HomeMy WebLinkAboutLicense Application - BOCCGRANT 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
DATE: 02/24/2025
PHONE:2931
TYPE(S) OFDOCUMENTS1LL
A APPLY)
❑Agreement / Contract
❑AP Vouchers
___(CHECK
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑Computer Related
❑County Code
El Emergency Purchase
❑Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
❑ Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
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❑ Out of State Travel
❑ Petty Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Resolution
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❑ Support Letter
❑ Surplus Req.
❑Tax Levies
❑Thank You's
❑Tax Title Property
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SUGGE TE WOR NG FOR AGENDA c whit, When, , Why, Term Cc�St etc
• •r License App• • the Dollar - -Store #30601 located at 8203
Westover Blvd., Moses Lake, WA 98837.
11
If necessary, was this document reviewed by accounting? ❑ YES
documentLEGAL REVIEW:
If this review, leqal for review i
If necessary, was this document reviewed by legal? ❑ YES ❑ NO
El NO ON/A
DATE OF •N: DEFERRED OR CONTINUED TO-
APPROVE: DENIED ABSTAIN
D1:
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D2: Art
D3:
WITHDRAWN -
0 N/A
RECEIVED
EB 2 4 2025
GRANT COUNTY COMMISSIONERS
4/2 3/24
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Liquor and Cannabis Beard
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NOTICE OF LIQUOR LICENSE APPLICATION 2eyzfR
TO: GRANT COUNTY COMMISSIONERS
RE: NEW APPLICATION
U B I : 604-521-868-001-0048
License: 437855 - 40 County: 13
Tradename: DOLLAR GENERAL STORE #30601
Loc Addr: 8203 W WESTOVER BLVD
MOSES LAKE WA 98837-3046
Mail Addr: 100 MISSION RDG
GOODLETTSVILLE TN 37072-2171
Phone No.: 206-816-1312 MATT GARCIA
Privileges Applied For:
DIRECT SHIPMENT RECEIVER -IN WA ONLY
GROCERY STORE - BEERIWINE
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
RETURN TO: localauthority@sp.lcb.wa.gov
DATE: 2/20/25
APPLICANTS:
DG STRATEGIC VII, LLC
NEWKIRK, ANDREW J
1969-11-27
WEST, RODRICK J
1971-10-17
D I LTS, KELLY MARI E
1968-09-13
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 MUST 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.
3 26r
DATE
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YES NO
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SIGNAT,Q9A4Kf0R,CITY MANAGER,COUNTY COMMISSIONERS OR DESIGNEE