yes ❑ No OFF SALE Certificate Expiration Date �'"" f f ;Ces'"; ❑No BOTH ❑ 'res El No OTHER (5 years fiam completion date) \ \41, If Trainee i Erni;i p�`yed By A Licensee Name of Licensee Business Name Name Liquor License a Alcohol TrainingProgram Provider Information 16 l`�n:n t,..� t-{.0 .2012 50 LI-4,->-1. Company or individual Name(please print) L 4 e n1 crsg L1.2. Address E 4(24 70..6 B 26S- ( try) 311-33c a City State Zip Daytime Contact Phone p I certify the above named individual has successfully completed the training specified above in accordance with Arizona Revised Statue Arizona Administrative Code,and the training course curriculum approved by the Department otLiquor Licenses and Control i*1 --� ELt.t G Cr Name f Trainer(please print) rarner Signature Date _ ^ Pursuant to A.R.S§4- 1 (G)t2) mandatory Title 4 liquor law training is required prior to the issuance of all new liquor license appllca.lons submitted after November 1 1997 The persons(,-required to a'tend both the BASIC and MANAGEMENT Title 4 liquor law training on-or off sale will include all of the following Owner,$) Licensee/agent or managerfs)actively involved in daily business operation Proof of attendance within the past Fee years must be submitted to the Department of liquor Licenses anJ Control before the liquor license a,:ipir a•ion is considered complete Before acceptance of a manager's questionnaire and-or agent change for an existing liquor license proof c,f attendance fob the BASIC and MANAGEMENT Ttle 4 liquor aw training(on or off sale)is required 7/2?05 "abi P,,i:rF•✓,di..jis r=?qui ing;peria arr0rn,Ytoi!at4oni prledse ralf,&Q<)242 4021 i^ I Print Y.Grrrt / ARIZONA STATEMENT OF CITIZENSHIP AND ALIEN STATUS FOR STATE PUBLIC BENEFITS Professional License and Commercial L•iccnse Department of Liquor Licenses and Control eN Liquor License g itr OV+nerstitp Name ,..i N< `t.. P\W\ V-LO L Dkt* -r \►`- C (as listed on the current liquor license application or renewal application) Title IV of the federal Personal Responsibility and Work Opporttuiitt Reconciliation Act of 1906 (the Act'1, 8 Li S C § 1621, pros ides that, with certain exceptions. only United States citizens, United States non-c:ttzen nationals ,ion-exempt "qualified aliens (and sometimes only particular categories of qualified aliens), noninimigrants,and 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 § 1-501 requires. in general that a person applying for a license must submit documentatt sn to the licensing agency that satisfactorily demonstrates that the applicant is law ful's present in the United States Directions All applicants must complete Sections 1, 11, and IV Applicants who are not U S citizens or nationals must also complete Section III Submit this completed form and copy of one or more documents that evidence tour citizenship or alien status with sour application for license or renew al SECTION 1 APPLICANT INFORMATION ,•:,•,..J. `�t't' '( D tTE fott160 -` APPLICANT'S NAME(Print or type) � �► TYPE OF APPLICATION(chea one) .0 t,k INITIAL APPLICATION Ea RENEWAL TYPE 01 LICENSE \ SECTION II—CITIZENSHIP OR NATIONAL STATUS DECLARATION Directions Attach a legible copy of the front,and the hack(if ant),of a document from the attached List A or other document that demonstrates U S citizenship or nationality Name of document prodded A Are ou a citizen or national of the United States (check one) Yes D No B lithe y 1v ti an�s,�st��er's `Yes,' where were you born' List city,state(or equivalent) and country Vst� f its C1.74 State(or equivalent) O Country or Territory If You arc a citizen or national of the United States,go to Section IV If you are not a citizen or national of the United States,please complete Sections III and [V 1)1 LC_ 2/11:09 AG 11/08107 81662 Page 1 of 7 APPLICANTS SIGNATURE TO AY'S D ATE Attachment Lists A and 13 Evidence of L S Citizenship.U S National Status, or then Status, DLLC .1-15!09 AG 1''08P0' 8 1 t'a2 Attachment to Form 1 Applicant Statement EVIDENCE OF U S CITIZENSHIP,U S NATIONAL STATLS, OR ALIEN STATUS LIST A U S CITIZEN OR U.S.NATION AL Note In this List,the term"Service"refers to the U S Citizenship and Immigration Service,formerly th-U S Immigration and Naturalization Service(INS) [Source Proposed Rules,Verification of Eligibility for Public Benefits,8 CFR§ 104 23, 63 FR 41662-01 August 4. 1998),and Interim Guidance of Verification of Citizenship,Qualified Alien Status and Eligibility Under Title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996(`Interim Guidance"),62.FR 61 344 (Nov 17 1997),Attachment 4) Evidence showing L.S.citizen or L S national status includes the following a Primary Evidence. (1) A 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,o-the �orthorn Mariana Islands(on or after November 4, 1986,Northern Mariana Islands local time)(unless the applicant was born to foreign diplomats residing in such a Jurisdiction), (2) United States passport r 3) Report of birth abroad of a Li S citizen(ES 240)(issued by the Department of State to L'S citizens), 4 i Certificate of Birth(FS-545)(issued by a foreign service post)or Certification of Report of Birth(DS•1 iti0) copies of which are available from the Department of State, (5) Form N 561 Certificate of Citizenship (b) Form 1 197,United States Citizen Identification Card(issued by the Sen ice until April 7. 1983 to L s citizens living near the Canadian or Mexican border who needed it for frequent border crossings)(formerly Form 1179 last issued in February 1974), (7) Form 1-873(or pnor versions),Northern Marianas Card(issued by the Service to a collectively naturalized U S citizen who was born in the Northern Mariana Islands before November 3, 1986), (8) Statement provided by a U S consular official certifying that the tdsvidual is a L S citizen(given to an individual born outside the United States who derives citizenship through a parent but does not have in FS- 240,ES-545,or DS-1350).or (9) Form 1-872(or prior versions) American Indian Card with a classification code'KW and a statement on the back identifying the bearer as a U S citizen(issued by the Service to U S citizen members of the Texas Band of Kickapoos living near the U S Mexican border) [Source Interim Guidance of Verification of Citizenship,Qualified Alien Status and Fligibitity Under Title lV of the Personal Responsibility and'Work Opportunity Reconciliation Act of 1996(Interim Guidance") 62 FR 61314 (Nov 17, 1997),Attachment 41 b Seeonilary Evidence If the tpp ic=int cannot present one of the doctunei is listed in(a)above,the folio ving tnay he relied upon to establish 1)S citizenship or U S national status (1) Religious record recorded in one of the 50 states the District of Columbia,Puerto Rico(on or after January 13 19-11),Guam,the U S Virgin islands(on or after January 17, 1917),American Samoa,or the Noithern Magasta Islands on or after November 4, 1986.Northern Mariana Islands local time)(unless the applicant was ham to foreign diplomats residing in such a Jurisdiction)within three 3 months after birth show irg that Page 3 of 7 to the U S citizen parent.and evidence that the hi S citizen parent restdea in the U S.a L, S possession Amer-can Sainoa Svsatn's Island feir a period of at least one sear pnor to the applicant's birth Applicant born out of wedlock abroad to a U S citizen mother -Esidence of the L S citizensnip of the mother, es idence of the relationship to the applicant and for births on or before December 24, 1952,esidence that the mother resided r the t S prier to the applicant's birth or.for births after December 24. 