SAFETY CITY HALL - Sparta, Wisconsin · 2020-03-24 · BF of LaCrosse, LP dba Greendale Manor...

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CITY OF SPARTA PUBIIC SAFETY AGENDA June 3, 2019 CITY HALL 5:30 p.m. 1. Call Meeting to Order Consent Agenda: Consisting of Minutes from the May 6, 2019 regular meetinS, and Police Department's monthly report for April and bills. 2 4 3. consideration of New/Renewal Bartenders Licenses Amy Bauer Richard Coffin Sonja Moran Susan Grosz Dale Grosz consideration of Recommendation of Denial for Dayne Geier as Agent for Golfing Geiers, LLC dba The Greens "Class B"/Class "8" [iquor License located at 1210 E. Montgomery st. 5. Presentation from Theresa from Monroe County Safe Coalition 6. Discussion/Consideration of Request for Change of Premises Description for "Class A" Retail Liquor and Beer License for Wal Mart located at 1600 W, Wisconsin Street to lnclude Online Grocery Pickup Designated Location 7. consideration of Renewals for Class "A" Beer Retail licenses for 20L9-2o2ol Wal Mart Stores East, LP dba Wal Mart #979 located at 1600 W. Wisconsin St, Hansen's lGA, located at 834 W. Wisconsin St. A-1 Tomah Midwest dba Sparta Super Gas located at 810 W. Wisconsin St. A-1 Super Gas dba Amish Cheese House located at 711 Avon Rd. casey's Marketing Company dba €asev's General Store #1927 located at 326 5, Black River St. Sparta Cooperative Services dba Cenex located at 918 S. Black River St. Walgreen Co., dba Walsreens #9168 located at 710 W. Wisconsin St. KwikTrip, lnc. dba KwikTrip f317 located at 1751 E. Wisconsin 5t. Kwik Trip, lnc. dba Kwik Trip #318 located at 1014 S, Black River St. Basra, LLc dba Sparta Food located at 318 W. wisconsin St, Supermercado Guerroro, LLC located at 218 W. Wisconsin St. AMBA, lnc. dba Sparta Travel Center located 4105 Theater Rd. 8. Consideration of Renewals for "Class A" Retail Liquor licenses for 2OL9-2O2O1 Hansen's lGA. located at 834 W. Wisconsin St. A-l Tomah Midwest dba Sparta Super Gas located at 810 W. Wisconsin St, A-1 Sparta Gas dba Amish Cheese House located at 711 Avon Rd. AMBA lnc. dba Sparta Travel Center located at 4105 Theater Rd.

Transcript of SAFETY CITY HALL - Sparta, Wisconsin · 2020-03-24 · BF of LaCrosse, LP dba Greendale Manor...

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CITY OF SPARTA

PUBIIC SAFETY AGENDA

June 3, 2019

CITY HALL 5:30 p.m.

1. Call Meeting to Order

Consent Agenda: Consisting of Minutes from the May 6, 2019 regular meetinS, and Police

Department's monthly report for April and bills.2

4

3. consideration of New/Renewal Bartenders Licenses

Amy Bauer Richard Coffin Sonja Moran Susan Grosz Dale Grosz

consideration of Recommendation of Denial for Dayne Geier as Agent for Golfing Geiers, LLC

dba The Greens "Class B"/Class "8" [iquor License located at 1210 E. Montgomery st.

5. Presentation from Theresa from Monroe County Safe Coalition

6. Discussion/Consideration of Request for Change of Premises Description for "Class A" Retail

Liquor and Beer License for Wal Mart located at 1600 W, Wisconsin Street to lnclude Online

Grocery Pickup Designated Location

7. consideration of Renewals for Class "A" Beer Retail licenses for 20L9-2o2ol

Wal Mart Stores East, LP dba Wal Mart #979 located at 1600 W. Wisconsin St,

Hansen's lGA, located at 834 W. Wisconsin St.

A-1 Tomah Midwest dba Sparta Super Gas located at 810 W. Wisconsin St.

A-1 Super Gas dba Amish Cheese House located at 711 Avon Rd.

casey's Marketing Company dba €asev's General Store #1927 located at 326 5, Black River St.

Sparta Cooperative Services dba Cenex located at 918 S. Black River St.

Walgreen Co., dba Walsreens #9168 located at 710 W. Wisconsin St.

KwikTrip, lnc. dba KwikTrip f317 located at 1751 E. Wisconsin 5t.

Kwik Trip, lnc. dba Kwik Trip #318 located at 1014 S, Black River St.

Basra, LLc dba Sparta Food located at 318 W. wisconsin St,

Supermercado Guerroro, LLC located at 218 W. Wisconsin St.

AMBA, lnc. dba Sparta Travel Center located 4105 Theater Rd.

8. Consideration of Renewals for "Class A" Retail Liquor licenses for 2OL9-2O2O1

Hansen's lGA. located at 834 W. Wisconsin St.

A-l Tomah Midwest dba Sparta Super Gas located at 810 W. Wisconsin St,

A-1 Sparta Gas dba Amish Cheese House located at 711 Avon Rd.

AMBA lnc. dba Sparta Travel Center located at 4105 Theater Rd.

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Page 2 - Public Safety - June 3, 2019

Wal Mart Stores East, LP dba Wal Mart #979 located at 1600 W, Wisconsin St.

Kwik Trip, lnc. dba Kwik Trip #317 located at 1751 E. Wisconsin St.

Kwik Trip, lnc. dba Kwik Trip f318 located at 1014 5. Black River St.

Basra, [[C dba Sparta Food located at 318 W. Wisconsin St.

Casey's Marketing Company dba Caqet's General Store #1927 located at 326 S. Black River St.

9. Consideration of Renewals for Class "B" Beer and Class "C" Wine Licenses for 2019-2020:Northfield Restaurant dba Pizza Hut located at 821 W. Wisconsin 5t,

P & S Properties dba Shane & Penney's $!ggg!![!g3gg located at 507 W. Wisconsin St.

10. Consideration of Renewals for Mobile Home Licenses for 2019-2020:

Riverside of Soa LLC located at 635 south "K" st.

Sparta MHP, LLC dba Oak Meadows located at 100 Avon Rd,

Kay Weiner, dba Woodside Villqee located at 1200 Sugarberry Blvd.

Steven Nicolai dba River Pines, MHP located at 1200 River Rd.

BF of LaCrosse, LP dba Greendale Manor located at 229 Avon Rd.

11. Consideration of Renewals for Second Hand Licenses for 2019-2020:

Phyllis Frisk dba Second Season located at 128 N. Water 5t.

Caryn Johnson dba Sparta's New & Used Shop located at 904 Avon Rd,

Pat Judkins dba Sparta Gold Exchange located at 418 W. Wisconsin St.

Bryon Crawford dba Crawford's New & Used located at 604 E. Wisconsin St.

Michael Deluca dba Bis Rooster Manufacturins. LLC located at 105 N, Water St,

Tara Shawley dba Grannv's Good stuff Resale located at 103 N. Water St.

12. consideration of Renewals for Miscellaneous Licenses for 2019-2020:

Advantage Auto Salvage & Recycling Auto Salvage

Sparta Cinema 6 video Games

Family Dollar Stores Cigarette

Sparta Cabs Taxi Cab

CIub 16 video Games

Amber lnn Cigarette & Video Games

Foxhole Pub Video Games

Harris Crossing Video Games

Market Bar video Games

. Wayside Tavern Cigarette & Video Games

Shifty's Shack Cigarette & video Games

Best Western Plus Video Games

Italiano's Video Games

The Hangout Cigarette & Video Games

The Greens cigarette & Video Games

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Page 3 - Public Safety - June 3, 2019

Lynda Lou's

American Legion

Hansen's IGA

Sparta Travel Center

Kwik Trip #317

Kwik Trip #318

Wal Mart #979

Sparta Food

Sparta Super Gas

Amish Cheese House

Cenex

Walgreens f09168

Casey's General Store

Video Games

Video Games

Cigarette

Cigarette & Video Games

Cigarette

Cigarette

Cigarette & Video Games

Cigarette

Cigarette

Cigarette

Cigarette

Cigarette

Cigarette

13, Consideration of Renewals for "Class B"/Class "8" Liquor Licenses fot 2O!9-2O2OI

Donald LaBarre dba CIub 15 located at 1615 W. Wisconsin St.

