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GLENDALE POLICE DEPARTMENT
Liquor Application Worksheet
Date: 05-29-25
License Type: Series 12 Restaurant
Definition: Allows the holder of a restaurant license to sell and serve spirituous liquor solely for consumption on
the premises of an establishment which derives at least forty percent (40%) of its gross revenue from the sale of
food.
Application Type: New License
Definition: New license
Business Name: Chipotle Mexican Grill #5340
Business Address: 5110 N. 837 Ave
Applicant/s Information
Name: Lewkowitz, Andrea (Agent)
Name: Kaminski, Helen Nicole
Name: Hartung, John (Jack) Robert
Name: Hannan, Patrick Gerhart (Manager)
Background investigation of applicant/s completed.
Calls for Service History: Call history for iocation New ownership call history
a beginning: Other Suites beginning:
Liquor Related
Vice Related
Drug Related
Fights / Assaults
Robberies
Burglary / Theft
911 calls
Trespassing
Accidents
Fraud / Forgery
Threats
Criminal damage
Other non-criminal*
Total calls for service NIA NIA NIA
* Other non-criminal includes calls such as suspicious persons, juveniles disturbing and other information only reports that required Police
response or phone call.
GLENDALE POLICE DEPARTMENT
Liquor Application Worksheet
Page 2 of 2
Applicant Background Synopsis:
None of the listed applicant(s) have any known felony convictions within the past five years or any other
known criminal history that would lead to police department recommendation for denial.
Current License Holder:
N/A
Location History:
N/A - New construction
Special Concerns:
None found.
Background investigation complete:
Police Department recommendation has No Cause for Denial.
Date
Investigating Officer —-M. Ervin (YM ‘ Attu, 5-29- Z s
CID Lieutenant or Commander
Deputy City Attorney \ | { Cc)
——X |
Chief of Police or designee B32 -Z2S
40
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