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Liquor License Transfers\BD Licensing - Applicant Page 1 of • About • Alcohol • Tobacco • Links • Contact • Applicant • Transfer Premise ✓ New Premise Location Information Applicant Signature • Dram Cert % Local Endc.se State at Iowa ALCOHOLIC BEVI;RAQ,S DIVISION On- Demand Keg Registration 1 ' Help j License Search License List User Profile Logoff Reporting , Search Applicant LC0032796, National Mississippi River Museum & Aquarium, 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. 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: 1350 E Third St Address Line 2:1 City:' Dubuque County: 1 Dubuque Zip: 152001 Business Phone: ((563) 557 - 9545 r Same Address Mailing Address: 1350 E Third St Mailing Address Line 2: 1 City: 'Dubuque Zip:152001 Contact Name: '.Alan Stache Phone: 1(563) 557 -9545 Email Address: lastache @nvermuseum corn 't Prev Next '?- Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866 lowaABD (866.469.2223) Local 515.281 7400 • Terms and Conditions • Privacy Policy J Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved Cell 1 Home Phone:' State:' Iowa i ttps: // elicensing .iowaabd.com /Applicant.aspx 07/12/201( kBD Licensing - Transfer Premise Page 1 of Help License Search License List On- Demand Keg Registration I User Profile Logoff Reporting Search * Applicant * Transfer Premise • New Premise Location Information * Applicant Signature • Dram Cert * Local Endorse Transfer Premise LC0032796, National Mississippi River Museum & Aquarium, 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. Licenses may be transferred from one location to another, but only within the boundaries of the current approving Local Official.The Transfer Application and all supporting documentation shall be approved by the Local Official and forwarded to the Iowa Alcoholic Beverages Division before the event takes place. All selling and serving of alcoholic beverages must cease at the original licensed location during the period of the transfer. NOTE: If requesting a permanent transfer, an amended license will be forwarded to the 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 /B /A): Address of Premise: Address Line 2: City: New Premise Address Line 2: 1 City: 'Dubuque r. Prev \\ State ul low,) ALCOHOLIC BEVLRAcALS DIVISION • About • Alcohol • Tobacco • Links • Contact Dubuque County Historical Society National Mississippi River Museum & Aquarium 350 E Third St. Dubuque County: D New Premise Address: 1501 Bell Street - City of Dubuque Festival Grounds C Permanent Transfer END Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866 IowaABD (866.469.2223) Local 515 281 7400 • Terms and Conditions • Privacy Policy Beginning Date: 1 Follow us with RSE, Facebook or Twitter Copyright ©2009 State of Iowa Alcoholic Beverages Division At Rights Reserved State: 'Iowa a Temporary Transfer (24 hours through 7 days) Beginning Date: 108/07/2010 ubuque Zip: 52001 Zip: 152001 Ending Date: 108/07/2010 Next It i ttps: / /eicensing. iowaabd .com /TransferPremise.aspx 07/12/201( \BD Licensing - New Premise Location Information Page 1 of j On- Demand ! E Keg Registration i Help i License Search I License List Reporting Search User Profile Logoff Applicant • Transfer Premise • New Premise Location Information • Applicant Signature • Dram Cert Local Endorse New Premise Location Information LC0032796, National Mississippi River Museum & Aquarium, 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. 128 11 Stete of looa AI..COHQI.IC BEVERA ,S DIVISION # of Bathrooms: Number of floors where alcoholic beverages will be sold, served, consumed and stored. Indicate how you have control of premises (Permanent Transfers Only): f O wn f Lease Submit to the Local Authority a signed copy of the tease /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:108 /07/2010 MM /DD/YYYY To:108/07/2010 MM /DD/YYYY applicable): Dates shall correspond with requested outdoor service areas. On- Premise Applicant's Only: I Yes r! Is the premise furnished with tables and seats to accomodate a minimum of 25 persons at one time? ;c, Prev Next . *..; Follow us with RSS, Facebook or Twitter • About • Alcohol • Tobacco • Links • Contact Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866.IowaABD (866.469.2223) Local 515.281.7400 • Terms and Conditions ittps: / /eicensing. iowaabd. com /NewPremiseLocationlnformation .aspx 07/12/201( BBD Licensing - New Premise Location Information Page 2 of • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved. ittps: / /eicensing. iowaabd. com /NewPremiseLocationInformation .aspx 07/12/201I BBD Licensing - Applicant Signature Page 1 of Sta'e of Iowa ALCOHOLIC BEVLRAUS DIVISION • About • Alcohol • Tobacco • Links • Contact - —1 i _. __.- ._..._ -- I On- Demand ' IKeg Registration User Profile Lo off Help License Search License List Reporting j' Search !; Log off • Transfer Premise • New Premise Location Information : Applicant Signature • Dram Cert • Local Endorse Applicant Signature LC0032796, 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 receiving a license, the licensed premises 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: 107/07/2010 MM /DD/YYYY Please print a copy of this page for your records before clicking the "FINISH" button. Prev Tentative effective date: 108/07/2010 Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866.lowaABD (866.469.2223) ittps: / /eicensing. iowaabd .com /ApplicantSignature.aspx 07/12/201( MM /DD /YYYY BBD Licensing - Applicant Signature Page 2 of Local 515.281.7400 • Terms and Conditions • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved. ittps: / /elicensing. iowaabd .com /ApplicantSignature.aspx 07/12/2011 \BD Licensing - Applicant Page 1 of " Help License Search * Applicant = Transfer Premise New Premise Location Information t+ Applicant Signature = Dram Cert Loca EnL, se License List On- Demand j Keg Registration Reporting ji Search _ State of Iowa ALCOHOLIC BEVE DIVISION • About • Alcohol • Tobacco • Links • Contact User Profile Logoff Applicant BW0092633, Rotary Club of Dubuque, 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. Name of Applicant: (Rotary Club of Dubuque Name of Business (D /B /A): (Rotary Club of Dubuque Address of Premise: 1135 W 8th St Address Line 2:1 City:) Dubuque County: 'Dubuque _d Zip: 152001 J (Sole Proprietorship, Partnershnp, Corporation, etc.) Business Phone. 