Sheila Volden dba Amber lnn located at 112 E. Oak St,

Al & Penny Brueggen, Foxhole Pub & Restaurant, ILC dba Foxhole Pub located at 1215 AngeloRd.

Bryan Harris, Harris Crossing, LLC dba Harris Crossing located at 801 Walrath St.

Todd Bowen, Tom Von Ruden, Market Properties, LLC dba Market Bar located at 109 E. Mainst.

Mike Wittmershaus, Wayside Tavern, lnc, dba Wavside Tavern located at 701 W. Wisconsin St.

Michelle Brueggen, Shifty's Shack, LLC dba Shiftv's Shack located 110 E. Oak St.

Kristen Gust, One-Twenty-Four, LLC, dba Cork & Barrel located at 124 N. Water st.Jaymin Patel, Aadya Shakti, lnc. dba Best Western Plus located at 4445 Theater Rd.

Jason Boris, Jake's Northwoods, LLC dba Jake's Northwoods located at 1132 Angelo Rd.

Steve Schutt, Angelini's Pizzeria & Ristorante, LLC dba ltaliano's located at 140-142 N. Waterst.

Phil Green, O.L.Arnold, D,K, Slayton, dba American Lesion located at 1116 Angelo Rd.

Leticia Lugo dba El Vallarta located at 223 N. Black River St,

Layla Noble, The Hangout, LLC dba The Hansout located at 115 W. Oak St.

Emily Kast Dickenson, A-1 Catering, lnc. dba Sparta Steak House located at 701 lndustrial Dr.

Lynda McDaniel, Lynda Lou's, LLC dba Lvnda Lou's located at 214 S. Water St.

Timothy Siekert, Silent Outdoors, LLC dba Silent Outdoors located at 2700 Riley Rd.

Garreft Geier, Golfing Geiers, LLC dba The Greens located at 1210 E. Montgomery St.

14. Consideration of Temporary Class "8"/"Class B" Retaile/s License for St. Patrick's Church forSummerfest on August 17th and August 18th,2019 located at 118 South "K" Street, churchparking lot

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Page 4 - Public Safety - June 3, 2019

15. ltems for Future Consideration

16. Adjourn

A possible quorum of the Common Council may be in attendance at this meeting but no action will be

taken by the Council.

Posted:5-31-19

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CITY OF SPARTA

PUBTIC SAFETY MINUTES

May 5, 2019

PRESENT: Ed Lukasek, Kevin Brueggeman, Josh Lydon,ABSENT: Jim Church, Alli KarrelsAISO PRESENT: Todd Fahning, Mark 5und, Kevin Riley, Emilee Nottestad, Kristen Gust, Brad

Gilbertson, Amy Kiernan

Josh Lydon called the meeting to order at 5:30 p.m.

A motion was made by Kevin Brueggeman and seconded by Ed Lukasek to approve the consentagenda consisting ofthe minutes ofthe April 8,2019 meeting, and the Police Department's monthlyreport for March and bills. Motion carried 3-0,

Upon proper payment of any fees, the following new or renewal bartenders licenses were approvedon a motion by Ed Lukasek and seconded by Kevin Brueggeman. Motion carried 3-0.

Temporary Licenses:

Charles Weaver, Jr.

Randy Pfaff

Brooke Schultz

Stephanie Johnson

Bob Phillips

Kim Smith

Brad Bohl

Garlynn Brookshaw

collin Nugent

Ray Weibel

Amy Kiernan Morgan Koonce Sheila Cavadini

A motion was made by Kevin Brueggeman and seconded by Ed Lukasek to deny the Class "8" Beer

Licence for Stacey Hoffman to run the Concession Stand in Memorial Park. Motion carried 3-0'

A motion was made by Ed Lukasek and seconded by Kevin Brueggeman to approve the Temporary

"Class B"/Class "8" Retailer's License for sparta Festivals, lnc. for Butterfest in Memorial Park on June

5th through June 9, 2019. Motion carried 3-0,

A motion was made by Kevin Brueggeman and seconded by Ed Lukasek to approve the Carnival

License for Sparta Area Chamber of Commerce for Butterfest from June 6th through June 9, 2019.

