G-1106 - 05/23/2017 - ALCOHOL - Ordinances Supporting Documents ITEM 6.13.2)
BOARD OF TRUSTEES MEETING
VILLAGE of SAMUEL E. DEAN BOARD ROOM
OAK BR , K BUTLER GOVERNMENT CENTER
1200 OAK BROOK ROAD
OAK BROOK, ILLINOIS
630-368-5000
AGENDA ITEM
Regular Board of Trustees Meeting
of
May 23, 2017
SUBJECT: An Amendment to Title 4, Chapter 1, Section 8A of the Village Code of
the Village of Oak Brook, Illinois Relative to the Number of Authorized
Liquor Licenses.
FROM: Charlotte K. Pruss, Village Clerk
Kathy Vonachen, Deputy Village Clerk
BUDGET SOURCE/BUDGET IMPACT: N/A
RECOMMENDED MOTION: I move to approve passage of Ordinance G-1106
"An Ordinance Amending Title 4, Chapter 1, Section 8A of the Village Code of
the Village of Oak Brook, Illinois by Increasing by One to Thirty-two the
Number of Authorized Class A-1 Liquor Licenses
Background/History:
L.T.D. Restaurant, Inc. d/b/a Blueberry Hill Cafe has made an application to the Village
of Oak Brook for a Class A-1 Liquor License for their restaurant,Blueberry Hill Cafe
is located at 3041 Butterfield Road. The approval of this liquor license will increase
the number of Class A-1 liquor licenses in the Village of Oak Brook from 31 to
32. Background checks are being processed at this time for the owners.
The applicants have requested that this application be brought before you for
your consideration at the Village Board's regular meeting of May 23, 2017. Enclosed
for the Village Board's review is the Application for a Liquor License. All ordinance
submittal requirements have been met.
Recommendation:
The recommendation is for Passage of Ordinance G-1106, which increases the number
of Class A-1 liquor licenses by one. Provided that all ordinance requirements are met,
the Local Liquor Commissioner Gopal Lalmalani, will issue a Class A-1 Liquor
License to L.T.D. Restaurant, Inc. d/b/a Blueberry Hill Cafe, at 3041 Butterfield Road.
BOT AGENDA Page 1 /?G
FOR OFFICE USE
si
Date Approved: . VILLAGE-OF OAK BROOK
License 9 Issued: C7iD $ Charlotte K Pruss.Village clerk-
Fee Received: ea 12tH)oak Brook Road
Oak-Brook,Illinois 0513-2255
1630)368-5036 fax(6307 368-5037
, oal*-brook.
APPLICATION FOR LIQUOR LICENSE kvonachen
Application is hereby made to the Local Liquor Control Commissioner of the Village of Oak Brook for issuance or
of a Village of Oak Brook liquor license,pursuant to the ordinances of the Village and laws of the State of Illinois.
In support of said application,the following is submitted:
CLASS: FEE:
EXTENDED HOUR FOR CLASS A-I LICENSE ONLY: Yes 0 No®ADDITIONAL FEE: 500.00
Corporate Name: LTD Restaurant. Inc. Phone : 630-575-8401
Business Name: -Blueberry Hill Phone#:
Establishment Name: Phone#:
Corporate Address:
Street Address 3041 Butterfield Road Fax#:
City/State/Zip Oak Brook, IL 60523 E-Mail Address: bluehillthrill@yahoo.com
Contact Name: Steve Zervakis Contact Title: President
Phone#: E-mail address:
Establishment Address:
Street Address 3041 Butterfield Road Fax#: 630-575-8402
City/StatelZip Oak Brook, IL 60523 E-Mail Address: bluehillthrill@yahoo.com
Contact Name: George Nikolopoulos Contact Title: Secretary
Phone#: E-mail address: blgehi1172019Pgmail com
State of Illinois Liquor License Number: Expiration Date:
List each specific location within this 1
establishment where alcoholic 2) - --
liquor is being offered for retail sale: 3)
4)
5 -
6
Ownership of Premises: Owned For initial application. provide proof of ownership (e.g.title policy)
Leased If]eased,provide copy of lease for full period of license and provide the
following information:
Name of Lessor: RPAI
Address of Lessor: 2021 Sorinp Road #200
City, State&Zip: Oak Brook, IL 60523
TYPE OF BUSINESS: M Corporation ffl Individual/Sole Proprietorship 0 Limited Liability Co.a Partnership
Length of time in business: 4 Vears Character of business- Full Service Restaurant
l_IQI`(_)RI-ICENSEAPI'LICAIION 5-12
Page 1 01,9
^
vILLAcor OAK aPOOK
.
