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pawn 2008d 00 N O O 00 Ot CD CD �� CD ®�® td CD 0 CD �CD w �A�4� "Application for Occupation License" City of Blair 218 S. 16th Street Blair, NE 68008 (402) 426 4191 The filing of this application or the granting of an occupation license neither confirms nor denies the use of the land as regulated under the provisions of the zoning code, and is further subject to pertinent ordinances of the City of Blair which regulates and licenses specific affections and businesses, Date: !1 ( 2w 4 Business Information: Legal Name of Business fi LA ) 11 P4 t tW Common Name of Business Business Address 16 y -� S'r City I&A 1,2 State ti% Zip (-ZOOS-' Phone Q- Fax Mailing Address (if different from above) Legal Description Describe the nature of your business Pq wy S1-16 P City State Zip Do you have a monitored Security and/or Fire Alarm System at the business address? Yes A' No Will you be selling tobacco products at this business address? Yes No X . Do you have music, vending, pinball machines or billiard/pool tables at this business? Yes No Do you sell, or serve liquor at this address? Yes No �( Bn�- 03! r 03 f 115'1 Primary Contact Name: Pt�'uL- NAME/C Phone e- 3 3.. Secondary Contact Name: 4219 y wA�i/T5 2 Phone a r3D- 07 /Z(,0�g7 - I declare under penalty of false statement that to the best of my knowledge and belief the statements made herein are correct and true. Signature of Owner or Corporation Agent/Owner�� _ �� -�---. Title c,o - Z) OCCUPATION LICENSE REMITTANCE FEE I hereby remit $ This is based on Section 10-902 of the Blair Municipal Code Date Paid: t I Amount Paid: I Ceram'# Assigned: g r G G G W fi fi 5 G G n ri G G fi G �D� December 31st, 2007 Western Surety Company LICENSE AND PERMIT BOND KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 15084261 That we, Paul Hamer & Gary Wachter DBA Blair Pawn Shop G G 0 G 9 G 7 9 tl � G fi fi G 9 of the City of Blair State of Nebraska as Principal, G and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of Nebraska , as Surety, are held and firmly bound unto the City of Blair State of Nebraska , as Obligee, in the penal sum of Five Thousand and 00/100 DOLLARS ( $5, 000.00 ) lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Pawn Shop by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in, all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until December 31st 2008 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration of thi y W& j6) -_days from the mailing of said notice, this bond shall ipso facto terminate and the Surety shall -W feiipbn be relieved from any liability for any acts or omissions of the Principal subsequent to said date Leadless pf�fhe number of years this bond shall continue in force, the number of claims made ggmn this borrij; '44 the number of premiums which shall be payable or paid, the Surety's total limit of hffibility shall not be-ZiRnulative from year to year or period to period, and in no event shall the Surety's total hab hty dor_-a claims_ -exceed the amount set forth above. Any revision of the bond amount shall not be V " G cuniu . ive,. 9 fi Dated this 2nd day of January 2008 G G G fi Blair Pawn Shop 9 G fr Principal G " G G Principal G G Countersigned (where required) W E S TE N S U R E T COMPANY G G � G G G By By G A ointed Agent of Surety Paul T. Bruflat, Seikor Vice President G fi R Form 532-2-2006 9 G G fi G Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota its regularly elected Senior Vice President as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, the following bond: One L & P Bond, Signed - Pawn bond with bond number 15084261 for Paul Hamer & Gary Wachter DBA Blair Pawn as Principal in the penalty amount not to exceed: $ 5, 000 . 