Motion carried 3-0.

A motion was made by Kevin Brueggeman and seconded by Ed Lukasek to approve the "Class B"/Class

"8" Liquor License for VFW Post 2U2 located at 121 S. Rusk Ave. Motion carried 3-0.

Becky Diller, from Quarles & Brady the legal counsel for Wal Mart, has sent us a request to change the

premises description to sell alcohol at their online grocery pickup area. They would like to offer their

customers the opportunity to include alcohol beverages in their online order. Payment would be made

at time of pickup and customer's age would be verified by an employee licensed to sell alcohol in a face-

to-face transaction that would occur within the licenses premises. There would also be designated

pa rking spaces fo r these tra nsactio n s. Their hours to sell alcohol are 7:00 a.m. to 8:00 p.m. An assistant

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Page 2 - Public Safety - May 6, 2019

from the Wal Mart store was in attendance to explain the process and answer any questions. A motionwas made by Ed Lukasek and seconded by Kevin Brueggeman to table this topic until next monthwhile so we can talk to our City Attorney and Chief of Police. Motion carried 3-0.

There were no items mentioned for future consideration.

A motion was made by Kevin Brueggeman and seconded by Ed Lukasek to adjourn at 5:49 p.m.Motion carried 3-O.

Respectfully Submitted,Julie Hanson

City Clerk

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ll4av,28,2019 l2r27Pli4 SPARTA POtlCt DtPT No. 1077

Sparta Police Department121 E. Oak Street Sparta, WI 54656

www.sna rtawisconsin. ors

David KudererChief of Police

Fax (608) 269-2156Phone (608) 269-3L22

May28,2019

Public Safety Committee MembersCity of Sparta201 W. Oak St.Sparta, W 54656

RE: Denial for renewal of Alcohol Beverage License for The Greens Restaurant;business agent is Dayne Geier.

Commiftee Members,

I have reviewed the renewal Alcohol Beverage License application forThe GreensRestaurant submitted by business agent Dayne Geier and recommend denial of licensebased on the following:

Dayne Geier was Convicted in Municipal Court on Apri{ 10, 2019 for Operating aMotor Vehicle while intoxicated.

The above recommendation is supported by the following current City of SpartaMunicipal ordinance:

Sec. 12-27. - License application(2) A license for a premise may be denied unless the applicant meets the followingrequirements:f, Does not have an arrest or conviction record of offenses which substantially relate tothe circumstances of the licensed activity. For purposes of this section the term"offenses which substantially relate to the circumstances of the licensed activity" shallinclude, but are not limited to the following:L Any non-felony alcohol related conviction or pending charges within the last 12months.

Respectful subm

David KudererChief of Police

Page 1 of I

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iulie hanson

From:Sent:To:Subject:

Attachments:

Diller, Becky A, < [email protected] >

Tuesday, April L6, 20L9 9:24 AMjulie hansonWalmart #979 - Request for Change of Premises Description [QBLLp-ACTtVE.FID39340272l

Walmart Online Grocery Pickup Procedure Guide.pdf; Walmart #979 - Floor plan andSite Map.pdf

Dear Julie,

You are aware that Quarles & Brady serves as legal counsel for Walmart with respect to alcohol beverage licensing for itsWisconsin stores. As follow-up to our phone conversation, this email is to provide you with details regarding an onlinegrocery pickup service that Walmart is launching in select Wisconsin stores. Customers using this service will be able toplace an order online and provide a credit card to hold the order. The customer will then come to their local Walmartstore to complete the payment and pick up the order at a dedicated parking space.

Walmart would like to offer their customers in your community the opportunity to include alcohol beverages in anonline order. We have contacted the Wisconsin Department of Revenue, which has confirmed that this is permittedunder State law provided payment is made at the time of pickup and the customer's age is verified by an employeelicensed to sell alcohol beverages in a face-to-face transaction that occurs within the licensed premises. Walmart,therefore, is seeking to amend the premises description in its current license to include the pickup location (dedicatedparking spaces), as follows:

1 room, 1story, approximately 157,816 sq. ft. including stalls and/or canopy locations in parking lot specificallydesignated for online grocery pickup.