Charlo:ic K Pruss,volagoclero
1200 Oak Brook Road
Oak Brook,Illinois uvo/-2ss
4630)W-5036 p3,1163W 368'5037
&°orm,xm.&ouk-bp^«"w
INDIVIDUAL/SOLE PROPRIETORSHIP : Are you o resident oy Oak Brook MYcu No
Other than an Individual/Sole Proprietorship this section must be completed by an authorized agent of
the applicant
This applicant. other than uo/ndivi6uuKBote Proprietorship, was organized, formed,or incorporated under the laws ofthe
state of UU on the 1 8th day of March
If applicant was not organized,fomocdoribcmrp*na,ed in the State of Illinois. io applicant uforeign business qualified
under one of the following to transact business in Illinois DYes El No P|eaoc check which one:
E3 Illinois Business Corporation/\ct El}}|inniuflrviocd Uniform Limited Partnership Act
[3 Illinois Secretary ofState []Illinois Revised Uniform Partnership Act
Other than an Individual/Sole Proprietorship is this business qualified pursuant to one of the following\n transact business
in Illinois(0 Yes El No Please check which one:
Illinois Business Corporation Act 0111ioois Revised Uniform Limited Partnership Act
Illinois Secretary of State El Illinois Revised Uniform Partnership Act
Registered Agent:
Name: Harry J. Fournier Telephone #:
Street Address 2O01 Midwest Road, Suite 208 Fax#' 630792~21
Citv/Sta1e/Zip Oak Brook, IL 60523 E,Mui| Addrrwu: M|@fou'niedawf|nnnd.mom
E3 "ycs 0 N Does the applicant,the rnuoaQnr or any person or entity listed as[)Oiccc Shareholder, Mmrnhec
Manager or Partner possess u current Federal wagering and gaming device stamp?
(Y\es,provide details on reverse side) tor unenmudienouw)
[I Yes EjNo Has u federal wagering stamp been issued bv the federal government for the current tax period
for the premises for which u |iouuoo is sought'?
(Dyex.}xovide details mn reverse side)
Yey ED No Has applicant,the manager or any person wr entity listed us Officer, Shareholder, Member,
Manager or Panner ever been convicted of a violation of any Federal or State law concerning
the manufacture, possession or sale of alcoholic liquor. or forfeited their bond for failure to
appear in court uo answer charges for any such violation?
(]fyes,provide date, qff�nae..'urisdiction and case number on reverse side)
El Yes MNo Has applicant made application for similar mrother liquor license oo premises other than
described io this upplicutioo2
VILLAGE 017 OAK BROOK
Charlotte K.Pruss,Village Clerk
1200 flak Brook Road
Oak Brook,Illinois 60523-2255
(630)368-5031S Fax(630)368-5037
kwinachen,
(#'Yes.provide disposition o1 such application on reverse side) �oak-brookorg
Yes No Has any liquor license issued to the applicant ever been revoked or suspended?
(If yes,provide date, reason and jurisdiction on reverse side)
❑ Yes LU No Has applicant, the manager or any person or entity listed as Officer,Shareholder. Member,
Manager or Partner ever been convicted of a gambling offense in violation of Section 28-3) of
the Criminal Code of the State of Illinois(720 ILCS 5.28-1, et seq.), as heretofore or hereafter
amended, or as proscribed by a statute replaced by any of the aforesaid statutory provisions?
Qfj,es,provide date, offense,jurisdiction and case number on reverse side)
❑ Yes 2 No Has applicant.the manager or any person or entity listed as Officer, Shareholder, Member,
Manager or Partner ever been convicted of a felony?
