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: gOCC
REQUEST SUBMITTED BY: CEMANELL
CONTACT PERSON ATTENDING ROUNDTABLE: CEMANELL
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 9/25/2025
PHONE:2931
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Special Occasion Liquor License for Habitat for Humanity of Greater Moses Lake
for an event taking place at Grant County Fairgrounds Commercial Building located
at 3953 Airway Dr. NE, Moses Lake, WA 98837. Date of the event is 12/6/2025
from 5:00 p.m. - 9:30 p.m.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO * N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO Fm-1 N/A
DATE OF ACTION: `,36'ZS DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
WITHDRAWN:
4/23/24
Washington State
k Liquor and Cannabis Board
Washington State Liquor and Cannabis Board
Licensing Division: Alcohol Unit
1025 Union Ave SE, P.O. Box 43098
Olympia, WA 98504-3098
Customer Service: (360) 664-1600
Fax: (360) 753-2710 Website: www.Icb.wa.gov
NOTICE OF SPECIAL OCCASION LICENSE APPLICATION
RETURN THIS NOTICE TO: LARESPONSE(&-LCB.WA.GOV
September 25, 2025
To: GRANT COUNTY COMMISSIONERS
Organization Name: HABITAT FOR HUMANITY OF GREATER MOSES LAKE
Organization Address: 601 S PIONEER WAY, SUITE F, PMB-278, MOSES LAKE, WA, USA, 98837-1837
Contact Name: NICHOLE OWENS
Contact DOB: 11 /15/1987
Contact Phone: 509-989-9810
Special Occasion #: 036338
Event Date(s)/Time: 12/6/2025 - 12/6/2025; 5PM - 9:30PM
Event Location(s): GRANT COUNTY FAIRGROUNDS COMMERCIAL BUILDING - 3953 AIRWAY DR NE, MOSES LAKE, WA
98837-1029
A SPECIAL OCCASION LICENSE ALLOWS THE ORGANIZATION TO:
_Sell beer for consumption at the above specified date, time, and location.
_Sell wine for consumption at the above specified date, time, and location.
_Sell spirits by the individual serving for consumption at the above specified date, time, and location.
Sell beer, wine and spirits in unopened bottles or packages in limited
quantities for off premise consumption at the above specified date, time, and location.
You have 20 days from the date of this notice to provide input regarding this application. If we do not receive a response within
20 days, we will assume you have no objections to the issuance of the license. If you need additional time to respond, you must
submit a written request with your reason(s) for an extension of up to 20 days.
1. Do you approve of the applicant? YES Y NO
2. Do you approve of the event location? YES NO
If you have indicated disapproval of the applicant, to on, or both, please submit a statement of all facts on which your objection(s)
are based.
3o -2-,� ri
Date Signature f Mayor, City Manager, County Commissioner or esignee