1952,evidence that the mother had resided prior to the child s birth in the U S or a U S possession for a period of one year Applicant born in the Canal Lone or the Republic of Panama • A birth certificate showing birth in the Canal Zone on o after February 26, 1904 and before October I I4'9 and es nit-rice that one parent s;as a L S citizen at the tine of the applicant's birtn or • A birth certificate showing birth in the Republic of Panama on or after I ebr nary 26 1004 and before October I. 10'9 and es rdenc_that at least one parent was a t; S citizen and employed hi'the U S government or the Paa,ama Railroad Compacts'or its successor in title In all other situations.n which an applicant claims to'nave a t. S citizen parent and an alien parent,or claims to fall ,sit in one of the above categories_but is unable to present the listed documentation • If the applicant's it the L 5,the applicant should contact the local t S Citizenship and Immigration Set t ice office for determination of ti S citizenship. • if the aopn..ant is outside the L S.the applicant should contact the S*ate Department for a t'S cif•z nshtp determination • Adoption of Foreign-Born Child bs U S Citizen • It the birth certificate shows a foreign place of birth and the applicant cannot he deter-rimed to be a natura rzcu c,tizc.n under ant of toe •above criteria,obtain o+her esidence of t S citizenship, • Because foret n-horn adopted children do not automatically acquire It S citizenship hV virtue of adoptuti h} S citizens the applicant should contact the local t S Citizenship and Immigration Service office for a determination of Lt S citizenship.it the,applicant pro;ides no evidence of L S citizenship f ('S Citizenship Cm Marriage A ssortan acquired L S citizenship rhroa€h marriage to a I S citizen before September 22 1922 Pro;tele cm dunce of 1. S citizenship of the husband, and esracn,e Snot; nam'i,e occurred before September 22 1922 Note If the bt'so utd wan an alien at me time cif:he niarr.age,and became naturalized before Septe.nber 12 1922 she mile also acquired naturali'ed citizenship If the marriage terminated the wile maintained her S Citizenship if she'AZ'S residing in Inc.Li S pit hat Sure and continued to reside in toe L S LIST B QUALIFIED ALIENS,NONIMMIGRANTS, AND ALIENS PAROLED INTO U S FOR LESS THAN ONE YEAR the documents listed oclow that are registration documents are indicated ,s;tii an asterisk( *'I a "Qualified Aliens' Evidence of"Qualified Alien' status includes the following Alien I a m fully 'fdnutted fur Permanent Residence *Form I-551 (Allen Registration Receipt Card,commonly known as a"green card'1,or r.neapired Temporan 1-'Sl stamp in foreign passport or on*.l form I-94 -isvlee *Form I-9 i annotated .;ith stamp showing grant of asylum ander section 205 of the IN t *Form 1-688I3(FmploYment Authorization Card)annotated"271a 12(1)(5)" Form i-766(Fmplo}ment Authorization Document)annotated'•�i". Grant letter from the Asylum Office of the h S C itizenship and Irriniaration Service or Order of an immigration fudge granting ass Into Page sof7 elk is n l'x_<-roled I'Ito the L S Jhr a Least One Year r orm 144 n tth canna-)show trig admission ,:cr it least one ti ear under section 21 2(d)r )of the F_`'t A (Applicant --a l ),aggre iI.c periods or admission for less than one l car to meet the one-year requirement t then if hose Deportation or Removal 1-1 €3 tthheld =Drr.I-'8SB(/mpicxtnent :Authorization Card)annotated"274a 12(ait,Or rr " b tom:nplc merit A uthonxasion Document)annotated"A.10 .o" 1.r lei from an 'nlinlLraaon Judge shot trig deportation w ith'ield u'la'r 243thi of:he D i as in e ecr prior it ' 907 Jr removal o tthheld under§ 41th t 3i of the INA Grj:ntea L m astio"ial Emri F37,1 19 f won stamp showing admissiot.under 2O7)(a)(7)of the L\.c s i orm I-638B tf mptotm,nt Authorization Card)annotated'274a 12(a)(1)',or ° F.TTI 1 7C66 i'rmpio meant Authorization Documeni)annotated"\3 " Cuban/Haitian Entrant - I ono I s,I t?lien Re_i sratioi Receipt Card commonl.v known as a green card' with the code C_U6,CU or U ieop -e-d tempo-an t 5-' stamp in foreis n p isapon?or on * t-orm 1 94 with the code t_L'6 or Cl 7 or Form 1 5-+wIto stamp she s mg parole i s Cuba Haitian Entrant"ander Section 2I2(d)(5)of the IN A. �Herr Ti-ho Has Been Declared a Battered Allen or Ahen Subjected to Extreme(ruetn- S Citizenship and Immigration Service petition and supporting documentation b 'animmrgrant Fsidence of"\on,mm,grant'status includes the following I orm 1-94 w irh stamp she ,ng authorized admission as nonimmigrant then Paroled into L .S for Less than One`bear r s idf..nce includes - ` Form 1 94 with stamp showing admission for less than one sear under section 212(d)(S)of the 1's4 DLLC 213'09 ACI 11,0L'07-8166? Pace 7 of 7 ' A \ I i 'tL7: .L d "' G4 Ct3Y, ' jx L v . ... ..,,I,i4s,„,.ivic.,,... _ '* / 4:4,---,t ' „. ,„ A., --, 0-,--' ' 3 ` I _ L .....-.W.ob, ., _ _ ..,.., ,r, T r. uNATURE OF BEARin '',,:5 E a 'i'f}lA1h_•e'n'1 i PASSEPOs . . . s.+� t 9 1 �i:i. : it J' r e 0 3 PASi14 PO'z E 3 3- s • • 1 r, pi'w e' ;v.r',z t7.. a.w..w:,.-.w '.. '-,•,...,r. a f j ..,+irk-•-vr S 2` .;, a FREY U NITED - i t t: { 44 p 7Lk�Oe a c 5 �J . tE t# a , s el:t.a f itt<ua@ .A.Aa,.:• '�aelii _ i Gti z Ltlt� ec�rSM o 6 Cepartrc end.af Stay: ' , :� .e � emill P<USAGOC.ZIO<<JE -.; _r.WREr CE<<<<<<<<«««< ! 4249365850USA600905o'-; 206078629503<301420 Ink Amok Psr pcHF ti> O (e 1y �' • c taehe 3lflee/ta 17 Honk! ,)t .Stl)Listttwil ;1 enttttu1t1s gRizON� NOTICE The attached application for a Location Transfer, Corporation, Liquor Store Liquor License submitted for Desert Liquors located at 650 W Apache Trail, Apache Junction, Arizona, was posted on the 22nd day of September, 2010, at1000am 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, October 19, 2010, at the City Council Chambers, 300 E Superstition Blvd , Apache Junction, AZ at 7 00 p m , at which time any objections filed will be heard oink • Kathleen Connelly City Clerk DO NOT REMOVE THIS NOTICE AND/OR ATTACHMENTS. REMOVAL OF THIS APPLICATION MAY JEOPARDIZE CITY COUNCIL RECOMMENDATION. - vuir_, ( I8!)) 982 SO02 I:1\ f•180)982 'ON • I DD(-180) 983 009c NkNk.ilut n_t HOC; i L(utrlLa,trd Apache(;rnLtian AZ 8'210 Ir► "in. PypCHFa. 4 Q • � Diet to/ clA(iehe « "e r twit, U y f _V 1 - Home, oft{he Scrpet stition Mountcriprs 9 2CNP SEPTEMBER 21, 2010 MEMORANDUM TO DEPARTMENT OF PUBLIC SAFETY PLANNING DIVISION APACHE JUNCTION FIRE DISTRICT THROUGH KATHLEEN CONNELLY, CITY CLERK s='I_r FROM. JAN MASON, DEPUTY CITY CLERK -_''K ``v---- SUBJECT APPLICATION FOR LIQUOR LICENSE FOR DESERT LIQUORS Mr Jeffrey Lawrence Golzio has submitted an application for a Location Transfer, Corporation and Series 9 Liquor License for Desert Liquors located at 650 W Apache Trail, Apache Junction, Arizona Please conduct the necessary inspections and submit your recommendation by email no later than Wednesday, October 6, 2010, in order for this item to be on the agenda for the City Council meeting of October 19, 2010 oink • Vuu.�(-ism 9S'-s(o • LAX 1 15O)1)2O-71)1$ • 1 DI)(-1S(1) t)Ii;-111/ 5 • 1N.!e a1 tt. n,2i 01; I_ SupLr:;tution (JoanFua AiidLh)�.iunLhuu ,tL(iz_'1(1 OIN Janet Mason From Todd Kennedy Sent• Monday, October 04, 2010218 PM To Janet Mason Subject. RE Liquor license for Desert Liquors Yes That is correct I saw that both applications were for 650 West Apache Trail Todd C. Kennedy Assistant Planner City of Apache Junction 300 E.Superstition Blvd Apache Junction,AZ 85119 (480)474-5093 tkennedy@aicitv.net From. Janet Mason Sent: Monday,October 04, 2010 2.12 PM To:Todd Kennedy Subject. RE Liquor license for Desert Liquors Is that for both applications? Janet Mason Deputy City Clerk City Of Apache Junction 300 E Superstition Blvd Apache Junction,AZ 85119 480 474-5068 )mason@aicity net Service Over and Above the Rest This message and the information within is intended for the recipient If you received this email in error, please notify the sender and then delete the email Emails generated by council members or City staff pertaining to City business are public records and are preserved according to the City's records retention schedule To ensure compliance with the Open eIS Meeting Law, members of the City Council should not forward email correspondence to other members of the Council Members of the Council and other public bodies may rep)/ to this message, but should not copy other members of the public body From'Todd Kennedy Sent: Monday, October 04, 2010 2 10 PM To: Fred Baker Cc: Janet Mason Subject: RE Liquor license for Desert Liquors Jan, Planning has 110 issues with this application Thanks 1 � r Apache Junction Police Departmei �Y Interdepartmental Memo { DATE 10/4/2010 TO. Lt Jackson A THROUGH FROM Sgt Durkin SUBJECT Desert Liquors Sir, Upon review of this application, both Desert Liquors/Cactus Club are within the City Of Apache Junction and under our jurisdiction Our CAD (only three) calls show a liquor violation that was turned over to Dept Of Liquor/ Welfare Check on a 911 Hang-up / and an intoxicated woman (Fanny Young-which I was on that call) when she left COBB's Restaurant, very intoxicated, and fell in the roadway near Desert Liquors The Applicant is a citizen/business owner in 'good-standings'-per CAD No acts of criminal activity and/or violence When I arrived at Desert Liquors, that business is approximately 74 yards (222Feet) from Apache Trail High School, but Desert Liquors was an existing-current business When they move to Cactus Club, that buildings lot is approximately 290 yards from Apache Trail High School (approximately 810 feet) and the closest Church, LIFE GATE 555 W Apache Trail, Apache Junction, is well over 250 to 275 yards away NOTE Mr Golzio did not know this church existed, it's in the old plaza across the ^ road and blocked from view by Village Inn, and the AJ Chamber of Commerce The Baptist Church on South Thunderbird is well out of the area Per Title 4-207, schools and churches must be over 300 feet away Mr Golzio's requests are well outside that distance I limits We went to the Cactus Club, which had been closed for over 3 year This location was checked in CAD, and has not had any criminal or suspicious activity The interior of the building is 'under construction' The floors and walls are striped, and the walls were in the process of being framed to include the plumbing repaired or changed Mr Golzio explained the floor plan and they were 'in-itne' with the drawing I did not see any discrepancies, nor any reason to challenge this request This request is approved by the Apache Junction Police Department CFAI \`,* _ Apache Junction Fire District a.,. ..-o i! ;p a' tllz 565 North Idaho Road, Apache Junction, AZ 85119 N 7- „ R Phone (480) 982-4440, Fax(480) 982-0183 1 4RE o►s* www.ajfire org MEMORANDUM TO Kathleen Connelly, City Clerk City of Apache Junction 300 E Superstition Blvd Apache Jct,AZ 85219 FROM Dave Montgomery, Deputy Chief/Fire Marshal `-' DATE: October 7,2010 SUBJECT. Application for Series 7 and Series 9 Liquor License for Desert Liquors located at 650 W. Apache Trail, Apache Jct.,AZ The Apache Junction Fire District has reviewed the applications as noted above regarding the facilities located at 650 W. Apache Trail, (designated to be newly occupied by Desert Liquors). We have recently completed a fire and life safety inspection in conjunction with the remodeling that has occurred in this existing structure, with no major violations found.We therefore would recommend approval of these applications. 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 982-4440 Thank You Dpm ATTN Application i r R LI7 CALL VOTE NOTES 1 ) \ t\ il)j 10 0 10 ITEM# MEETING OF MOTION BY: SECONDED BY: L 1 /YES NO ABSTAINED COUNCILMEMBER WILSON J COUNCILMEMBER SERDY V COUNCILMEMBER COLEMAN ✓/ VICE MAYOR DIETZ i Joi COUNCILMEMBER BARKER COUNCILMEMBER ECK MAYOR INSALACO UNANIM011 IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 14 I MOVE THAT THE APPLICATION FOR A LOCATION TRANSFER, CORPORATION, SERIES 9 LIQUOR LICENSE FOR DESERT LIQUORS, SUBMITTED BY JEFFREY GOLZIO, BE RECOMMENDED FOR(APPROVAL) OR(DENIAL) TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL PUBLIC HEARING 1. For PROPOSED RESOLUTION NO. 10-38, DECLARING THE CODE OF THE CITY OF APACHE JUNCTION,ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, A PUBLIC RECORD 2. Will SENIOR PLANNER RUDY ESQUIVIAS 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. likk k PpACkE✓G 2 • �•• City of Apache Junction 2 Home of the .Superstition AIountai,zs 4pizot4 8 Print TO City Manager's Office FROM: Rudy Esquivias, Senior Planner/Zoning Administrator DATE: October 19, 2010 Agenda Type : Regular Agenda Council Priority Focus Area: Community Development TITLE OF AGENDA ITEM: PROPOSED RESOLUTION NO 10-38, DECLARING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, A PUBLIC RECORD. ACTION REQUESTED: Recommendation for Approval DISCUSSION / BACKGROUND INFORMATION: As discussed at the August 16, 2010, and October 5, 2010, Council meetings,this is the first step in the process to adopt the updated and recodified version of the Land Development Code. Adopting the code in this manner will save extensive legal advertising costs The Planning and Zoning Commission, by a vote of 7-0, recommended approval of Chapters 1 (Zoning Ordinance) and 2 (Subdivision Regulations) of the Land Development Code. FISCAL IMPACT: Budgeted Expenditure OPTIONS/ALTERNATIVES. RECOMMENDATION Approve ATTACHMENTS: Click to download ❑ AM-1-10 Staff Report ❑ Draft Res.No.10-38 Pe ACME , City of Apache Junction 4„,z0NP Development Services Department October 6, 2010 Memorandum To• Mayor and City Council p Through. George Hoffman, City Manager From Brad Steinke, Director of Development Services Subject. October 19, 2010—Public Hearing Items Case AM-1-10, Adoption of the Recodified Version of the Apache Junction City Code, Volume II, Land Development Code, Proposed Resolution No 10-38 and Ordinance No 1368 Summary: In August 2008, the City hired American Legal Publishing to recodify Volume [I (Land Development Code) of our City Code The recodification process is intended to clerically clean- up and systematically arrange the following Volume II chapters into an organized format that will be easily accessed, updated and posted on the web Chapter 1 Zoning Ordinance Chapter 2 Subdivision Regulations Chapter 3 Street Improvements Chapter 4 Underground Utilities Chapter 5: Floodplain Management—Stormwater Regulations Chapter 6 Landscape and Screening Regulations Chapter 7 Development Fees Chapter 8: Communications Chapter 9 Plants Chapter 10 Engineering Design Guidelines and Policies Following a year of staff review and revision, the proposed recodification of Volume II is now ready for City Council review and action. Since the recodification process is essentially a clerical reorganization of the code, very little substantive change has occurred to the Development Code's standards and regulations The Council is advised, however, that staff did find some substantive errors in the existing code that we recommend be corrected as part of this recodification. The following list itemizes and briefly explains these changes. I. Incorrect Code Citations There were quite a few incorrect or obsolete references to Arizona Revised Statutes, Federal Law, and local ordinances that were corrected in Chapter 1. t^ PI\ 2 Conditional Use Permit Appeal Scheduling. Inserted requirement that a Conditional Use Permit appeal from the Planning & Zoning Commission's decision shall be scheduled for the next regularly scheduled meeting of the Council in accordance with state law (Chapter 1, Section 1-6-1-D, p 35) 3 Board of Adjustment ("BOA") Annual Report Changed the requirement that BOA must issue an annual, not monthly report to the City Council (Chapter 1, Section 1-11-2; p 67) 4 Board of Adjustment Action Deleted requirement that the BOA must report its finding to the Planning& Zoning Commission and City Council (Chapter; Section 1-12-3, p 72). 5 Board of Adjustment Appeal Time Period. Replaced the deadline to appeal from 20 days to 30 days(Chapter 1; 1-12-7-E, p 74) 6. Planned Development Zoning Review Process. Removed the requirement that plans for the proposed Planned Development zoning be reviewed by the "Development Coordinating Committee", which does not exist(Chapter 1; Section 1-19-3-B-3,p 150) 7 Planned Development Zoning Reversion Clause The current ordinance provides that a planned development rezoning shall revert back to the previous zoning if substantial development or a zoning deadline extension does not occur within 2 years This language will be replaced to suggest that the planned development zoning may be subject to reversion (Chapter I, Section 1-19-11-D, p 155) 8 Political Signs Deleted the regulation prohibiting signs to be displayed within 60 days of an election and added the requirement that signs must be removed within 10 days after the election (Chapter 1, Section 1-21-4-4-K; p 178) 9 Conditional Use Permit Appeal Time Period Replaced the deadline to appeal the Planning & Zoning Commission's decision to the City Council from 20 days to 30 days (Chapter 1, Section 1-21-10-4-B; p 188) /IN 10. Building and Fire Code Updates Changed all references throughout code from Uniform Building Code to International Building Code, 2006 Edition, and all references from Uniform Fire Code to International Fire Code, 2006 Edition. 11 Fees Replaced individual fees scattered throughout the code with statement that refers to the fee section in Volume I, Chapter 4. 12 Development Fees. Replaced 2002 Development Fee Schedule with most recently approved 2007 schedule (Chapter 7) 13 Portalis Name Change Replaced the name of"Lost Dutchman Heights" with "Portalis" throughout the chapter(Chapter 10) 2 14 Update Engineering References Updated and corrected reference numbers for "Apache Junction Standard Engineering Details" and "MAG Specifications and Details" throughout Chapter 10. 15. Letters of Assurance. Updated template exhibits for "Letters of Assurance" and "Performance Bonds"(Chapter 10-p. 107-110) Since the recodified Volume II code consists of 550 double-sided pages,we chose not to provide you with individual copies for budgetary reasons Alternatively, tf you wish to review the entire recodified draft version of Volume II, please visit http //www amlegal coin,click on"library"at the top of the page, then click on the map of Arizona, and then finally click on "Apache Junction". Staff will have one copy of Volume II at the public hearing if needed for your review Planning and Zoning Commission Recommendation: At their April 27, 2010, meeting, the Planning and Zoning Commission unanimously recommended city council approval of the changes in Chapter 1 (Zoning Code) and 2 (Subdivision Regulations). Staff Recommendation: Staff presented this proposed recodification at the council's August 16, 2010, work session, and a council public hearing on October 5, 2010 The final ordinance and resolution has been drafted and the Volume II recodification has been scheduled for council approval at the October 19th meeting Accordingly, staff recommends approval of Resolution No. 10-38, which declares the code as a public record, and Ordinance No 1368,which adopts the ordinance by reference. Attachments. - Proposed Resolution No. 10-38 - Proposed Ordinance No 1368 OIN RESOLUTION NO 10-38 A RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, DECLARING AS A PUBLIC RECORD THAT CERTAIN DOCUMENT FILED WITH THE CITY CLERK ENTITLED "CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, CHAPTERS 1 THROUGH 10" WHEREAS, Arizona Revised Statutes Annotated (hereinafter "A R S ") , § 9-802, permits municipalities to enact the provisions of a code without setting forth such provisions in full text as long as the adopting ordinance is published in full text and at least three copies of the code are filed in the office of the clerk of the municipality and are made available for public use and inspection, and WHEREAS, pursuant to A R