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GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT:BOCC
REQUEST SUBMITTED BY:CEMANELL
CONTACT -PERSON ATTENDING ROUNDTABLE:CEMANELL
CONFIDENTIAL INFORMATION: ❑YES ® NO I
DATE: 08/19/2024
PHONE:2931
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y
License application for Change of Corporate Office rs/Stockhol d ers for Potholes Bar
and Grill, LLC located at 7037 Highway 262 E., Othello, WA 99344.
If necessary, was this document reviewed by accounting? El YES El NO R N/A
If necessary, was this document reviewed by legal? 7 YES, 7 NO 9 N/A
DATE OF ACTION: DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1:
D2: _6�
D3:
WITHDRAWN:
4/23/24
am
Y Washington State
Liquor and Cannabis Board _�k�e
NOTICE OF LIQUOR LICENSE APPLICATION (:ED
WASHINGTON STATE LIQUOR AND CANNABIS BOARD
License Division - P.O. Box 43098
Olympia, WA 98504-3098
Customer Service: (360) 664-1600
Fax: (360) 753-2710
Website: http://Icb.wa.gov
TO: GRANT COUNTY COMMISSIONERS CORRECTED L/A RETURN TO: localauthority@sp.lcb.wa.gov
RE: CHANGE OF CORPORATE OFFICERS/STOCKHOLDERS APPLICATION DATE: 8/19/24
U B I : 604-914-734-001-0001
License: 078745 - 4T County: 13
Tradename: POTHOLES BAR & GRILL
Address: 7037 HIGHWAY 262 E
OTH ELLO WA 99344-8607
Phone No: 509-760-4215 ROBERT AMBRIS JR
Privileges Applied For:
TAKE OUT/DELIVERY ENDORSEMENT
PREMIXED COCKTAILS/WINE TO -GO
SPIRITS/BR/WN REST LOUNGE +
CATERING
APPLICANTS:
POTHOLES BAR & GRILL, LLC
AMBRIS JR, ROBERT RAY
1994-11-17
As required by RCW 66.24.010(8), the Liquor and Cannabis Board is notifying you that the above has
applied for a liquor license. You have 20 days from the date of this notice to give your input on
this application. If we do not receive this notice back within 20 days, we will assume you have no
objection to the issuance of the license. If you need additional time to respond, you must submit a
written request for an extension of up to 20 days, with the reason(s) you need more time. If you
need information on SSN, contact our CHRI desk at (360) 664-1724.
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 wish to
request an adjudicative hearing before final action is taken? .................................. .
(See WAC 314-09-010 for information about this process)
4. If you disapprove, per RCW 6624.010(8) you MiTST attach a letter to the Board
detailing the reason(s) for the objection and a statement of all facts on which your
objection(s) are based.
DATE SIGNATURE OV MAYOR,CITY
GER,COUNTY C
go
A14% 19, 2024
GRANT COLINTY COr I AIMMSION .RS