Koi Ramen Permanent Premise Approval 04-10-2023Alcoholic Beverage Control
109 SW 9th Street, 5 Floor
PO Box3506 ,
Topeka KS 66601-3 06
Phone: 785-296-7015
Fax: 785 -296-7185
kdor _ abc.licensing@ks.gov
www.ksrevenue.gov/abc.html
REQUEST FOR PERMANENT PREMISE APPROVAL
Check one: ~ ew License Application Q~,ermanent Change to Premise
Clllocation Change -Required ABC-22 and a copy of your lease or deed are attached.
Licensee lnfo~mation
Business DBA Nat e Koi Ramen
License Number (New License Applicant -enter your FEIN)
88-2016654
Business Location ~treet Address City County Zip Code
3015 South 9,h Street #H Salina Saline 67401
Phone Number Email Address Contact Phone Pdon
Lyu Qingpen (719) 896-1820 qingpenqlyu@gmail.com
I am applying fo1or have a Retailer, Farm Winery, Microbrewery or Microdistillery license. CJ Yes bl No
If yes, is tlie premise at least 200 feet from a school, college or church? ClYes Cl No
I have a Farm Wlinery or Producer license and am applying for an on-premise liquor license. OYes O No
If yes, are you a registered agritourism operator? DYes D No
If yes, I have attached a copy of my reQistration certificate . DYes C No
Diagram: . I Check the appropriate box then draw a complete diagram of the premises for which you are seeking approval or attach your drawing.
The diagram must Include all entrances, exits and Interior doors, walls, coolers, bars, liquor storage space, kitchen, counters, sales
areas, office, restrobms, etc. Architectural drawings wlll lli!!_be accepted. Return the completed form to the address above.
Check one: Cl )iagram drawn below Ill 8Y2 X 11" drawing attached
ABC-806 (Rev. 05/2!)
Page 2 of 3
Alcoholic Beverage C?ntrol
109 SW 9th Street, 5111 Floor
PO Box 3506 I
Topeka KS 66601-3506
Zoning:
Phone: 785-296-7015
Fax: 785-296-7185
kdor _ abc.licensing@ks.gov
www.ksrevenue.gov/abc.html
CERTIFICATE OF CITY, TOWNSHIP OR COUNTY CLERK
License Type (applicant check one):
OCatere I DHotel DNon-Beverage User
ODlstrib tor DHoteVCaterer DPackaging/Warehousing Facility Permit
IJDrinking Establishment DManufacturer DPrivate Club: llJA or llJB
DDrinking EstablishmenVCaterer DMicrobrewery DProducer
DFarm ~inery DMicrobrewery Packaging/Warehouse DPublic Venue
DFarm ~nary Outlet DMicrodistillery DRetailer
DFulfillm Int House DMicrodistillery Packaging/Warehouse DSpecial Order Shipping
NOTICE TO CITY/COUNTY CLERK: Submission of this zoning form by the applicant to the City or County constitutes notification to the
governmental entity that an application for a liquor license has been or will be received by the ABC. Should the City or County you represent desire
to make any commentsl suggestions or recommendations relative to the granting of or refusal to grant a license to the above-named applicant; or,
the premise for which licensure is sought or to request a hearing pursuant to K.S.A. 41-318 or41-2608, it may do so by submitting such comments,
suggestions, recomme 1 dations or requests to the ABC within 1 O days of the date you affix your seal to this document. You may submit your written
request to the address pr fax number provided at the top of the form.
I HEREBY CERTl~Y THAT THE PREMISES AT 3015 South 9th Street #H Salina 67401 IS: I _L_o_ca_t_lo_n_S~t-re_e_t A~d-d-r-es-s~~~~~~~C~i~~~~~~~--,Z~i-p~~
(Check one box in each section below)
CITY LIMITS: Inside the incorporate city limits C Outside the city limits Saline
County
New Retailer app/lcants only: K.S.A. 41-303 states no license shall be granted to any applicant unless:
1. The board of county commissioners has adopted a resolution approving the Issuance of a license to the location.
A certified co of such resolution must accom an the license a lication.
ZONING:
THE CITY/COUNliY ALLOWS: i' Basic Hours B Expanded Hours (Sunday sales)
Ii I understand any changes to the approved diagram must be submitted to the ABC an approved prior to making any change
and that this diagr~m is subject to onsite review by an ABC Enforcement Agent.
Ii I understand that must maintain a copy of the approved diagram on the licensed premise and make it available for
immediate inspection upon request.
Under penalties of perju , I declare the Information contained in this document a true, accurate and complete disclosure of information.
if..,,A_C:::__~~°':> '--' ,.J -~-/~
Licensee Signature
ABC Office Use Onlv
0 DIAGRAM APPROVED AS SUBMITTED
0 DIAGRAM DENIED I
Reason Denied:
ABC-806 (Rev. 05/221
Robert E. Duncan 11, Attorney/Process A· 04/05/2023
Printed Name Date
Signature of ABC Official Date
Page 3of3
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DEP,,ARTMENT OF PUBLIC WORKS .
Daniel Stack. P.E., City Engineer
Jim Teutsch, Operations Manager
300 WestAsh · P.O. Box 736
Salina, Kamas 67402-0736
May 4, 2016
Ms. Heather Hitchcock
Abeln & Associates Architects, PA
11827 W 112t11 Street
Overland Park, KS 66210
Dear Ms. Hitchcock:
.. I ··1
City of TELEPHONE · (785) 309-5725
FAX · (785) 309-5713
TDD · (785) 309-5747
E-MAIL dan.stack@salina.org
jim.teutsch@salina.org
WEBSITE · www.Wina-ks.gov
Re: ADDRESS ASSIGNMENT: Commercial building at 3015 South 9th Street
We are wrttlng this letter to confinn the address change/assignment for the above stated property
consistent with the building pennit you have applied for the construction of a new 10,815 sq. ft.
commercial building on Lot 3, Bk>ck 1 of the Replat of Auburndale Addition to the City of Salina. As
proposed, the building contains eight (8) tenant spaces. The newly assigned addresses will now
appear in the Official Address and Zoning books located in the City of Salina Department of Public
Works -Engineering Division office and the address file for the property.
This letter will confirm that in accordance with your request the official address for the tenant
spaces will be 3015 South i'i Sfn!et. Suites A-H. Please post the newly assigned address
numbers and letters at the main entrances to each tenant space. This letter will be copied to other
affected agencies to allow any necessary updating of their records. Thank you for your cooperation. If
we can answer any additional questions or be of further service, please do not hesitate to call.
Sincerely,
~~
Justin Burch
Engineering Tech II
(U-4+v-12: .C{~
Dean R Andrew
Director of Planning and Zoning
Enc: Site Plan
Cc: Westar Energy
Kansas Gas Service
AT&T
Cox Communications
Post Offlc
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Our Mission is to Build and Maintain a Clean, Safe Community
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DATE
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