NYE COUNTY AGENDA INFORMATION FORM Action U Presentation LI Presentation & Action Department: Nyc County Licensing Department Agenda Date: Category: Regular Agenda Item February 19, 2019 Contact: Sarnantha Tackett Phone: Continued from meeting of: j j Return to: Location: Phone: Action requested: (Include what, with whom. when, where, why, how much (5) and terms) Discussion and deliberation regarding adding Harry V. Mahoney and Kimberly A. Penny to the Western Best Inc., dba license as key personnel. Brothel License number BRIO-000129

located at 1051I Homcstead Road. Pahrump, NV. Kenneth Green—Applicant.

Complete description of requested action: (Include, if applicable. hackground. impact, long-term commitment. existing county policy, future goals. ohained by competitive bid, accountabilttv measures)

Mr. Kenneth Green has advised that Western Best Inc. is the managing partner and licensee of Western Best LLC, a limited liability company, owner of the Chicken Ranch Brothel and would like to change the status of HalTy V. Mahoney, a passive investor, and Kimberly A. Penny, a passive investor, to active investors and add them to the Western Best Inc/DBA Chicken Ranch Brothel License number BR 10- 000 129.

Any information provided after the agenda is published or during the meeting of tite Cotnmissioners will require you to provide 20 copies: one for each Commissioner, one for the Clerk, one for the District Attorney, one for the Public and two for the County Manager. Contracts or documents requiring signature must be submitted with three original copies.

Expenditure Impact by FY(s): (Provide detail on Financial Fonn)

U No financial impact Routing & Approval (Sign & Date) I. Dept Date 6. Date

[)ate , 7 FIR Date

3. Date 8. Legal Dr

4. Dale 9. Finance a’ 5. Da:a It). County Manager Date

iTEM4 12 NYF COUNTY LIQUOR, GAMING, OR BROTHEL APLLICANTS LIQUOR APP FOR MARIJUANA

This is the liquor, gaming or brothel application packet you requested. THE APPLICATION HAS TO BE FILLED OUT ENTIRELY. Should any of the questions on the application NOT pertain to what you are applying for, indicate so by placing an N/A (not applicable) on that question. The following items are required to accompany your application when submitted:

v’ One Photograph of Yourself

- VI Photograph of the business inside & out and a photo of business site ‘V Plot Map

‘V - Fingerprints will be done in our office, when you return the application

- Fingerprints, return from the state

- VI Copy of Escrow or Lease agreement for the property

- VI Copy of Health Certificate for the Business

- VI Copy of Town Business License Pahrump & Tonopah Copy of filing of Fictitious Firm Name (Contact County Clerk’s Office) VI Copy of Zoning Review Pabrump Only (Contact County Planner) REQUIRED for ALL LIQUOR & GAMING APPLICATIONS N/A Certificate of Compliance for Fire Safety - OUTSIDE Pahrump (Contact Building & Services) VI Copy of Occupancy Permit Pahrump Only (Contact Fire Marshall) - VI Copy of Assessors Map and Legal description of property VI Bank Statements, 6 months VI Tax Returns, 2 years VI Background Investigation Report VI Reviewed by SheriffS and Chairman of NCLLB VI Payment for background and License Fees (separate checks)

Please use the above as a checklist. Please make sure that you have your signature notarized prior to sending the application.

ANY APPLICATION THAT IS INCOMPLETE WILL BE RETURNED WITHOUT PROCESSING. RETURN THIS CI1ICI{ LIST WITH YOUH APPLICATION

775-751-7000 http://Www.nyecountysherlffsofflce.com

SOUTHERNAREACOMMAND CENTRALAREACOMMAND NORrHERNAREACOMMAND 1520 E BASINAVENUE P.O. BOX805 P.O. BOX831 PAHRUMP, NEVADA89060 BEATTY,NEVADA89003 TONOPAH,NEVADA89049