HomeMy WebLinkAboutLicense Application - BOCCWASHINGTON STATE LIQUOR AND CANNABIS BOARD - License Services
3000 Pacific Ave SE - P 0 Box 43075
Olympia WA 98504-3075
specialoccasions@lcb.wa.gov
TO: GRANT COUNTY COMMISSIONERS
SPECIAL OCCASION #: 093409
SAMARITAN HOSPITAL FOUNDATION
801 E WHEELER RD
MOSES LAKE WA 98837
DATE: APRIL 26TH, 2019
March 51 2019
TIME: 6:00 PM TO 10:30 PM
PLACE: GRANT COUNTY FAIRGROUNDS COMMERCIAL BUILDING - 3953 AIRWAY DR NE, MOSES LAKE
CONTACT: GRETCHEN YOUNGREN (D.O.B. 10.21.89) 509-793-9647
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?
2. Do you approve of location?
3. If you disapprove and the Board contemplates issuing a
license, do you want a hearing before final action is
taken?
YES NO
YES NO
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.
311a1lq j
DATE SIGNATURE OFIMAYOR, CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE