Liquor License Transfer_Diamond JoABD Licensing -Applicant
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~ Applicant Applicant L00030063, Diamond Jo Casino (Portside), Dubuque
Transfer Premise After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen.
New Premise Location Information The navigation links on the top may also be used to move around the application.
Applicant Signature Name of A licant: Diamond Jo, LLC
Pp (Sole Proprietorship, Partnership, Corporation, etc.)
Dram Cert Name of Business (D/B/A): Diamond Jo Casino (Portside)
~~ Local Endorse Address of Premise: 400E 3rd St
Address Line 2:
City: Dubuque
County: Dubuque =J
Zip: 52001-0000
Business Phone: (563) G90-2198 Cell /Home Phone: {563) 590-2
~ Same Address
Mailing Address: 400 East Third
Mailing Address Line 2:
City: Dubuque State: Iowa
Zip: 52001
Contact Name: IJanet
Phone: I(563) 690-2198
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Phone: (866) 469-2223
Email Address: ~-
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ABD Licensing -Applicant
FAX: (515) 281-7375
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ABD Licensing -Applicant Page 1 of 2
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~ Applicant Applicant L00030063, Diamond Jo Casino (Portside), Dubuque
Transfer Premise After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen.
New Premise Location Information The navigation links on the top may also be used to move around the application.
Applicant Signature Name of A licant: Diamond Jo, LLC
pP (Sole Proprietorship, Partnership, Corporation, etc.)
Dram Cert Name of Business (D/B!A): Diamond Jo Casino (Portside)
Local Endorse Address of Premise: 400E 3rd St
Address Line 2:
City: Dubuque
County: Dubuque
Zip: 52001-0000
Business Phone: (563) G90-2198 Cell /Home Phone: (563) 590-2
r Same Address
Mailing Address: 400 East Third
Mailing Address Line 2:
City: Dubuque State: Iowa
Zip: 52001
Contact Name: Janet
Phone: (563) 690-2198 Email Address:
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ABD Licensing -Applicant
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ABD Licensing -Transfer Premise
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Hel 1 ~ License Search
* Applicant Transfer Premise L00030063, Diamond Jo Casino (Portside),
Transfer Premise D u b u q u e
Page 1 of 2
New Premise Location Information After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen.
;~° Applicant Signature The navigation links on the top may also be used to move around the application.
,~ Dram Cert Licenses may be transferred from one location to another, but only within the boundaries of the current approving Local ~
Transfer Application and all supporting documentation shall be approved by the Local Official and forwarded to the Iowa
Local Endorse Beverages Division before the event takes place. All selling and serving of alcoholic beverages must cease at the original
location during the period of the transfer. NOTE: If requesting a permanent transfer, an amended license will be forwarder
Official. If requesting a temporary transfer, a letter of permission will be forwarded to the Local Official.
Name of Applicant: Diamond Jo, LLC
Name of Business (D/B/A): Diamond Jo Casino (Portside)
Address of Premise: 400E 3rd St
Address Line 2:
City: Dubuque County: Dubuque Zip: 5200100
New Premise Address: 301 Bell Street - 1st Floor
New Premise Address Line 2:
City: Dubuque - ~wtate. -f Zip: 520010
C' Temporary Transfer (24 hours through 7 days)
Beginning Date: Ending Date:
~ Permanent Transfer
Beginning Date: 12!11/2008
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ABD Licensing -New Premise Location Information
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g Applicant
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Page 1 of 2
New Premise Location Information L00030063, Diamond Jo Casino
(Portside), Dubuque
After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous
screen.
The navigation links on the top may also be used to move around the application.
New Premise Location Information
Applicant Signature
Dram Cert
`~ Local Endorse
10 # of Bathrooms:
1 ' Number of floors where alcoholic beverages will be sold, served, consumed and stored.
Indicate how you have control of premises (Permanent Transfers Only):
(' Own
(' Lease
Submit to the Local Authority a signed copy of the lease/rental agreement for the license period or signed final sales
contract or warranty deed.
Submit to the Local Authority a sketch on 8112 x 11"white paper of the proposed premises showing all areas and
floors where alcoholic beverages will be sold, served, consumed and stored. Indicate all entrances and exits, location
of bar, back bar and bathrooms. If Applicant has Outdoor Service Area Privilege, please include in the sketch its
relationship to the licensed premises.
Outdoor Service
Area Dates (if From: ~- MM/DD/YYYY To: MM/DD/YYYY
applicable):
Dates shall correspond with requested outdoor service areas.
On-Premise
Applicant's Only:
Yes ~ Is the premise furnished with tables and seats to accomodate a minimum of 25 persons at one
time?
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ABD Licensing -Applicant Signature
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=> Applicant
Transfer Premise
New Premise Location Information
Applicant Signature
'° Dram Cert
Local Endorse
Stag rf
t~ -',~
,~ }LF ~
Page 1 of 2
Applicant Signature L00030063, Diamond Jo Casino (Portside),
Dubuque
Complete the information below and click Finish to complete the application
Note that the license fees will only be withdrawn from accounts after the ABD approves the license.
This application must be completed by a person listed in the Ownership Section.
I hereby declare that all information contained in the Application is true and correct. I understand that
misrepresentation of material facts in the Application is a crime and grounds for denial of the license or permit
under Iowa law. I further understand that, as a condition of recieving a license, the licensed premise is subject to
inspection during business hours by appropriate local, state and federal officials.
NOTE: The Applicant's Name must match one of the owner's names from the Ownership screen.
Applicant's Name: Natalie Schramm Date: 11/05/2008 MMlDDlYYYY
Tentative effective date: 12111 /2008 MM/DD/YYYY
Please print a copy of this page for your records before clicking the "FINISH" button.
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