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Liquor Transfer_Dubuque Co. Historical SocietyABD Licensing -Applicant ~_ Home Contact Us Logoff ...... ....... . . Help License Search ~; License List State of low9 51E4 .a'~ _. ~~!~ ~ On-Demand _ Reporting ~' ~ / ~~~, ~ ~1-' ~- yt~~~. Keg Registration /~~ L ~ ~ .~ , ~• _ ~(< /~~ Page 1 of 1 Applicant L00032796, National Mississippi River Museum & Aquarium, Applicant a 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. The navigation links on the top may also be used to move around the application. ~~ New Premise Location Information Applicant Signature Name of Applicant: Dubuque County Historical So (Sole Proprietorship, Partnership, Corporation, etc.- Dram Cert Name of Business (D/BIA): National Mississippi River Museum & Aquarium Address of Premise: 350 E Third St. '° Local Endorse Address Line 2: City: Dubuque ~~ County: Dubuque Zip: 52001 Business Phone: (553) 557-9545 Cell /Home Phone: r Same Address Mailing Address: 350 E Third St. Mailing Address Line 2: City: Dubuque State: Iowa Zip: 52001 '~' Prev Phone: {866) 469-2223 FAX: (515) 281-7375 Contact Name: Alan Stache Phone: (563) 557-9545 Email Address: I https://eicensing.iowaabd.com/Applicant.aspx 07/15/2008 l., ~: ~~ ABD Licensing -Transfer Premise Home Contact Us Logoff Help ~ License Search License List Statd of Iowa ~~(~ ~.ya v~ ~ ~ ~ On-Demand Page 1 of 2 s Applicant Transfer Premise L00032796, National Mississippi River Museum Transfer Premise & Aquarium, Dubuque 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 Local Official. If requesting a temporary transfer, a letter of permission will be forwarded to the Local Official. Name of Applicant: Name of Business (D/BIA): Address of Premise: Address Line 2: City: Dubuque County Historical Society National Mississippi River Museum & Aquarium 350 E Third St. Dubuque County: Dubuque Zip: 52001 New Premise Address: Old Jail Museum New Premise Address Line 2: 720 Central Avenue State: City: Dubuque - Iowa -""7 Zip: 52001 t: Temporary Transfer (24 hours through 7 days) Beginning Date: 07/24/2008 Ending Date: 07/24/2 f Permanent Transfer '.~ Prev Beginning Date: https://eicensing.iowaabd.com/TransferPremise.aspx 07/15/2008 ABD Licensing -New Premise Location Information Page I of 2 Home State t5f lovv8 ,r~; ~ ,~~ ~~'' ~~ ~ ~ ~~i --._~ Contact Us a~1~4~ ~' ': ~ , ~, •.~ r Logoff ~ ,~~~, o {.. Help License Search License List On-Demand Keg Registration User Profile ~ L_~~~~-- l i Re~ortin~ '_ Search Applicant Transfer Premise New Premise Location Information L00032796, National Mississippi River Museum & Aquarium, Dubuque ~° New Premise Location Information gfter completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous Applicant Signature screen. The navigation links on the top may also be used to move around the application. _~ Dram Cert Local Endorse ~- # of Bathrooms: I` Number of floors where alcoholic beverages will be sold, served, consumed and stored. Indicate how you have control of premises (Permanent Transfers Only): C' Own r 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: 08/02/2008 MM/DD/YYYY To: 08/02/2008 MMlDD/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? ~ Prev Next https://eicensing.iowaabd.com/NewPremiseLocationInformation.aspx 07/I 5/2008 ABD Licensing -Applicant Signature Home State of Igwra ~~;, Contact Us ~ ~ ~ , ~ ' ~ ~ Logoff ~~~E~j~`~' ~ k $ ~' ~, ~~ ; cw ^ ' ~ On-Demand Keg Registration Hel License Search License List ~~p__~_ ~ _ Reporting__~___ Search __ Applicant Transfer Premise New Premise Location Information ~ Applicant Signature Dram Cert `~~ Local Endorse ~+ .. ~, ~~r' x e: m >t User Profile Page 1 of 2 Applicant Signature L00032796, National Mississippi River Museum & Aquarium, 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: Jeff Bertsch Date: 07!1012008 MM/DD/YYYY Tentative effective date: 07/24!2008 MM/DD/YYYY Please print a copy of this page for your records before clicking the "FINISH" button. Prev https://eicensing.iowaabd.com/ApplicantSignature.aspx 07/15/2008 ABD Licensing -Applicant ~~ Home ,~ Contact Us Logoff ! Help ',, License Search License List Applicant Transfer Premise New Premise Location Information ~ Applicant Signature '~ Dram Cert Local Endorse _~ 7 r _.