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Liquor License Transfer NMRMAABD Licensing -Applicant Page 1 of 1 ~~ Home Stag of CQ~J~i ".mow :: Contact Us s_~ ~ ~ ~ ~ a ' - \ ~~`" ~ ~ Logoff ~ ~ ~ ~' ~ ~ ~ ~ r ~ ~,~~;. .% . ,: , ~L w ;. ; - '~ .., ,., •;;, Heip License Search License List nn"Demand Keg Registration User Profile _ _Reporting _ Search - Applicant LC0032796, National Mississippi Ri ~; Applicant Transfer Premise After completion click an the NEXT link to continue to the next screen, or the B. The navigation links on the tap may also be used to move around the applicatic ~ New Premise Location Information Applicant Signature ~> Local Endorse Name of Applicant: iuhuyi~e c~t~r~ty I-i€stric~l ~c~ i~ Name of Business (DIB/A): atic~r~i Mississippi giver Mus~~~~ Address of Premise: 350 Third fit. Address Line 2: City: C}ubuque County: ~ubuque~ .~ Zip: 52001 Business Phone: (3j 557-545 Same Address Mailing Address: 350 Third Bt. Mailing Address Line 2: City: t~b~t~u~ zip: 52001 Contact Name: Paf in Bonk iteeping Phone: (503) 557-9545 ''T' Prev Phone: (866) 469-2223 FAX: (515) 281-7375 https://elicensing.iowaabd.com/Applicant.aspx 06/26/2007 ABD Licensing -New Premise Location Information Page 1 of 1 ., Contact Us Statr: of ttt~;~ w ' '~ _. ~~ Help License Search License List ~" r" r,i,3~~d Keg Registration User Prafile Reporting Search ~~ Applicant -----.___..~ Transfer Premise New Premise Location Information ~Ct1C132796 National Mississippi River Museum & Aquarium New Premise Location Information D u b u q u e Applicant Signature After completion click an the NEXT link to continue to the next screen, or the B, to the previous screen. Local Endorse The navigation links an the top may also be used to move araund the applicatic 25 # of Bathrooms: ~""- Number of floors where alcoholic beverages will be sold, sen stored. Indicate how you have control of premises {Permanent Transfers Only): f Own C" Lease Submit to the Local Autharity a signed copy of the leaselrental agreement #ar tl signed final sales contract or warranty deed. Submit to the Lacal Authority a sketch on 8112 x 11"white paper of the propose showing all areas and floors where alcohalic beverages will be sold, served, co stored. indicate all entrances and exits, location of bar, back bar and bathroom: Outdoor Service Area Privilege, please include in the sketch its relationship to ' premises. Outdoor Service ,_, Area Dates (if From: MM/DD/YYYY Ta:~~ applicable): Dates shall correspond with requested outdoor service areas. On-Premise Applicant's Only: Yes ~ Is the premise furnished with tables and seats to accamodat persons at one time? `~~ Prev Next ?.'' Phone: (866} 459-2223 FAX: {515) 281-7375 https://elicensing.iowaabd.com/NewPremiseLocationInformation.aspx 06/26/2007 Ede.. E~ ~' FflvaR,n Iods......yetp .._._.. ....r.,. .... ._.... __ :1eJ.xJ ~~ > n~xoia Transfer Premise i.C4032796, Natianai Mississippi River Museum m r.e~sr«rr~«e R Aquarium, i3ubucitte >Pbw Praniac Locdbn K~fttrndion= Ai[el aMtyFlBfkN1 L`BC1F ei1tt19 NG'.XT ~krn Celnilwlatetirr lleN aCt9811.4, tits T3A(t4 rMYitfl le}llir, [nfEfep t r~=C..