1
[3 Yes [ZJNo Has applicant, the manager or any person or entity listed as Officer. Shareholder, Member.
Manager or Partner ever been convicted of being the keeper of,or is keeping,a house of ill
fame?
12 Yes El No Has applicant, the manager or any person or entity listed as Officer. Shareholder, Member,
Manager or Partner ever been convicted of pandering or other crime or misdemeanor opposed
to public decency and morality?
INDIVIDUALS:
For each Person, Owner,Partner,Officer,Director,Member and Stockholder holding directly or beneficially
more than 5%of stock in the business please provide the following information,
Position Held Within Organization --�Xoof stock
Name i.e.Owner.Managing Partner, general partner,shareholder, owned or
officer(name office held) membshp
interest
George Nikolopoulos Owner 50
Steve Zervakis Owner 50
LIQUOR LICENSE APPLICA I ION 05-12 Page 3 of 4
VILLAGE OF OAK BROOK
;F • Charlotte K Pruss,Village Clerk
1200 Oak Brook Road
Oak Brook,Illinois 60523-2255
(630)168-5036 Fox(630)368-5037
kvonachcn.doak-brook or
— I g
FOR EACH OF THE INDIVIDUALS LISTED PLEASE PROVIDE THE FOLLOWING INFORMATION:
Name: Steve Zervakis Phone number:
Address: Date of Birth:
BONN-
City/State,Zip Place of Birth: _-.
Drivers License Number: #
Position held 67th above named business: Shareholder, Director and Officer
0 Yes [3 No Are you a citizen of the United States? ❑Yes F1 No Are vou a Naturalized Citizen?
If you are a naturalized citizen give date and city of aturalization: NIA
Court in which (or law under which)you were naturalized N/A
Name: George Nikolopoulos Phone number:#
Address: Date of Birth: MEMO_
City/State,Zip Place of Birth:
Drivers License Number:
Position held with above named business: Shareholder, Director and Officer
El Yes D No Are you a citizen of the United States? [:] Yes M No Are you a Naturalized Citizen?
11•You are a naturalized citizen give date and city-qfnaturalization.-N/A
Court in which for law under which)you were naturalized N/A
Name: N/A Phone number:
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number:
Position held with above named business:
MYes 17No Are you a citizen of the United States? [3Yes ONO Are you a Naturalized Citizen?
ff.vou are a naturalized citizen give date and city of naturalization:
L IQUOR.LICENSE AT'I`LICA I ION 05-12 Page 4 ot 9
VILLAGE OF OAK BROOK
Charlotte K Pruss.Village Clerk
1200 Oak Brook Road
Oak Brook,Illinois 6052.3-21255
(630)368-5036 Fax(630)368-5037
Court in which (or Imi,under which)),ou were naturalizes! orp
d
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number.
Position held with above named business:
❑ Yes ❑ No Are you a citizen of the United States? 0 Yes ❑No Are you a Naturalized Citizen?
If are a naturalized citizen give date and cit),of naturalization:
Court in which(or law under which)you were naturalized
Name: N/A Phone number:
Address: Date of Birth:
City/state. Zip Place of Birth:
Drivers License Number:
Position held with above named business:
0 Yes 0 No Are you a citizen of the United States?
[] Yes No Are you a Naturalized Citizen9
If you are a naturalized citizen give date and cite of naturalization
Court in which (or law under which)you were naturalized
Name: N/A Phone number:
Address: Date of Binh:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business
Yes El No Are you a citizen of the United States? 0 Yes ❑No Are vou a Naturalized Citizen?
If)!ou are a naturalized citizen give dole and city of naturalization.
Court in which(or law under which)j-ou were naturalized
LIQUOR LICENSL APPLICATION 05-12 Page 5 01")
VILLAGE OF OAK BROOK
• Charlotte K Pruss-Village Clerk
1200 Oak Brook Road
Oak Brook,Illinois 60523-2255
1630)368-5036 Fax(630)368-5037
kvonachen(jdbak-brook ortz
Name: N/A Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
rl Yes El No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
jfj,ou are a naturalized citizen give date and cit),ofnaturalization.-__
Court in ivhich (or lavi, under ii,hich)you were naturalized
Name: N/A Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: 9
Position held with above named business:
[I Yes ❑No Are you a citizen of the United States? ❑ Yes [3 No Are you a Naturalized Citizen'."
jfj,ou tire a naturalized citizen give date and city qf naturalization: _
Court in which (or law under ii,hich)you ivere naturalized
Name: N/A Phone number:#
Address: Date of Birth:
City/State, Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
Q Yes ❑No Are you a citizen of the United States? Yes ❑No Are you a Naturalized Citizen?
ff.))ou are a naturalized citizen give date and city of naturalization:
Court in which (or lam,under which)you were naturalized
LIQUOR LICENSE APPLICATION 05-12 Page 6 of
i•` •• VILLAGL-OF OAK BROOK
�+ Charime K Pruss,Village Clerk
1200 Oak Bmok Road
Oak Brook,Illinois 6U523-2255
•n ° 4030)368-5036 Yax(6301 3(,8-5037
kvonachcn u!oak-hr,n7k arg
Name of person operating as General Manager of the premises: George N ikolopoulos
Name of person operating as Liquor Manager of the premises: George Nikolopoulos
A Manager Application Form must be submitted for the individuals named above. An initial application must
also include completed fingerprint card
RESTRICTIONS:
a. No liquor license shall be issued to any person for premises upon which theatrical or other live
performances, which Include the types of conduct enumerated in Sections 3-55 of Chapter, 3 shall
constitute the entertainment offered to the patrons thereof. This prohibition includes.. but is not limited
to, any entertainment, fashion show or other presentation which may include any person in a nude or
semi-nude state, including, but not limited to. servers, hosts, hostesses, dancers, singers, models or other
performance artists, or role playing interactions.
b. No liquor license shall be issued to any person for premises upon which a men or women's club is
located.
INSUW4,NCE REQUIREMENTS:
a. Certificate of general liability insurance with limits of not less than $1.000,000 combined single limit
or $1,000.000 per occurrence and per aggregate naming the Village of Oak Brook as a party insured
issued by an insurance company licensed to do business in the State of Illinois having a "Best' rating
acceptable to the Village. The effective period of such insurance coverage shall coincide with the period
the liquor license is in effect.
b. Policy of liquor liability insurance by a responsible insurance company authorized and licensed to do
business in the state insuring such applicant in the amount of' not less than one million dollars
($I,000,000).
SUBMITTALS:
In addition to this application form the following must be submitted:
=Annual Fee plus Extended Hour Fee if Applicable
_=Certificate of Insurance
Liquor License Manager Application Form
Lease-If premises not beneficially owned by Applicant
Proof of completion of the Illinois Department of Alcohol and Substance Program by all
facility managers and employees as is necessary.
LIQL'UK LICENSE APPLICATION 05-12 Page 7 ui 9
`
vII-LAGsoFOAK BROOK
3 1200 Oak Brook Road
Oak Biook,Illinois 60523-2255
/6'm36u-5om Fax m30`36«-5u37
x'*m,hen'4,'mm~br"okm$
=uoof'ufconncUeti0nofubcnduouebva|| fbci|ityrnaomgerumoderop1aymmoumimneccsmocy
wfo Alcohol Awareness Training Program conducted hY the Oak Brook Police
Department.
Initial Applicants must also provide:
Proof uf ownership o[premises(*.g. title report)
Floor Plan, uurequired for any premises im he licensed for sale of alcoholic liquor for
consumption on the prcrniacs' douvmn to mca|c, and vvbh sufficient detail 10 depict types of
mcatio0. location of bars and other design features. (Submit twelve (}2) copies ofFloor
Plan and Meou.)
jz:lompleted fingerprint cards for each Corporate Officer. General Manager and Liquor Manager
rop|wyem liquor handling training manual describing the specific procedures ofthe
applicant to monitor operations to insure no incidences of underage drinking.