00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force, to -wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys -in -Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Senior Vice President with the corporate seal affixed this 2nd day of January 2008 ATTEST L. Nelson, Assistant Secretary STATE OF SOUTH DAKOTA COUNTY OF MINNEHAHA ss WESTE SURET COMPANY By Paul T. Bruflat enior Vice President On this 2nd day of January 1 2008 before me, a Notary Public, personally appeared Paul T. Bruflat and L. Nelson who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. +94hy'�hyyyhhhhhyyMhhSytihh + s D. KRELL s X S AL NOTARY PUBLIC S AE L s s SOUTH DAKOTA�ss, +yyyy�,�,�,yy�,yyyyhyhhh�,�,yy + Notary Public My Commission Expires November 30, 2012 �t Form F1975-9-2006 .0 •aaot3•jo gons se •Ijasaaq/31asuzjq Xq uojleaodaoo ag43o atueu aql Bujugjs Xq paujeluoo ujaaagl sasodsnd aql ao3 luauznslsut gujoSasoj aql palnoaxa `op of os pazjsoglne Sujaq saoi3lo gons se aqs/oq legl pus `uojleaodsoo s ` 3O aql aq ol3lassaq/31asuzjq paSpajmo"oe oqm passadde XIleuossad au aso3aq ` jo Cup sjgl u0 30 AiNf10O ss (saoj3.l0 alesodloO) d0 d.Ld,LS 'IVdIONRtd d0 .I.Ngwo(IgZMONNOV ojlgnd XMION am of pagpajmomioe pus luauinalsuj SujoSaso3 aql palnoaxa oqm pus uj pagjaosap paaeadds i�jjuuossad aw asolaq ' sasjdxo uojssiwwoo SW auiss aql palnoaxa — ag legl - Ienpjnjpuj agl aq of au of umoml 3o Cup sjgl u0 dO A LNfIOO ss d0 HIVILS (ssaulsud so junpjnjpuj) 'lVdIONRId d0 , MEMOMd IMONMW 0 60Z ' L 6 Isn6ny saaidx3 uoissiwwoo AW } hhhhhhhhhhhhhhhhhhhhhhh} elmleQ glnoS aII9nd be m iv3s VIONdO Hinos �V3s s r Onand AUVION s a NRIl3d 'S s jeas jsj3133o pus pueq Cui las olunasag anet I�d%'O'nM MnIIWNI sao133o gons se 3Tasunq ,Cq uojlusodaoo oql •jo aweu oql OujuSjs Xq 'paujsluoo ujaaagl sasodsnd aql ao3 luownslsuj gujogaao3 aql palnoaxa 'op of os pazjsoglne Sujaq 'saog3o gons se aq lugl pue 'uojleaodsoo e ',kNV(Iwoo A.LHmns NagjsS IM 3o saoi3,jo pjesaaoje oql aq ol,Ijasunq paSpajmou-Iou oqm ' leUnsg -1 Ined paaeadde Xjjeuosaad saoT33o paajsaapun agl `aui aso3aq ` 800 Z.zenuer 3O XeP puZ ST u0 F/HVHdNNIW d0 A LNMO (saoT3•j0 alesodloO) ss V I,OMVCI HJ fIOS d0 HIVIS A ,m-iS d0 iNdmQdIMONNON CA 0 o � a ( 0' r (D z tTj rD Z 0 " C/1 D a 9 y O z dd CD b z rt 3 H � olignd XJeION sasjdxa uojssjuiuzoo .cW •aaot3•jo gons se •Ijasaaq/31asuzjq Xq uojleaodaoo ag43o atueu aql Bujugjs Xq paujeluoo ujaaagl sasodsnd aql ao3 luauznslsut gujoSasoj aql palnoaxa `op of os pazjsoglne Sujaq saoi3lo gons se aqs/oq legl pus `uojleaodsoo s ` 3O aql aq ol3lassaq/31asuzjq paSpajmo"oe oqm passadde XIleuossad au aso3aq ` jo Cup sjgl u0 30 AiNf10O ss (saoj3.l0 alesodloO) d0 d.Ld,LS 'IVdIONRtd d0 .I.Ngwo(IgZMONNOV ojlgnd XMION am of pagpajmomioe pus luauinalsuj SujoSaso3 aql palnoaxa oqm pus uj pagjaosap paaeadds i�jjuuossad aw asolaq ' sasjdxo uojssiwwoo SW auiss aql palnoaxa — ag legl - Ienpjnjpuj agl aq of au of umoml 3o Cup sjgl u0 dO A LNfIOO ss d0 HIVILS (ssaulsud so junpjnjpuj) 'lVdIONRId d0 , MEMOMd IMONMW 0 60Z ' L 6 Isn6ny saaidx3 uoissiwwoo AW } hhhhhhhhhhhhhhhhhhhhhhh} elmleQ glnoS aII9nd be m iv3s VIONdO Hinos �V3s s r Onand AUVION s a NRIl3d 'S s jeas jsj3133o pus pueq Cui las olunasag anet I�d%'O'nM MnIIWNI sao133o gons se 3Tasunq ,Cq uojlusodaoo oql •jo aweu oql OujuSjs Xq 'paujsluoo ujaaagl sasodsnd aql ao3 luownslsuj gujogaao3 aql palnoaxa 'op of os pazjsoglne Sujaq 'saog3o gons se aq lugl pue 'uojleaodsoo e ',kNV(Iwoo A.LHmns NagjsS IM 3o saoi3,jo pjesaaoje oql aq ol,Ijasunq paSpajmou-Iou oqm ' leUnsg -1 Ined paaeadde Xjjeuosaad saoT33o paajsaapun agl `aui aso3aq ` 800 Z.zenuer 3O XeP puZ ST u0 F/HVHdNNIW d0 A LNMO (saoT3•j0 alesodloO) ss V I,OMVCI HJ fIOS d0 HIVIS A ,m-iS d0 iNdmQdIMONNON