Attached to this email are the following documents which provide more detailed information about the online groceryprogram:

* A copy of Walmart's Online Grocery Pickup Procedure Guide.* A combination floor plan and site map of the local Walmart store which shows (1) the secured area in the storewhere shopping carts will be held for customer pickup (highlighted in orange) and (2) the location in the parking lot ofthe dedicated parking spaces which will be designated for online grocery pickup.

Please let us know whether this change of premises description will require approval of the Sparta City Council and/orCommittee thereof. lf so, we kindly request that the proposed amendment be considered at their next upcoming

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meeting(s) as Walmart would like to rollout this program in your municipality on or around June 15th. Also, we wouldbe pleased to make a representative from the local Walmart store available at all such meetings to answer any questionsthe Council or Committee members may raise.

Please let us know if you need any additional information

Regards,

Becky

Becky Diller/ Pa ra lega l/office Administrative coordinator Becky. Diller@q ua rles.com / Linkedtn<https://www.linkedin.com/company/quarles-&-brady-llp> Blo <http://www.qua rles.com/rebecca-d iller/> vCard<http://www.quarles.com/rebecca-diller.vcf>Quarles & Brady LLP

150 south Fifth street, suite 1800 / Minneapolis, MN 55402 office 612-224-3756 / quarles.com

CoNFIDENTIALITY NoTlcE: This electronic mail transmission and any attachments are confidential and may beprivileged. They should be read or retained only by the intended recipient. tf you have received this transmission inerror, please notifi/ the sender immediately and delete the transmission from your system.

2

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Compliance & EthicsOnline Grocery Pickup Procedure Guide

Placinq Order. Customer visits walmart.com/grocery and creates an account by providing applicable

information such as phone #, zip code, email address, etc.o Based on the customer's zip code, he or she will be provided with a list of the closest storeseligible for Walmart Online Grocery Pickup program

o Customer selects desired pickup store location and the pickup timeframe. Customer completes the order by supplying Walmart with payment informationo Walmart authorizes and holds the card information but funds are not transferred from thecard

#

Where allowed by state and local law,customers can include alcoholicbeverage product in their onlinegrocery order throughwalmart. com/q rocery.

6OV6{NM(iNj w iNrN6; (l } ^<o'din,

to llrc slrssn G!.crl \eonrFn n$!u .ot drink ar(ohoticb$r.n!c1(urtDoDrsron('D€(arreolrl'crilNolbirrhde{..u,t2}co'lrunD onolalcollotiiha/o.rqr! l,nDilR )4u.ithrllty to ddrr n .rr Fr dp.ntc nr(hi^cry rnd may.nD!a itdrrrh Dbbl.nrr

Ific slcol.l.olol ro mlrD6tr prchiLril.d,

Al dclif,y or l 'lr

krp, rru hrust 5ho,v 0 laild rrlidtr rl) rn'r prdf,le. rlt.otu@ @ li nlng thrr younrr iFo ) l or o{c,. Arfttcrl Io nr oltDnd:orMr\ I k flrlr!, 1r o.l$ual tdrhrln'irton(nrdrU,s.F.s,r$rlr,nllbry ldur rk3lloD aa'dr, UJ.lnr$yltion cnilr or'lribllIDJ ll ip<inoral.r, or oURrsinllar $dcrnnrsrl it led tor thnt aG Bo$oired rvlUriI lrrc !rat(, Orirts N]tt not detiv.r to inyaherehorDlx .ilol{ Jloxnlbd, No 4ii(o!.r$ (o{ftn* D. lrs-4xenrpr ellJ nriy ba 3ppll.rl lo rkd\ol.!n ado'olatonol ir'r$rinO209allonr ornroGvilrnot t*.rlowdr1.

All alcoholic beverage product itempages are flagged with a notificationexplarning the restrictions aroundpurchasing this product (pictLtredrighU

lf the customer checkouts with an alcoholic beverage productin their basket, another notification is displayed at checkoutQiclured right) and an acknowledgement box must be checkedby the customer (lsictured helow).