Applicant understands and agrees that additional information and material may ho required during the
pmmoeuuiog of this application related to applicant's qwm|ifivadoum. the ioybnnmdon provided herein,
including attachnoento, and the c|oam of license involved. Applicant agrees to provide such oddidnou|
information and material And that failure to do no may delay the processing of this application or rceu|{
in its denial.
Applicant understands that ou liquor license shall be issued to any person:
(o) for premises upon which theatrical or other live perfhnnunxey which include the types of conduct
enumerated im Section 3-55uf Chapter 3of The Oak Brook Village Code. This prohibition includes.
but is not limited to, any enlertunrocot. fashion show or other presentation which may include any
person in u nude Vr semi-nude state. including, but not limited to, servers, hosto' hostesses, dancers,
min erm, models or other performance artists, orrole playing interactions.
(b) for the um|c at retail of any alcoholic liquor within one hundred (100) feet of any church, school,
hospital, home for the aged VC indigent persons or for veterans. their spouses or obi|dncn or any
military or naval stations.
(c) for premises upon which onmco=uoc women's club is located.
In the even/ /kpp|ioao1 is made aware that any information or document submitted. an part of this
app|ivadmo process is inaccurate or incomplete, Applicant agrees to immediately notify the Village and
provide appropriate corrections. Applicant understands and uQr*om to provide nUch m6dhiouo}
iutbomudnn and roa1eho|, and that failure \odoso may delay the processing o[this application mrresult
in its denial.
LIQUOR LICENSE APPLICATION 05-1: Page S of 9
`
VILLAGE u°OAK BROOK
c^aru*u ,mss.Village Clerk
/zoo Oak Brook Road
Oak a,wm.Illinois 6m5z/-2os
(^30)son-5o3^ Fax mm/?w�0-17
h�°nacu��ma-hr"ok-wm
) the O-Z -of the above licensee, hereby oerti8' under oath,
that the foregoing application is true and correct and all information previously submitted on the original
opp|iomdon, including the floor plan, has not changed. l further understand that any incorrect or fraudulent
statement made iu this application constitutes grounds for inuncdiuhcsuspension and/or revocation`of the liquor
license herein sought.
The undersigned. does further state umfollows:
That the undersigned is empowered to prepare and sign this application on behalf of the applicant.
That the undersigned has reviewed this application, and all attachments and submittals,and that the information
contained herein im true and accurate.
That the underxigned, on he6olfofthe Applicant, auknow|cd�euand agrees that o false u1utermeotkouvving}y
made in this application uboU bar the/�pp[icaol from fuoherconuideration and the application shall be denied.
That the undersigned is not disqualified 1V receive a liquor license by reason of any ,naUcr or tb|o� contained in
the laws o[this a�oe, or the ordinances of the~�i|luQe. ^
That the undersigned will not violate any ofthe laws ofthe State of Illinois. oruf the United States,
including but
not limited to the Americans With Disabilities / ct, o� an), ordinances o f the \ i|/ugo in the conduct of the
applicant's place ofbusiness.
APPLICANT
BY:
Signature
Print Name 1
Title
LxumxurawacxpxecA'nu.Nmz
Page^01v
ID:_NY
LTDRE-1
�..�--- CERTIFICATE OF LIABILITY INSURANCE
OAYE{L
THE C�y KATIE Is MSM AS A MATTER OF 11111FORMATHM ONLY AND CONFOW NO RIGHTS UPON THE MTIPICATE HOLOM tTW
CNMFICATi DOES NOT AFFVWAATiVEIY OR MeGATWKy AWND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. T"'S f2Mi nf4CATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETMIEEN 1?tE 18SIANf3 INStIRt:R(gy, AUTNORITED
itl£ERIMENTATIM OR PROOUCER.AND 7HE COMCAT'E HOLDWL
>AfrORTANT: tf the o t ocom holder Is an AMMONAL iNWRED,the pdit7010)MOO have ADDITIONAL INWROD protrtsioos or be wkbmmd.