~~ ~ ~~,;,,~~~.-- 1,.._, ,. ~, _.,~ _ ~ - ..- Page 1 of 1 ~ ,~-- %~_ ~.. ~X ~ ~`` ~ ~ ~} r r ~ Name of Applicant: Dubuque County Historical So (Sole Proprietorship, Partnership, Corporation, etc.) Name of Business (D/B/A): National Mississippi River Museum & Aquarium Address of Premise: 350 E Third St. Address Line 2: City: Dubuque County: Dubuque Zip: 52001 Business Phone: (563) 557-9545 Cell /Home Phone: ~~ ~ Same Address Mailing Address: 350 E Third St. Mailing Address Line 2: City: Dubuque State: Iowa Zip: 52001 Contact Name: Alan Stache Phone: (563) 557-9545 Email Address:. Phone: (866) 469-2223 FAX: (515) 281-7375 Applicant L00032796, National Mississippi River Museum & Aquarium, 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. Prev https://eicensing.iowaabd.com/Applicant.aspx 07/15/2008 ABD Licensing -Transfer Premise Page 1 of 2 ~ Home State of Lpwu ~~; ~ =' ~ '~~~~~~ '~ Contact Us :~ ~. ~ ~~ : ~ ~ ~ ~'~ ~ I ~ =\ ~ ;~ Logoff ~~~ ~.. `~ ~ ~~ ..~ ~;~,Y _ a, I , 9 g ~ Help License Search i License List ~ ReDortin_g__~Ke Searchation 3 User Profile ~ _____1_ Applicant Transfer Premise L00032796, National Mississippi River Museum °" Transfer Premise & Aquarium, Dubuque 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 t. ansfer, an amended license will be forwarder Local Official. If requesting a temporary transfer, a letter of permission will be forwarded to the Local Official. Name of Applicant: Dubuque County Historical Society Name of Business (D/B/A): National Mississippi River Museum & Aquarium Address of Premise: 350 E Third St. Address Line 2: City: Dubuque County: Dubuque Zip: 52001 New Premise Address: 501 Bell Street New Premise Address Line 2: State: Ciry: Dubuque - Iowa -f Zip: 52001 '° Prev t: Temporary Transfer (24 hours through 7 days) Beginning Date: 08/02/2008 Ending Date: 08/02/2 C" Permanent Transfer Beginning Date: https://eicensing.iowaabd.com/TransferPremise.aspx 07/15/2008 ABD Licensing -New Premise Location Information Home Contact Us Logoff State of la~ra ,~:> ~ 1 I ' ~ ~ On-Demand Keg Registration Help License Search License List I ____ ~~_~j ~ Reporting _ Search Page 1 of 2 Applicant Transfer Premise New Premise Location Information L00032796, National Mississippi River Museum & Aquarium, Dubuque 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 ~~ Applicant Signature screen. The navigation links on the top may also be used to move around the application. Dram Cert Local Endorse 38 # 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 81/2 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: 08/02/2008 MM/DD/YYYY To: 08/02/2008 MMlDDlYYYY 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? ~-' Prev Next ~' https://eicensing.iowaabd.com/NewPremiseLocationInformation.aspx 07/15/2008 ABD Licensing -Applicant Signature Home 'State of Iowa Contact Us ~,;_ j ~ Logoff ~~ ~ ~ , ~ ' i ~ I On-Demand Keg Registration Help License Search ~ j License List ~ Re ortin ' ` Search ~~ Applicant Transfer Premise New Premise Location Information ~ Applicant Signature Dram Cert Local Endorse Page 1 of 2 Applicant Signature L00032796, National Mississippi River Museum & Aquarium, 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. 1 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: Jeff Bertsch Date: 07!10!2008 MM/DD/YYYY Tentative effective date: 08/02/2008 MM/DD/YYYY Please print a copy of this page for your records before clicking the "FINISH" button. Prev https://eicensing.iowaabd.com/ApplicantSignature.aspx 07/15/2008