S §§ 9-801 (1) and 9-802, such codes include land development codes, and WHEREAS, it is the intent of the City to declare such documents and compilations as public records, on file in the office of the City Clerk. NOW, THEREFORE, BE IT RESOLVED by the Mayor and City Council of the City of Apache Junction, Arizona, as follows SECTION I . IN GENERAL That certain document entitled "Code of the City of Apache Junction, Arizona, Volume II, Land Development Code", three copies of which are on file in the office of the City Clerk of the City of Apache Junction, Arizona, is hereby declared to be a public record and is hereby available for public use and inspection, and said copies are ordered to remain on file with the City Clerk PASSED AND ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, THIS DAY OF , 2010 SIGNED AND ATTESTED TO THIS DAY OF , 2010 RESOLUTION NO 10-38 PAGE 1 OF 2 peN JOHN S. INSALACO Mayor ATTEST KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM• RICHARD JOEL STERN City Attorney RESOLUTION NO. 10-38 PAGE 2 OF 2 ROLL CALL VOTE NOTES: S Cc)) (-)19/ ITEM# ` MEETING 9F k (1 1) . 1(/ diE MOTION BY SECONDED BY 1 YES NO ABSTAINED COUNCILMEMBER ECK i COUNCILMEMBER BARKER v VICE MAYOR DIETZ V COUNCILMEMBER COLEMAN I COUNCILMEMBER SERDY ii COUNCILMEMBER WILSON V' MAYOR INSALACO 1 UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL Ink ITEM NO. 15 I MOVE THAT RESOLUTION NO. 10-38, A RESOLUTION OF THE MAYOR AND THE CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, DECLARING AS A PUBLIC RECORD THAT CERTAIN DOCUMENT FILED WITH THE CITY CLERK AND ENTITLED "CODE OF THE CITY OF APACHE JUNCTION,ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, CHAPTERS 1 THROUGH 10", (BE APPROVED) OR(BE DENIED). PUBLIC HEARING 1. For PROPOSED ORDINANCE NO. 1368,ADOPTING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, BE REFERENCE 2. Will SENIOR PLANNER RUDY ESQUIVIAS 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. A". „It JG4, . o City of pache junction U Home of the Superstition Mountains "4120%0' a Print TO: City Manager's Office FROM: Rudy Esquivias, Senior Planner/Zoning Administrator DATE October 19, 2010 Agenda Type • Regular Agenda Council Priority Focus Area Community Development TITLE OF AGENDA ITEM: PROPOSED ORDINANCE NO. 1368, ADOPTING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, BY REFERENCE ACTION REQUESTED: Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION: As discussed at the August 16, 2010, and October 5, 2010, Council meetings,this is the final step in the process of adopting the updated and recodified version of the Land Development Code. The Planning and Zoning Commission recommended, by a vote of 7-0, the approval of recodified Chapters 1 (Zoning Ordinance) and 2 (Subdivision Regulations) FISCAL IMPACT: Budgeted Expenditure OPTIONS/ALTERNATIVES. RECOMMENDATION: Approve. ATTACHMENTS Click to download 0 AM-1-10 CC Staff Report 0 Draft Ordnance No.1368 PQACH Y wZ• City of Apache Junction 4,, pNP Development Services Department October 6, 2010 Memorandum To. Mayor and City Council Through. George Hoffman, City Manager From: Brad Steinke, Director of Development Services Subject October 19,2010—Public Hearing Items Case AM-1-10, Adoption of the Recodified Version of the Apache Junction City Code, Volume II, Land Development Code, Proposed Resolution No. 10-38 and Ordinance No 1368 Summary: In August 2008, the City hired American Legal Publishing to recodify Volume II (Land Development Code) of our City Code The recodification process is intended to clerically clean- up and systematically arrange the following Volume II chapters into an organized format that will be easily accessed,updated and posted on the web. Chapter 1 Zoning Ordinance Chapter 2: Subdivision Regulations Chapter 3 Street Improvements Chapter 4: Underground Utilities Chapter 5 Floodplain Management—Stormwater Regulations Chapter 6 Landscape and Screening Regulations Chapter 7:Development Fees emIN Chapter 8 Communications Chapter 9 Plants Chapter 10:Engineering Design Guidelines and Policies Following a year of staff review and revision, the proposed recodification of Volume II is now ready for City Council review and action Since the recodification process is essentially a clerical reorganization of the code, very little substantive change has occurred to the Development Code's standards and regulations The Council is advised, however, that staff did find some substantive errors in the existing code that we recommend be corrected as part of this recodification The following list itemizes and briefly explains these changes. 1. Incorrect Code Citations There were quite a few incorrect or obsolete references to Arizona Revised Statutes, Federal Law, and local ordinances that were corrected in Chapter 1 2 Conditional Use Permit Appeal Scheduling Inserted requirement that a Conditional Use Permit appeal from the Planning & Zoning Commission's decision shall be scheduled for the next regularly scheduled meeting of the Council in accordance with state law (Chapter 1, Section 1-6-1-D, p 35) 3 Board of Adjustment ("BOA") Annual Report Changed the requirement that BOA must issue an annual, not monthly report to the City Council (Chapter 1, Section 1-11-2, p 67) 4 Board of Adjustment Action. Deleted requirement that the BOA must report its finding to the Planning&Zoning Commission and City Council(Chapter; Section 1-12-3, p. 72) 5 Board of Adjustment Appeal Time Period Replaced the deadline to appeal from 20 days to 30 days(Chapter 1, 1-12-7-E, p 74) 6. Planned Development Zoning Review Process Removed the requirement that plans for the proposed Planned Development zoning be reviewed by the "Development Coordinating Committee", which does not exist(Chapter 1; Section 1-19-3-B-3, p 150). 7 Planned Development Zoning Reversion Clause The current ordinance provides that a planned development rezoning shall revert back to the previous zoning if substantial development or a zoning deadline extension does not occur within 2 years. This language will be replaced to suggest that the planned development zoning may be subject to reversion (Chapter 1; Section 1-19-1 l-D, p 155) 8 Political Signs Deleted the regulation prohibiting signs to be displayed within 60 days of an election and added the requirement that signs must be removed within 10 days after the election (Chapter 1; Section 1-21-4-4-K, p. 178) 9 Conditional Use Permit Appeal Time Period. Replaced the deadline to appeal the Planning & Zoning Commission's decision to the City Council from 20 days to 30 days (Chapter 1, Section 1-21-10-4-B; p 188). 10. Building and Fire Code Updates. Changed all references throughout code from Uniform Building Code to International Building Code, 2006 Edition; and all references from Uniform Fire Code to International Fire Code, 2006 Edition. 11 Fees Replaced individual fees scattered throughout the code with statement that refers to the fee section in Volume I, Chapter 4. 