ff SLOROGATION IS WAIVED,abject to the Hunt ow e011ditions of Policy,oerWn policies mW require OI1 Ct►dorratelllrellt. A stt�rlart on
oft 4001901 daft not oonlw to the ol111dOfEt 1101det In Neu of such
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E0, NOTiMTHS7ANDtlit3 ANY REQIARSi1ENT. TETd1 OR t3oNtDfTION OF 111V1f OONTitACT OR OTHER t)OCUNEItT WITH RESPECT T4 YNiglr THkR CATE tt1AY BE ISSlIEO OR tttAY PE{iTAtN, THE INSURAm 11l�FORt?EO BY THE POtJC1ES DESL lI FIEREi11 65 8116 ECT TO ALL THE TERMS,
ONt's AND CONOiITICtt1S OF SUCH POLICIES.LIMITS SHOWN MAY HAUL-BEEN UCED BY PAID CLAIMS.
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VILLAGE OF OAK BROOK
Charlotte K.truss.Village Clerk
1200 Oak Brook Road
Oak Brook,Illinois 60523-2255
.n 1630}358-5036 Fax(630)368-5037
kvonachen roak-brook.or
LIQUOR LICENSE
MANAGER APPLICATION
Corporate Name: LTD Restaurant, Inc.
Business Name: Blueberry Hill
Establishment Name:
Street Address 3041 Butterfield pllulle q: 630-575-8401
Applicant Phone#:
Name: George Nikolopoulos e-mail(wk) bluehi1172010-gmail.com
Home
Address: Date of Birth
City/State,Zip place of Birth.
Drivers License Mor
Position held with above named business: Shareholder, Director and Officer
0 Yes ❑No Are you a citizen of the United states? [] Yes Jo No Are you a Naturalized Citizen?
Ifyou area naturalized ed citizen Rive date and city ol naturalization:
Court in which (or lax,tinder which)you were naturalized
❑ Yes 0 No Do you possess a current Federal wagering and gaming device stamp'?
(If yes,provide details on reverse side)
❑Yes m No Have you ever been convicted of a violation of any Federal or State law concerning the
manufacture.possession or sale of alcoholic liquor,or forfeited their bond for failure to appear
in court to answer charges for any such violation?
(If,es.provide date, gffense,jurisdiction and case number on reverse side)
❑ Yes JZ No Have you ever been convicted of a gambling offense in violation of Section 28-3 of the
Criminal Code of the State of Illinois(720 ILLS 5.28-1,et seq.),as heretofore or hereafter
amended. or as proscribed by a statute replaced by any of the aforesaid statutory provisions'?
(If ti=es,provide date, ojjense,,jurisdiction and case number on reverse side)
❑ Yes Z No Have you ever been convicted of a felony?
❑ Yes ®No Have you ever been convicted of being the keeper of, or is keeping,a house of ill fame?
❑ Yes [ No Have you ever been convicted of pandering or other crime or misdemeanor opposed to public
decency and morality?
1.1[>I TOR LICENSF MANAGER APPLICATION J'OMI 12-0-, Page 142
^
VILLAGE o*OAKaROo
Charloitc K,Pruss,Village Clerk
1200 Oak Brook Road
Oak Brook,Illinois 60523-2255
,^wo3^8-oo.36 Fax'*m/ax-5uar
kv�ond�*o��^k-6mokvmp
[-1`�eo [�U��o }{aveyou ever been convicted oym drug-related of0rnoe�
(/yxms,provide date, qffense.jurisdiction and case number v//reverse side
J
E]Yes [Z No Have you pled guilty to or were you ever been convicted of driving under the influence, Class
/\misdemeanor?
indicate on reverse side date ufemiln'plea ur date«f conviction and i/'smuppmx6on given,
date mfmo no/'smvpnnskn/
C1 Yes MNo Have you successfully completed a State-licensed alcoliol seller/server education program.
8�es,please provide*cxp)`mrthe Cert�lcafe ofConipletion. //no.please arrange Ao attend m
Village of'Oak Brook BASSETprogram.
