PERMANENT OUTDOOR EXTENSION CLK210 (rev. 11/17) CITY ORDINANCE

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OFFICE USE ONLY DATE FILED: INITIALS: PERMANENT OUTDOOR EXTENSION CLK210 (rev. 11/17) CITY ORDINANCE 10.075 ADVERSE: Yes No LP: CC: LETTER: Class B, Class B, and/or Class C License(s) Fee: $ 150.00 Licensee: District #: (CORPORATION, PARTNERSHIP, OR INDIVIDUAL Must Be Same Name As Beer/Liquor License) Trade Name: Trade Address: STREET ZIP Contact Person: FIRST M.I. LAST Phone: Email: (Correspondence Will Be Via Email If Address Is Given) 1. Type of activity planned for the outdoor area: 2. A detailed map (site plan) of the outdoor area is required. Map Attached IF ASSISTANCE IS NEEDED, CONTACT MIKE CALLOVI (COMMUNITY DEVELOPMENT & INSPECTION) AT 653-4032 TO SCHEDULE AN APPOINTMENT. (SEE EXAMPLE ATTACHED TO THIS APPLICATION.) 3. A fence not less than four (4') feet high and no greater than six (6') feet high is required to surround the outdoor area within the description of the Class B, Class B and/or Class C licensed premises. A fence will surround the outdoor area. Complete the Fence Permit Application in Room 100 (Department of Community Development & Inspections) and attach a copy to this application. Attached OR The Common Council may waive the fence requirement where the licensed premises is operated as a RESTAURANT within the meaning of Section 5.3046 A.10 (of the Code of General Ordinances): Complete Waiver A Fence Waiver Attached 4. The closing hours for a temporary outdoor extension are 10:00 PM TO 8:00 AM You may request to change these hours to 12:00 AM to 8:00 AM. Application (CLKCH1) Attached N/A READ CAREFULLY BEFORE SIGNING: Under penalty provided for by law, the undersigned states that each of the above questions has been truthfully answered to the best of his/her/their knowledge. (Individual applicants and each member of a partnership must sign; designated corporate member may sign.) Individual/Partner/Member Signature Date Partner/Member Signature Date Permanent Outdoor Extension, Page 1

VERIFICATION BY COMMUNITY DEVELOPMENT & INSPECTIONS: Zoning Classification: The outdoor area sought is If SFR, choose: Waiver 2 (Restaurant), 3 (Outdoor Dining) ft from any single-family dwelling. If less than 25ft from single family, choose: Waiver 1 (Institutional), 2 (Restaurant), 3 (Outdoor Dining), or N/A because the single family dwelling is zoned B-1, B-2, B-3, B-4, or N/A because the dwelling within twenty-five (25') feet of the outdoor area boundary is occupied by the applicant and/or immediate family and no others (in accordance with 10.075 D.1.b.) The outdoor area has a boundary: within 750 ft of any residentially zoned property. Live music/entertainment is allowed in outdoor area 10:00 AM to 10:00 PM with a cabaret license. (Amplified music is allowed without a cabaret license subject to the same time restrictions.) greater than 750 ft of any residentially zoned property. Live music/entertainment is allowed in outdoor area 10:00 AM to 1:00 AM (or earlier in accordance with the closing time of the outdoor extension) with a cabaret license. (Amplified music is allowed without a cabaret license subject to the same time restrictions.) Recommendation: Approve Deny CDI Staff Member Signature Date Permanent Outdoor Extension, Page 2

WAIVER A FENCE WAIVER: for RESTAURANTS only OUTDOOR EXTENSION CITY ORDINANCE 10.075 Licensee Name Applicant has applied for an extension of their Retail Class B Fermented Malt Beverage, Class B Liquor, and/or Class C Wine Licenses in accordance with 10.075 of the Code of General Ordinances and requests a waiver of the fencing requirement contained in Section D (3) thereof. In making this request, the applicant states, they are operating as a restaurant as defined in Section 5.046 A.10. Restaurant shall mean any building or room where, as the establishment's primary business, food and/or beverages are prepared, or served or sold to transients or the general public, and where the sale of Alcohol Beverages account for less than fifty (50%) percent of the establishment s gross receipts in the B-1, B-2, B-3, and B-4 Zoning Districts. Individual/Partner/Member Signature Date Partner/Member Signature Date Permanent Outdoor Extension, Page 3

WAIVER B WAIVER OF PROHIBITIONS SET FORTH IN 10.075 D.1 AND D.3 OF THE CODE OF GENERAL ORDINANCES of the OUTDOOR EXTENSION Licensee Name Trade Name Trade Address Applicant has applied for an extension of their Retail Class "B" Fermented Malt Beverage, Class B Liquor, and/or Class C Wine Licenses in accordance with 10.075 of the Code of General Ordinances and requests a waiver of all of the prohibitions set forth in Section D(1) and D(3) thereof because the licensed premises, including the outdoor area: VERIFICATION BY COMMUNITY DEVELOPMENT & INSPECTIONS: 1. is located wholly within an area in the City zoned Institutional. 2. is operating as a restaurant, with the sale of alcoholic beverages accounting for less than fifty (50%) percent of the establishment's gross receipts in the B-1, B-2, B-3, or B-4 Zoning Districts (as defined by Section 5.046 A.10 Of the Code of General Ordinances). 3. is licensed by the City of Kenosha for Outdoor Dining. * N/A because applicant is not requesting a waiver of any requirements of 10.075 D(1) or D (3) To be completed by the applicant and verified by CDI: Any applicant for a waiver listed above must file with their application a list of names and addresses of all owners whose property resides within 25 feet of the boundaries of the outdoor area sought to be included within the description of the Retail Class "B" Beer,"Class B" Liquor, and/or Class C Wine licensed premises. This list will be forwarded to the Building Inspector for verification and the City Clerk will notify said owners of the dates, times, and locations of the meetings where the matter of the application shall be discussed. Individual/Partner/Member Signature Date Partner/Member Signature Date Received by Building Inspector: Date: Permanent Outdoor Extension, Page 4

City of Kenosha Site Plan for Outdoor Extension Public Street Applicant's Property Public Street / Public A ley / Private Property (Circle O ne) Applicant's Building Public Street / Public A ley / Private Property (Circle O ne) Public Street / Public Alley / Private Property (Circle One) Draw the location of all fences, tents, entrances/exits, security measures, bars, and music stages. Also provide measurements where appropriate. DCDI ~ City Clerk-Treasurer ~ DS ~ MN ~ November 26, 2013 ~ mc