Syrhc.kirg lhir bo]( you(affinn th!(you irc.l Ir!!( 2l y4doldind \villnot relclla.yblLollol rou pur(h!!e,

*red text indicates a control related to alcoholQB\48160609,1

Yolrord.r@nt ld.l@hol,PI..r. r.tdourpoliryS.aor.pudEs

o) .orlnrrioD d lkordtr irs.ss InnDr< tsu.Jbrriyro drhr d dr o' oDcDrc o\(lrlr'(r drd riy

,rrrrrytrhnr h'rr^.rura ra.lri riqD'ioh( d!o,r Nran' 1|ld(K n .i,o, o '!'r

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Compliance & EthicsOnline Grocery Pickup Procedure Guide

Pickinq / StaoinoOn the day a customer is scheduled to pickup an order, a Walmart associate, identified as a"Personal Shopper," will "shop" for the customer order in the storeAll shopping is completed on the pickup day to ensure customer receives the freshestproducts

Select Commodity Locate ltems Pick ltems Take to Staging Area

lf a customer's order contains an alcohol beverage product, the product is assigned to a"Restricted" commodity group to ensure only personal shoppers that have taken theappropriate training and are of a legal age will pick the alcohol beverage product

Only personal shoppers meeting the age requirements within the regulatory jurisdiction areallowed to handle and/or dispense orders with alcoholbeverage products

ln Wisconsin, Personal shoppers must hold anoperator/bartender license issued by their localmunicipality

The picking cafts that our shoppers use to pick ;tems,have a roll of stickers labeled with the word "alcohol"

Orders containing alcohol beverage products arebagged and labeled with an alcohol sticker (picirae dright)

This sticker enables our personal shoppers to clearlyidentify items that are subject to additional regulatoryrestrictrons

All picked orders are kept in a secure backroomstaging area, not open to the public, and only whereWalmart employees are permitted to enter

Online Grocery orders are staged separately than other online orders (Site to Store orPickup Today programs)

*red text indicates a control related to alcolrolQB\48160609.1

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Compliance & EthicsOnline Grocery Pickup Procedure Guide

s

Customer Pickup: Order ReviewOnline Grocery Pickup is currently offered between 8am -8pm, 7 days a week (except holidays or other store closures)When the customer arrives, they notify our personal shoppersof their arrival by calling, using mobile check-in, or check-in viathe pickup kiosk (options vary by location)The personal shopper assigned to dispense the order usesthe handheld device to identify the order number and pull theappropriate totes from the staging areasPrior to putting the customer's order in their vehicle, the personalshopper uses their handheld device to review the order with thecustomerThe personal shopper will also review any substituted items,fragile items, out of stock items, and verify customer'sidentification if the customer purchased any age restricted itemsThis review allows the customer to ensure they are getting what they want and provides thecustomer an opportunity to return or reject any item

Only personal shoppers meeting the age requirements within the regulatory jurisdiction areallowed to handle and/or dispense orders with alcohol beverage products

lf a customer's order includes alcohol beverage product, the personal shopper is promptedby their handheld device that there are restricted items in their order

lf alcohol is not allowed to be sold at the time of dispense, the associate isnotified (via their handheld device) that sale ofthe product is currentlyrestricted, the items are automatically removed from the customer's digitalbasket (the customer will not be charged), and the personal shopper willremove the physical product frorl the order (picturcd righl)

The personal shopper will request valid identification and enter thecustomer's date of bifth from the identification into their handheld devicefisictured beksw)

*red text indicates a control related to alcoholQB\48160609.1

.r"dr el,fu,N,s l;rl

i#lE

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'(;,

Compliance & EthicsOnline Grocery Pickup Procedure Guide

lf over 21, the customer can sign for the order, and the personal shopper canplace the final order into the customer's vehicle

lf tlre customer is under 21 and/or cannot provide a valid lD, the alcoholbeverage products are removed from the customer's order and the customeris not charged for these products. (piclurecl ight)