12 Development Fees Replaced 2002 Development Fee Schedule with most recently approved 2007 schedule(Chapter 7) 13 Portalis Name Change. Replaced the name of"Lost Dutchman Heights" with "Portalis" throughout the chapter(Chapter 10). 2 /'\ /\ 14 Update Engineering References. Updated and corrected reference numbers for "Apache Junction Standard Engineering Details" and "MAG Specifications and Details" throughout Chapter 10. 15 Letters of Assurance Updated template exhibits for "Letters of Assurance" and "Performance Bonds"(Chapter 10-p 107-110) Since the recodified Volume II code consists of 550 double-sided pages, we chose not to provide you with individual copies for budgetary reasons. Alternatively, if you wish to review the entire recodified draft version of Volume II, please visit http//www.amlegal corn,click on "library"at the top of the page, then click on the map of Arizona, and then finally click on "Apache Junction" Staff will have one copy of Volume II at the public hearing if needed for your review. Planning and Zoning Commission Recommendation: At their April 27, 2010, meeting, the Planning and Zoning Commission unanimously recommended city council approval of the changes in Chapter 1 (Zoning Code) and 2 (Subdivision Regulations). Staff Recommendation: Staff presented this proposed recodification at the council's August 16, 2010, work session, and a council public hearing on October 5, 2010. The final ordinance and resolution has been drafted and the Volume II recodification has been scheduled for council approval at the October 19`h meeting. Accordingly, staff recommends approval of Resolution No 10-38, which declares the code as a public record, and Ordinance No 1368, which adopts the ordinance by reference Attachments - Proposed Resolution No. 10-38 - Proposed Ordinance No. 1368 3 ORDINANCE NO. 1368 AN ORDINANCE OF THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, REPEALING THE CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, IN ITS ENTIRETY AND ADOPTING BY REFERENCE A NEW CODE OF THE CITY OF APACHE JUNCTION, ARIZONA, VOLUME II, LAND DEVELOPMENT CODE, CHAPTERS 1 THROUGH 10; REPEALING ANY CONFLICTING PROVISIONS, PROVIDING FOR SEVERABILITY; PROVIDING AN EFFECTIVE DATE OF REPEAL, PROVIDING AN EFFECTIVE DATE OF THE NEW CODE; AND PROVIDING PENALTIES FOR VIOLATIONS WHEREAS, the Land Development Code currently consists of the following Chapters Chapter 1, Zoning Ordinance; Chapter 2, Subdivision Regulations; Chapter 3, Special Provisions for Construction of Street Improvements, Chapter 4, Special Provisions for Installation of Underground Utilities, Chapter 5, Floodplain Management and Stonnwater Regulations; Chapter 6, Landscaping and Screening Requirements, Chapter 7, Development Fees, Chapter 8, Wireless Communications Facilities, Chapter 9, Native Plant Preservation; and Chapter 10, Engineering Design Guidelines and Policies Manual; and WHEREAS, since the incorporation of the City of Apache Junction, Arizona, in November of 1978, the City Council has from time to time adopted and modified various chapters of the City Code, Volume II, Land Development Code; and WHEREAS, as a result of the multiple amendments and changes in State and Federal law, some of the existing language is outdated; and WHEREAS, in early 2008, the City Council gave direction to staff to consolidate and recodify the various chapters of the Land Development Code for the purpose of easier access, updating and posting on line; and WHEREAS, the Mayor and City Council hired a private company to assist staff in accomplishing the recodification task, and WHEREAS, with the assistance of the outside consultant, a new version of the Code was created, which. 1) reorganizes, recodifies and rephrases certain chapters and provisions, 2) corrects clerical and grammatical errors, sentence structure, inconsistencies in format and type style, and obsolete references, 3) inserts ordinances adopted without referencing a specific code section; and 4) removes outdated and superseded sections, and ORDINANCE NO 1368 PAGE 1 OF 4 WHEREAS, on April 27, 2010, the Planning and Zoning Commission heard and discussed the recodification of Chapters 1 (Zoning Ordinance) and 2 (Subdivision Regulations) , which are used by the Commission in their role of making recommendations to the City Council on land use matters; and WHEREAS, on April 27, 2010, the Planning and Zoning Commission unanimously recommended to the City Council the adoption of the recodified provisions; and OIN WHEREAS, Arizona Revised Statutes Annotated (hereinafter "A.R.S.") , § 9-802 permits municipalities to enact provisions of a code without setting forth such provisions in full text as long as the adopting ordinance is published in full text and at least three copies of the code are filed in the office of the clerk of the municipality and are made available for public use and inspection, and WHEREAS, pursuant to A R S §§ 9-801(1) and 9-802, codes which may be adopted by reference include those relating to land development; and WHEREAS, staff has determined that for administrative efficiency, it is more appropriate to update the Land Development Code, by repealing the existing code in its entirety and replacing it with an updated 2010 version, to include Chapters 1 through 10. NOW, THEREFORE, BE IT ORDAINED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA. SECTION I• IN GENERAL 1. That the existing Apache Junction City Code, Volume II, Land Development Code, is hereby repealed. 2. That certain document known as "The Code of the City of Apache Junction, Volume II, Land Development Code," three copies of which are on file in the office of the City Clerk of the City of Apache Junction, Arizona, which document was made a public record by Resolution No. 10-38 of the City of Apache Junction, Arizona, is hereby referred to, adopted and made a part hereof as if fully set out in this ordinance, pursuant to A R S § 9-802 SECTION II. REPEALING ANY CONFLICTING ORDINANCES All ordinances and parts of ordinances in conflict with the provisions of this ordinance or any part of the codes adopted herein by reference are ORDINANCE NO. 1368 PAGE 2 OF 4 hereby repealed. SECTION III• PROVIDING FOR SEVERABILITY If any section, subsection, sentence, phrase, clause or portion of this ordinance or any part of the codes or regulations adopted herein by reference is for any reason held to be invalid or unconstitutional by the emN decision of any court of competent jurisdiction, such decision shall not affect the validity of the remaining portions thereof SECTION IV. EFFECTIVE DATE OF REPEAL The effective date of repeal of this code, which shall be set forth on the first page, after the title page, shall be 12 01 a m on November 18, 2010. SECTION V• EFFECTIVE DATE OF CODE The effective date of the new code which shall be set