1(563) 589 -2234 Cell / Home Phone: 1 I Same Address Mailing Address: 1P 0 Box 813 Mailing Address Line 2:1 City: 1Dubuque Zip: 152004081 Contact Name: (Mike Loveless Phone: 11563) 584 -9235 Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866 lowaABD (866.469 2223) Local 515.281.7400 • Terms and Conditions • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division All Rights Reserved State: 1 Iowa Email Address: lmlove'ess @lovelessins com < Prev Next 't ittps: / /elicensing .iowaabd.com /Applicant.aspx 07/12/201( \BD Licensing - Transfer Premise Page 1 of \\ State of Iowa ALCOHOLIC BEVLRA ,,S DIVISION On- Demand Keg Registration Help License Search License List Re Search User Profile Logoff • Applicant $ Transfer Premise > New Premise Location Information • Applicant Signature n Dram Cert s Local Endorse Transfer Premise BW0092633, Rotary Club of Dubuque, 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. Licenses may be transferred from one location to another, but only within the boundaries of the current approving Local Official.The Transfer Application and all supporting documentation shall be approved by the Local Official and forwarded to the Iowa Alcoholic Beverages Division before the event takes place. All selling and serving of alcoholic beverages must cease at the original licensed location during the period of the transfer. NOTE: If requesting a permanent transfer, an amended license will be forwarded to the 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 /B /A): Address of Premise: Address Line 2: City: Prev Rotary Club of Dubuque Rotary Club of Dubuque 135 W. 8th St. Dubuque • About • Alcohol • Tobacco • Links • Contact New Premise Address: IAlliant Amphipheater New Premise Address Line 2: (Bell Street City: 1 Dubuque Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866 IowaABD (866 469 2223) Local 515.281 7400 • Terms and Conditions • Privacy Policy State: 'Iowa Iowa !: Temporary Transfer (24 hours through 7 days) Beginning Date: 107/31/2010 r Permanent Transfer Beginning Date: Copyright ©2009 State of Iowa Alcoholic Beverages Division All Rights Reserved County: Dubuque Zip: 52001 Zip: 152001 Ending Date: 108/01/2010 Next t ttps: / /eicensing. iowaabd .com /TransferPremise.aspx 07/12/201( kBD Licensing - New Premise Location Information Page 1 of Help j License Search License List s Applicant • Transfer Premise 3 New Premise Location Information • Applicant Signature • Dram Cert • Local Endorse New Premise Location Information BW0092633, Rotary Club of Dubuque, 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. I4 11 Indicate how you have control of premises (Permanent Transfers Only): r 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 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 1 ^a\ -'( MM /DD/YYYY Tt O' --0( —w '/IM /DD/YYYY applicable): Dates shall correspond with requested outdoor service areas. On- Premise Applicant's Only: Yes 1 Is the premise furnished with tables and seats to accomodate a minimum of 25 persons at one time? + €! Prev Next L?!+ State of lo•ada ALCOHOLIC BEVLRA A S DIVISION • About • Alcohol • Tobacco • Links • Contact On- Demand 1 r Keg Registration! User Profile Logoff Reporting I Search LL v i # of Bathrooms: Number of floors where alcoholic beverages will be sold, served, consumed and stored. Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866.lowaABD (866.469.2223) Local 515.281.7400 • Terms and Conditions ittps: / /eicensing. iowaabd. com /NewPremiseLocationlnformation .aspx 07/12/201( BBD Licensing - New Premise Location Information Page 2 of • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved. ittps: / /eicensing. iowaabd. com /NewPremiseLocationInformation .aspx 07/12/2011 \BD Licensing - Applicant Signature Page 1 of Help j L Search a Applicant = Transfer Premise : New Premise Location Information • Applicant Signature z Dram Cert A Local Endorse State of Iowa ALCOHOL IC BEVLR674 DIVISION • About • Alcohol • Tobacco • Links • Contact License List H On- Demand (, Keg Registration User Profile i Logoff I Reporting I - Search 11 Applicant Signature BW0092633, Rotary Club of Dubuque, 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 receiving a license, the licensed premises 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: 'Amy Weber MM /DD/YYYY Date: 07/01/2010 Please print a copy of this page for your records before clicking the "FINISH" button. fnn { Prev Tentative effective date: 107/31/2010 Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866.IowaABD (866.469.2223) MM /DD /YYYY ittps: / /eicensing. iowaabd .com /ApplicantSignature.aspx 07/12/201( BBD Licensing - Applicant Signature Page 2 of Local 515.281.7400 • Terms and Conditions • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved. ittps: / /eicensing. iowaabd .com /ApplicantSignature.aspx 07/12/2011