HomeMy WebLinkAboutLicense Application - BOCCWASHINGTON STATE LIQUOR AND CANNABIS BOARD - LICENSE SERVICES
1025 UNION AVE SE - P 0 Box 43075
Olympia WA 98504-3075
-sl2ecialoccasions@lcb.wa.gov Fax: 360-753 27 p
TO: GRANT COUNTY COMMISSIONERS APRIL 28, 20 2
SPECIAL OCCASION #: 094132 MAY 1 2022
PUGET SOUND OUTCAST DERBY
12345.LAKE CITY WAY NE *2105
SEATTLE, WA 98125
DATE: JUNE 4, 2022 TIME: 3:00PM 11:30PM
PLACE: HOLLYWOOD ROLL - 19297•ADAMS ST NW., SOAP LAKE
CONTACT: GARY LOVE (DOB: 05.04.1976) 509-903-6550
SPECIAL OCCASION LICENSES
Licenses to sell beer on a specified date for consumption at a
specific place.
License to sell wine on a specific date for consumption at a
specific place.
Beer/Wine/Spirits in unopened bottle or package in limited
quantity for off premise consumption.
Spirituous liquor by the individual glass for consumption at a
specific place.
If return of this notice is not received in this office within 20 days from the above
date, we will assume you have no objections to the issuance of the license. If
additional time is required please advise.
1. Do you approve of applicant? YES NO
2. Do you approve of location? YES NO
3. If you disapprove and the Board contemplates issuing a
license, do you want a hearing before final action is
taken? YES NO
OPTIONAL CHECK LIST EXPLANATION YES NO
LAW ENFORCEMENT YES NO
HEALTH & SANITATION YES NO
FIRE, BUILDING, ZONING YES NO
OTHER: YES NO
If you have indicated disapproval of the applicant, location or both,
please submit a statement of all facts upon which such objections are based.
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