Liquor Handling Experience-91wounprovidenunoeunduddreosofunyodhec|i4uoreutahliobmen( inv�hich you
have been employed or owned uo interest.
/ onoath state that I will not violate any of the ordinances of the Village of Oak Brook or the laws of the State of'
Illinois orthe United States of America in the oporo i f c of business described erein,that I have read
rein a
statement
and understand the Oak Brook liquor control oodima JPM
Signature
`
LIQUOR LICENSE MANAGER xPPt/cAmuwFonw 05-12 x,x,zo/z
` VILLAGE OF OAK BROOK
Charlotte K Pruss,Village Clerk
120 Oak Brook Road
Oak Brook.Illinois 60523-2255
�sr 030)3611-5036 Fax{630)368-5037'
kvonachen a oak-brooks
LIQUOR LICENSE
MANAGER APPLICATION
Corporate Name: LTC} Restaurant, Inc.
.Business Name: Blueberry Hill
Establishment Name:
Street Address 3041 Butterfield Phone#. 630-575-3401
Applicant Phone#:
Name: Steve Zervakis e-mail(wk)
Home ME"
Address: Date of Birth:
CitvlState, Zi Place of Bi
Drivers License#
Position held with above named business: Shareholder, Director and Officer
10 Yes ❑No Are you a citizen of the united States? Yes 1ZNo Are you a Naturalized Citizen?
#*you are a n(auralized citizen give dale and cite of naturalization:
Court in which (or law,tinder►vhich).vou vivre naturalized
E) Yes Z No Do you possess a current Federal wagering and gaming device stamp?
(1f),es,provide details on reverse,side)
❑Yes 0 No Have you ever been convicted of a violation of any Federal or State law concerning the
manufacture,possession or sale of alcoholic liquor,or forfeited their band for failure to appear
in court to answer charges for any such violation?
(1f yes,provide date, offense,jurisdiction and case number on reverse side)
Yes No Have you ever been convicted of a gambling offense in violation of Section 28-3 of the
Criminal Code of the State of Illinois(720 ILCS 5?8-1,et seq.),as heretofore or hereafter
amended, or as proscribed by a statute replaced by any of the aforesaid statutory provisions?
(If yes,provide date, offense,jurisdiction and case number on reverse side)
Yes ( ]No Have you ever been convicted of a felony?
❑ Yes ®No Have you ever been convicted of being the keeper of, or is keeping,a Douse of ill fame?
Yes No Have you ever been convicted of pandering or other crime or misdemeanor opposed to public
decency and morality?
LIQUOR LI('ENSI,AIANAOLR AFPI-ICATIt)N Ft-JR,M 12-0 Page I of'-
YJ LLAGE OF OAK BROO CluK
Chai lotte K Pruss,Village k
12()U Oak Brook Road
Oak Brook,Illinois 60523-2255
16301368-5036 Fax t630)368_3037
❑Yes 0 N,) Have you ever been convicted of a drug-related offense?
kyonachen(jawk-bi-ook.org
(1b,es,provide date, offense,jurisdiction and case nwnber on reverse side)
F-1 Yes WEF.AjNo Have you pled guilty to or were you ever been convicted of driving under the influence.Class
A misdemeanor?
jf),es, indicate on reverse side date qfguiI4,plea or date of conviction and ij'susj)ension given,
dateo.f completion ofsuspension.
❑ Yes MNo Have you successfully completed a State-licensed alcohol seller/server education program?
If',yes,please provide a col)}'of the Certificate t?f Completion. #'no.please arrange to attend a
Vilkge of Oak Brook BISSETprogram,
Liquor Handling Experience—Please provide name and address of any other liquor establishment in which you
have been employed or owned an interest.
I on oath state that I will not violate any of the ordinances of the Village of Oa• ook or the laws of the State of
Illinois or the United States of America in the operation oftIQ place.of busi -Iss scribed herein.that I have rod
and understand the Oak Brook liquor control ordinances and tints erein are true and correct.