Customer Pickup: DispensinqOnce the customer and personal shopper have:

o Reviewed any substituted items, fragile items, and out of stock itemso Removed any rejected products that the customer no longer wantso Verified the customer's age and identification if the order contained any age

restricted items (and if necessary, removed age restricted items)

The customer signs the order, the customer's account is charged with the final order amount(after removing the cost of any products removed from the customer's order)

The personal shopper places the final order in the customer's vehicle, and the transaction isconsidered complete

*red text indicates a control related to alcoholQB\48160609.1

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Page 26: SAFETY CITY HALL - Sparta, Wisconsin · 2020-03-24 · BF of LaCrosse, LP dba Greendale Manor located at 229 Avon Rd. 11. Consideration of Renewals for Second Hand Licenses for 2019-2020:

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Page 27: SAFETY CITY HALL - Sparta, Wisconsin · 2020-03-24 · BF of LaCrosse, LP dba Greendale Manor located at 229 Avon Rd. 11. Consideration of Renewals for Second Hand Licenses for 2019-2020:

Mav,29,2019 2:37PM SPARTA POLICE DEPT PN 0 1094

See Ad

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dltlonal I

! Town n vr)tage ffcr,t

Application for Temporary Class "5" / "Class B" Retailer's Licensenfotmation on reverse

*sido. Contact the municipal clerk if you have questions.

, -?anra- ::j:'"tion Dat6

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e namsd organiz€tion appliBs for; (cheak apwopriate box(os).)

A Temporary Cl€ss "B" llcenso to sellfermented malt bevorages al plcnlcs or Eimilar Ostherlngs under s. 125.26(6), Wis. Stats.A Temporary "Class B" llcenso to ssllwine at plcnlos or similar gatherings under s. '125,51(10), Wls, Stats.

L'/fat lhe premises described below durlng a special event beginntng 4k4 14 1r/? and endingto comply with all laws, rssolutions, ordinances ahd regulations (state, fderal rir local) affectlng th€ €ale fermented mal

and agreest bovsrages

and/or \.yine if the llcense ls granted

(c)

(d)

(e)

1. Organiza(ion (aheak aFprcptiate box) )

(6) Nane(b) Address ttz v

Mlsse ElcttyDate orsanized /?OAlf corporatioh, give datc oF incorporstionlf th€ named organization ls not requlred to hold a Wisconsln seller's permit pursuant to s. 77.54 (7m), Wis. Ststs., check thisbor: p'

(f) Names end addresses of all officers:President

Vlc,e Presldent

D Bona fide Club SCnurctr E Lodge/SocietyLJ Chamber ol commerce or similar Civic or Tradg Organization! Veteran's organization. n Fair Association

Secretary

Treasursr

(g) Name and address of manager or person ln charge of affair:

/7IFE tqLoa A0, <i4fifl LuI tr/lcA gdf*q27^7lpa2. Location of Premlsse Whore Beer and/orWineWill Be Sold, Sorved, Cohsumed, ot Stored, and Areas WhereAlcohol

Beverage Records Wlll be stored:(a) Street nurrber

(b) Lot

(c) Do

3. Name of Event(a) Llst'hame of the event

(b) D6tes of event 2o

DECLARATIONThe Offlcer(s) of the orgshlzatlon, indlvidually and togstheL declare under penaltles of law that tho intormation provided in this Eppllca-lion ls true Bnd correct to the best oflhelr knowledge and beliof.

(d) lf part of building, de€cribe fully all premises c'overed under this applica tion, which floor or floors, or room or rooms, license istocover: A/ul?zr //tArb@, bf

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tOflicer

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Date Flled wlth Clerk

e)u."d officer

Officer

(Slghdturc/dote)

(s1gnourc/.Jete)

Date Repoded lo cotrncil or Board

Date Granted by Cauncil

Al,31s (R. g-rS) I 1€ aLLicense No.

Wl€conaln Dogsr lm€nt ol Revande

Page 28: SAFETY CITY HALL - Sparta, Wisconsin · 2020-03-24 · BF of LaCrosse, LP dba Greendale Manor located at 229 Avon Rd. 11. Consideration of Renewals for Second Hand Licenses for 2019-2020:

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