forth on the first page, after the title page, shall be 12.01 a.m , November 18, 2010 SECTION VI PROVIDING PENALTIES FOR VIOLATION Unless otherwise stated within the code, after the City exhausts all of its civil violation procedures as referenced therein, any violation of any provisions adopted herein, shall be punishable as a Class 1 Misdemeanor consistent with Apache Junction City Code, Volume I, Chapter 1, GENERAL, Article 1-1 GENERAL, Section 1-1-11 PENALTY Each day that a violation continues shall be a separate offense PASSED AND ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF APACHE JUNCTION, ARIZONA, THIS DAY OF , 2010. SIGNED AND ATTESTED TO THIS DAY OF , 2010 JOHN S. INSALACO Mayor ORDINANCE NO 1368 PAGE 3 OF 4 eiN ATTEST KATHLEEN CONNELLY City Clerk APPROVED AS TO FORM: RICHARD JOEL STERN City Attorney II ORDINANCE NO 1368 PAGE 4 OF 4 ROLL CALL VOT NOTES: (-9 r ck. 1 J' ITEM # I MEETING OF 10/0 (0 MOTION BY SECONDED BY: YEAS NO ABSTAINED COUNCILMEMBER COLEMAN V COUNCILMEMBER ECK COUNCILMEMBER SERDY 1/J COUNCILMEMBER BARKER COUNCILMEMBER WILSON j VICE MAYOR DIETZ MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL J ROLL CALL VOTE r�11 � NOTES: "' 1 ° ( q ( (° ITEM# q MEETING OF 'MOTION BY: ` SECONDED BY: \U"/11 /YES NO ABSTAINED COUNCILMEMBER SERDY V VICE MAYOR DIETZ / COUNCILMEMBER ECK I COUNCILMEMBER WILSON / COUNCILMEMBER COLEMAN I COUNCILMEMBER BARKER 7 - MAYOR INSALACO ✓ UNANIMj S I IN FAVOR I OPPOSED 1 ABSTAINED TOTAL Mak r. • s. ITEM NO. 16 I MOVE THAT ORDINANCE NO 1368 BE READ BY TITLE ONLY AND THE READING OF THE ENTIRE ORDINANCE BE WAIVED. (Call upon the city clerk to read Ordinance No. 1368 by title only. This motion must have a unanimous vote.) I MOVE THAT ORDINANCE NO. 1368, AS READ BY THE CITY CLERK, (BE APPROVED AND ADOPTED) OR(BE DENIED) I MOVE THAT ORDINANCE NO. 1368,AS READ BY THE CITY CLERK, BE APPROVED AND ADOPTED WITH THE FOLLOWING AMENDMENTS. O4 pyACMEa�� ... Amok Cite of Apache Junction Home of the .Super:ctition Mountains 4R110Nf' g Print TO: City Manager's Office FROM: Kathy Connelly, City Clerk DATE: October 19, 2010 Agenda Type . Regular Agenda Council Priority Focus Area: Communication/Outreach TITLE OF AGENDA ITEM: ANNUAL APPOINTMENTS/REAPPOINTMENTS TO CONSTRUCTION CODE BOARD OF APPEALS, HEALTH AND HUMAN SERVICES COMMISSION, INDUSTRIAL DEVELOPMENT AUTHORITY, MUNICIPAL PROPERTY CORPORATION AND PUBLIC SAFETY PERSONNEL RETIREMENT BOARD ACTION REQUESTED Recommendation for Approval DISCUSSION/ BACKGROUND INFORMATION: At the October 18 work session council interviewed the candidates for appointment and/or reappointment for these boards and commissions This item gives the council the opportunity to make the appointments/reappointments to these boards and commissions. FISCAL IMPACT: Budgetary Approval Not Required OPTIONS/ALTERNATIVES. RECOMMENDATION: ATTACHMENTS: Click to download D cover memo oft. oft. ap,CNF u. y O ' Glf%0/e.- /tae/tee cc;1-C1:1 6 1> lU . ±'' s,p-- Home of the Supet stilton lountant.m aRizoN°' OCTOBER 5, 2010 MEMORANDUM TO HONORABLE MAYOR AND CITY COUNCIL MEMBERS THROUGH GEORGE HOFFMAN, CITY MANAGER THROUGH KATHLEEN CONNELLY, CITY CLERKS FROM JAN MASON, DEPUTY CITY CLERK ,. '`i SUBJECT AGENDA ITEM FOR OCTOBER 18, 2010 (BOARD/COMMISSION INTERVIEWS) At the September 20 work session council directed staff to schedule interviews for the October 18 work session for all new applicants and reappointees for the Construction Code Board of Appeals, Health and Human Services Commission, Industrial Development Authority, Municipal Property Corporation, and Public Safety Personnel Retirement Board The Construction Code Board of Appeals has two year terms of office The Industrial Development Authority has six year terms of office The Public Safety Personnel Retirement Board has four year terms of office The Health and Human Services Commission and the Municipal Property Corporation have three year terms of office There are vacant positions on the Construction Code Board of Appeals and the Industrial Development Authority Most individuals whose terms are expiring have indicated a desire to be reappointed The following list includes (a) current board/commission members who have expressed interest in being reappointed and (b) new applicants who have expressed interest in being appointed to a city board or commission Council directed staff they did wish to interview those requesting reappointment Letters were sent to all applicants for the boards/commissions Copies of the talent bank applications have been given to council in an accompanying notebook If an applicant for reappointment/appointment is currently on another board/commission, it is so noted under "Additional Comments" in each section of the notebook • Voice 11X(i) )S2-8002 • I A\(480)982-7U 18• I DI)(-180)93, ()Os • '..v,;,.tic Ir. net ;i)O I 'upertution Boulevard Apache Junu on AZ 8.2 i 9 is Construction Code Board of Appeals (three positions) Reappointments New Applicants Dallas Dewey Foster Drew Rappleye II Ralph Stinson /'1\ Health and Human Services Commission (one position) Reappointments New Applicants None Robert Mayo Ralph Stinson Melanie Tautimez Industrial Development Authority (Four positions) Reappointments New Applicants Stephen Amrhein Luciano Buzzin Foster Drew Rappleye II Municipal Property Corporation (two positions) Reappointments New Applicants Christa Rizzi None oak Public Safety Personnel Retirement Board (one position) Reappointments New Applicants Jodene Weeter Ralph Stinson ROLL CALL VOTE NOTES a AD/ ,..... A 1.1‘Pil°11 ITEM# 4 .j.„ MEETING OF 1 MOTION BY: SECONDED BY: U/i )(ES NO ABSTAINED COUNCILMEMBER BARKER COUNCILMEMBER COLEMAN y/ COUNCILMEMBER WILSON V COUNCILMEMBER ECK V VICE MAYOR DIETZ COUNCILMEMBER SERDY Yjj MAYOR INSALACO V UNANIMO S IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: c.:6, v ,,, 07 ,/,,,, ITEM # MEETING OF V./.k.:\j\ � ti MOTION BY: �y SECONDED BY: ' ,,cl it YES NO ABSTAINED VICE MAYOR DIETZ ✓ COUNCILMEMBER WILSON I COUNCILMEMBER BARKER I COUNCILMEMBER SERDY COUNCILMEMBER ECK ii COUNCILMEMBER COLEMAN 1/1 MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED 1 TOTAL U Aft. .411W ROLL CALL VOTE 1.0 NOTES: , / OA ITEM# MEETING OF MOTION BY , V SECONDED BY: Lkiri\ ES NO ABSTAINED COUNCILMEMBER WILSON COUNCILMEMBER SERDY J/ COUNCILMEMBER COLEMAN I VICE MAYOR DIETZ COUNCILMEMBER BARKER y` COUNCILMEMBER ECK MAYOR INSALACO AON. UNANIMO S IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: 1 ITEM # MEETING OF �MOTION BY: SECONDED BY: Wr\ YE NO ABSTAINED COUNCILMEMBER ECK , COUNCILMEMBER BARKER U's VICE MAYOR DIETZ 1f COUNCILMEMBER COLEMAN COUNCILMEMBER SERDY ✓ COUNCILMEMBER WILSON MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL \i ROLL CALL VOTE NOTES. / '\ J ,(\/ ITEM# MEETING OF Wr'' MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER COLEMAN j COUNCILMEMBER ECK COUNCILMEMBER SERDY COUNCILMEMBER BARKER COUNCILMEMBER WILSON V/ VICE MAYOR DIETZ 1MAYOR INSALACO UNANIM US IN FAVOR OPPOSED ABSTAINED TOTAL \l‘ ROLL CALL VOTE NOTES n 1", / y ., ,\, , , ITEM # MEETING OFf- MOTION BY: A:ji SECONDED BY: xES NO ABSTAINED COUNCILMEMBER SERDY VICE MAYOR DIETZ COUNCILMEMBER ECK I COUNCILMEMBER WILSON COUNCILMEMBER COLEMAN v COUNCILMEMBER BARKER V MAYOR INSALACO UNANII4S IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: _.