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Signature
I.IQII()I(LICLNSI---.N,IA-NA(ohR,I%PPLICA-rl()N FORM US-1-1 Pave 2 of 2
cate of C
This is to certify that
Stefanos Giannouris
has completed
Learn2Serve Off-Premises Alcohol Seller/Server
Completion Date 03/17/2017
Course Duration 3.0 t`
Certificate it 000011958816 360train,
:+v!';rainingcram 4!3801 6urrie,Rd.,Suds I Ausun.7X,8727 60D-s42-1I w,u+a36i)tran n�suVVcrLcen-.
Illinois BASSET Can-Premise
SELLER / SERVER CERTIFICATION
Trainee Name: Haralambos Alexopoulos School Name;
Date of Completion: 03/13/2017 360training.com dba Learn2Serve
certify that the above named person This course provides necessary
successfully completed an approved knowledge and techniques for the
Learn2Serve Seller/Server course. responsible serving of alcohol.
This is your temporary certificate of completion.You will receive you official card in the mail. Please forward all questions to suppart cD36gt raining cum.
L.:J I
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ORDINANCE 2017-LC-AL-G-1106
AN ORDINANCE AMENDING TITLE 4,CHAPTER 1, SECTION BA
OF THE VILLAGE CODE OF THE VILLAGE OF OAK BROOK, ILLINOIS
BY INCREASING BY ONE TO THIRTY-TWO
THE NUMBER OF AUTHORIZED CLASS A-1 LIQUOR LICENSES
WHEREAS, Title 4, Chapter 1, Section 8A (4-1-8A) of the Village Code of the Village of Oak
Brook authorizes certain numbers of liquor licenses and the number of such licenses issued for each
class of license may be increased or decreased from time to time by ordinance approved by the President
and Village Board due to changes in ownership of licensed premises, the creation of a new and deserving
business enterprise, or the abandonment, revocation, surrender or other termination of an existing
license; and
WHEREAS, the President and Board of Trustees of the Village deem it advisable and in the best
interest and in furtherance of the general welfare of the citizens of the Village that the Village Code of the
Village of Oak Brook be amended to increase the number of Class A-1 liquor licenses and to enable the
Local Liquor Control Commissioner to issue a new Class A-1 license to L.T.D. Restaurant, Inc. d/b/a
Blueberry Hill Cafe, 3041 Butterfield Road, Oak Brook, Illinois.
NOW, THEREFORE, BE IT ORDAINED BY THE PRESIDENT AND BOARD OF TRUSTEES OF
THE VILLAGE OF OAK BROOK, DU PAGE AND COOK COUNTIES, ILLINOIS as follows:
Section 1: That Section 8A of Chapter 1 (Liquor Control) of Title 4 (Business and License
Regulations)(4-1-8A) of the Village Code of the Village of Oak Brook, Illinois be amended by deleting the
table of licenses in its entirety and replacing it with the following table:
amass O# . i m
dal!fielurx� .
7 ,.
v
A-1 $2,000.00 $2,750.00 34-32
A-2 2,000.00 2,750.00 0
A-3 2,000.00 2,750.00 1
B 2,000.00 2,750.00 13
C 2,000.00 2,200.00 1
D 2,000.00 2,200.00 2
E 2,000.00 4,950.00 61
F No Fee $50 per event Not Applicable
G No Fee No Fee 0
H No Fee No Fee 1
1 2,000.00 2,750.00 2
J 2,000.00 500.00 0
K 2,000.00 2,750.00 1
L 2,000.00 2,750.00 1
Section 2: That this ordinance shall be in full force and effect from and after its passage,
approval and publication as required by law.
Section 3: That all ordinances or parts thereof in conflict with the provisions of this ordinance are
hereby repealed to the extent of such conflict.
Additions are bold and double-underlined; .
Ordinance 2017-LC-AL-G-1106
Amending Title 4,Chapter 1,
Section 8A Relative to Liquor
Licenses Page 2 of 2
APPROVED THIS 23rd day of May, 2017.
Gopal G. Lalmalani
Village President
PASSED THIS 23rd day of May, 2017.
Ayes:
Nays:
Absent:
ATTEST:
Charlotte K. Pruss
Village Clerk