-ell x~pnMCenL~".+yrlaltrer }flk lu7Jlgndi.,n IU1M;8<i1~ttMHgrt6.5,y ritS.},. rrc6i(Yun SS's ~Yi GtarQttYA 1~$1diA.Nieib L. ,ai r~°::: a,u Lr v.<,~~. ir,.,;~i.~u<ans; Are ih-en •»~e3 ~. =~Yi.>u,.~.nvMil^r.tr~t<irrv ~ui111ki the tknannl«n ies a}ills ualeil?.Cr3ewilN)L,~c Yi+;k4tisiztE.Ti1~e Tl.~o .t -~;, ~,r.l, ,~. .~. i:~l ,ei u~~+r; rare i m=..n~.;ti~,n x7,,,06-al~ta ~K-ed tytf le. a -)Y<i:d.a,.ifor v~rar~1od}otlie ronFr vl3c,~rohc - - - E~.roi.~ ~ -; Dra ~~ n .. nn~.,1 . ..•<c-in tas „!_1 ~-. 1t - un„ ~i~i sYruer M.de~ rwla~ iaen;i age ;tali&t ee~a~a sw N~ aritlaMM acen~e~} I ~ .111 t~et ~Ilkaifj }(i•^ lie,fl'~il M }Id< S91tr51 el. f I' • I }-: Fr CMI(H. >tui~1 .y Reil11~Y11elATf .atsYal,:~il tii W71dai1 aCEltSe'¢<r~ lea to, wt~613nt1 t6 ttYc t •• ~7 Rte' I: ~1,. a i +=;13- 4SIIH7 •t (Nf i • t :q=s tY.Nt4~}ei. 1i 19nTI ~ f (vJ1 ~i• sr~,1, Vlka it4 TMw1a 7e+i to the t. ti a'~ t`.N}kY.d. tJ'.M,W ff(A~)Ctai;:113T; (hdNNrtle L,><Y11Y,y r'a,4}tNrV%11 ~N'rfit•~ N«ui,e ~}FiYi1k~1L+SS 1ri•$!A3; t'#~N?i1d1 ~331S8~kPt ~'NVi rv~J4&la'11 {L Aip1.N'bpti Adareas 1N Prelirise: 350 E ThaU 5}. tcilih?is=~Lkie ~: cxr. C)t,lAHpl~ co,a~ry cnlritktl,R ~,: ;?aa} New Praridae Albkess: ipthaaterME LatlStone CIitT Parking Loi Ne'a Ptsmlee Aikk ess r.hie 2: '. l '. t: Yei,il~,a avy Trm1x}e, tlJ kartaS tOlPbly,1~1 t dyy~i rSe%Nin,~iiJ r)1iY@: tft~T ~.I1ft~iij (}ii}e: !nt}~] f PM 17itl1t¢iR T!'~V14}Bf it fNuurA: }8Mi1 JaA-7 ~L3 <. ... .~f ,,.r.~- PA7C r5} 5V 281.7J'15 ~ ~r r, r. , r~ dr~.y ___..__.. _~. .. _..~...w~.... __. .. .. .. .a:.. AB.D Licensing -Applicant Signature °s~ Home Mate 0{ [o~~~ Contact Us :~ i Logoff ~_. _.n. i Help License Search ', License List On-Demand Reporting :~ Applicant ~° Transfer Premise New Premise Location Information Applicant Signature Local Endorse Page 1 of 1 n,- ~~. Keg Registration User Profiile € Search Applicant Signature LCt103279fi, Nati©nal Mississippi River Museum & Aquarium, Dubuq~ 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 Secti~ l hereby declare that all information contained in the Application is true and correct. I understand that misrepresentation of material facts in the Applicatio is a crime and grounds for denial of the license ar permit under Iowa law. I further understand that, as a condition ofi 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 OwnershiK screen. Applicant's Name: Jeff ~3erts~l~ Date: ~~~`~~~~.~ MMIDD/YYYY Tentative effective date: rJ11612~7(}Fi MMIDD/YYYY Please print a copy of this page far your retards before clicking the "FINISH" button. . 'i Prev Phone: {866} 469-2223 FAX: {515} 281-7375 Terms c Priva https://eicensing.iowaabd.com/ApplicantSignature.aspx 06/26/2007