% 161itvd l ITEM # 1 MEETING OF v ii 9....z , • MOTION BY: SECONDED BY: ES NO ABSTAINED COUNCILMEMBER BARKER � COUNCILMEMBER COLEMAN '✓/ COUNCILMEMBER WILSON f COUNCILMEMBER ECK V VICE MAYOR DIETZ v COUNCILMEMBER SERDY V MAYOR INSALACO U UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL V ROLL CALL VOTE NOTES )/t/y fi ITEM # ` MEETING OF alMOTION BY: SECONDED BY ES NO ABSTAINED VICE MAYOR DIETZ COUNCILMEMBER WILSON COUNCILMEMBER BARKER // COUNCILMEMBER SERDY / COUNCILMEMBER ECK COUNCILMEMBER COLEMAN // MAYOR INSALACO V UNANIMOli IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: ITEM # MEETING OF MOTION BY SECONDED BY: YES NO ABSTAINED COUNCILMEMBER WILSON COUNCILMEMBER SERDY COUNCILMEMBER COLEMAN VICE MAYOR DIETZ COUNCILMEMBER BARKER COUNCILMEMBER ECK MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: ITEM # MEETING OF MOTION BY SECONDED BY: YES NO ABSTAINED COUNCILMEMBER ECK COUNCILMEMBER BARKER VICE MAYOR DIETZ COUNCILMEMBER COLEMAN COUNCILMEMBER SERDY COUNCILMEMBER WILSON MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: ITEM # MEETING OF MOTION BY• SECONDED BY: YES NO ABSTAINED COUNCILMEMBER COLEMAN COUNCILMEMBER ECK COUNCILMEMBER SERDY COUNCILMEMBER BARKER COUNCILMEMBER WILSON VICE MAYOR DIETZ MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES' ITEM # MEETING OF MOTION BY. SECONDED BY YES NO ABSTAINED COUNCILMEMBER SERDY VICE MAYOR DIETZ COUNCILMEMBER ECK COUNCILMEMBER WILSON COUNCILMEMBER COLEMAN COUNCILMEMBER BARKER MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: ITEM # MEETING OF MOTION BY: SECONDED BY: YES NO ABSTAINED COUNCILMEMBER BARKER COUNCILMEMBER COLEMAN COUNCILMEMBER WILSON COUNCILMEMBER ECK VICE MAYOR DIETZ COUNCILMEMBER SERDY MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ROLL CALL VOTE NOTES: ITEM # MEETING OF MOTION BY: SECONDED BY YES NO ABSTAINED VICE MAYOR DIETZ COUNCILMEMBER WILSON COUNCILMEMBER BARKER COUNCILMEMBER SERDY COUNCILMEMBER ECK COUNCILMEMBER COLEMAN MAYOR INSALACO UNANIMOUS IN FAVOR OPPOSED ABSTAINED TOTAL ITEM NO. 17 CONSTRUCTION CODE BOARD OF APPEALS (3 POSITIONS - ONE IN THE PROFESSIONAL ARCHITECT OR ENGINEER, ONE IN THE CONTRACTOR OTHER THAN A GENERAL CONT CTOR, AND ONE LAY PERSON (NEW APPOINTMENT) I MOVE THAT BE APPOINTED TO THE CONSTRUCTION COD BOARD OF APPEALS IN THE CATEGORY OF PROFESSIONAL ARCHITECT OF ENGINEER WITH A TERM TO EXPIRE OCTOBER 31, 2012. (NEW APPOINTMENT) (AX I MOVE THAT BE APPOINTED TO THE CONSTRUCTION CODE OARD OF APPEALS IN THE CATEGORY OF CONTRACTOR OTHER THAN A GENERAL CONTRACTOR FOR A TERM TO EXPIRE ON OCTOBER 31, 2012 (REAPPOINTMENT) (PI\ I MOVE THAT BE REAPPOINTED TO THE CONSTRUCTION CODE B ARD OF APPEALS IN THE CATEGORY OF LAY PERSON FOR A TERM TO EXPIRE OCTOBER 31, 2012. HEALTH AND HUMAN SERVICES COMMISSION (1 POSITION) (NEW APPOINTMENT) I MOVE THAT BE APPOINTED TO THE HEALTH AND HUMAN SERVICES COMMIS ION FOR TERM TO EXPIRE ON OCTOBER 31, 2013. INDUSTRIAL DEVELOPMENT AUTHORITY (4 POSITIONS- 1 VACANCY WITH TERM EXPIRING IN 2016, ONE VACANCY WITH A TERM EXPIRING IN 2015, ONE VACANCY WITH A TERM EXPIRING IN 2014,AND ONE REAPPOINTMENT WITH A TERM EXPIRING IN 2016. (REAPPOINTMENT) � I MOVE THAT BE REAPPOINTED TO THE INDUSTRIAL DEVELOPMENT AUTHORITY FOR A TERM TO EXPIRE OCTOBER 31, 2016. 1110., (NEW APPOINTMENT) I MOVE THAT BE APPOINTED TO THE INDUSTRIAL DEVELOPMENT AUTHORITY FOR A TERM TO EXPIRE OCTOBER 31, 2014 I MOVE THAT BE APPOINTED TO THE INDUSTRIAL DEVELOPMENT AUTHORITY FOR A TERM TO EXPIRE OCTOBER 31, 2015 I MOVE THAT BE APPOINTED TO THE INDUSTRIAL DEVELOPMENT AUTHORITY FOR A TERM TO EXPIRE OCTOBER 31, 2016 MUNICIPAL PROPERTY CORPORATION BOARD (2 POSITIONS) (REAPPOINTMENT) I MOVE THAT BE REAPPOINTED TO THE MUNICIPAL PROPERTY CORPORATION BOARD FOR A TERM TO EXPIRE ON OCTOBER 31, 2013 (NEW APPOINTMENT) I MOVE THAT BE APPOINTED TO THE MUNICIPAL PROPERTY CORPORATION BOARD FOR A TERM TO EXPIRE ON OCTOBER 31, 2013. PUBLIC SAFETY PERSONNEL RETIREMENT BOARD 2 POSITIONS- 1 LAY PERSON EXPIRING IN 2014, 1 POSITION TO BE FILLED BY POLICE DEPARTMENT ELECTION FOR TERM EXPIRING 2014 .•. (REAPPOINTMENT) I MOVE THAT BE REAPPOINTED TO THE PUBLIC SAFETY PERSONNEL RETIREMENT BOARD FOR A TERM TO EXPIRE OCTOBER 31, 2014. I MOVE THAT RANDALL BETTS BE REAPPOINTED TO THE PUBLIC SAFETY PERSONNEL RETIREMENT BOARD AS A POLICE DEPARTMENT REPRESENTATIVE WITH A TERM TO EXPIRE OCTOBER 31, 2014. ROLL CALL VOTE NOTES r .\\ \ D \.\ tO ITEM # MEETING OF MOTION BY: SECONDED BY: /' ES NO ABSTAINED COUNCILMEMBER WILSON COUNCILMEMBER SERDY ✓ COUNCILMEMBER COLEMAN > VICE MAYOR DIETZ t COUNCILMEMBER BARKER W COUNCILMEMBER ECK '\:/ MAYOR INSALACO UNANIM US IN FAVOR OPPOSED ABSTAINED TOTAL AMMO• • AMM ITEM NO. 18 I MOVE THAT AN EXECUTIVE SESSION AT 5 45 P.M. AND A WORK SESSION AT 7 00 P M. BE HELD ON MONDAY,NOVEMBER 1, 2010, IN THE CITY COUNCIL CONFERENCE ROOM AND THE CITY COUNCIL CHAMBERS, RESPECTIVELY; AND THAT AN EXECUTIVE SESSION AT 5.45 P M BE HELD ON TUESDAY,NOVEMBER 2, 2010, IN THE CITY COUNCIL CONFERENCE ROOM. ADJOURNMENT: I MOVE THAT THE MEETING BE ADJOURNED AT P.M. a ROLL CALL WS: AA l% \CI REG: o� \I' SPEC: CITY COUNCIL: P / A P / A P / A MAYOR INSALACO i-� 1/ VICE MAYOR DIETZ // V COUNCILMEMBER BARKER ✓ ✓ COUNCILMEMBER COLEMAN L✓ COUNCILMEMBER ECK ✓ V COUNCILMEMBER SERDY // v COUNCILMEMBER WILSON r TOTAL CITY STAFF: \Y I 6'1 J� City Manager George Hoffman \ I 1n vim' Assistant City Manager Bryant f Powell _City Clerk Kathleen Connelly V City Attorney Joel Stern ✓ / Public Safety Director Jerald / Monahan City Engineer Giao Pham ✓ Parks & Recreation Director / Jeff Bell V Finance Director Donna f'` Meinerts Public Works Director David Fern 1 Development Svcs Director f Brad Steinke V l/ Human Resources Director Liz Riley Planning Manager Fred Baker 1/ Economic Development ,./' Director Steve Filipowicz /�/ Assistant to the City Manager /I , Matt Busby U 1� OTHERS ( t 4-i), / .?/0 ii,/ , , F--, e. Aj I 9 i All\,2_, \O I n Date: 1i )' I 9 I ° City of Apache Junction Item No. • Request to Speak Form 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? Yes❑ No❑ Only If Necessary ❑ ❑ I am in favor of the proposed Item, ❑ I am opposed to the proposed Item. \r- 5V-yc?Nr Name (Print) Ctrsv N Address City Zip Code Telephone This information will be used by staff for follow-up, if necessary. Speakers are requested to directly address their agenda item and address their comments to the Mayor and City Council. Please limit Call to the Public comments to no more than three minutes and five minutes for Public Hearing items. 8/18/09