HomeMy WebLinkAboutLicense Application - BOCC (002)WASHINGTON STATE LIQUOR AND CANNABIS BOARD - LICENSE SERVICES
3000 Pacific Ave SE - P 0 Box 43075
Olympia WA 98504-3075 FAX:360-753-2710
specialoccasions@lcb.wa.gov Fax: 360-753-2710
TO: GRANT COUNTY COMMISSIONERS MARCH 26TH 2019
SPECIAL OCCASION #: 094214
SAGEBRUSH SENIORS OF GRANT COUNTY
23 DESERT AIRE DR SW
MATTAWA, WA 99349
DATE: MAY 47H 2019 TIME: 7 PM TO 11 PM
PLACE: SAGEBRUSH SENIOR CENTER - 23 DESERT AIRE DR SW - MATTAWA
CONTACT: CONNIE S LEWIS (D.O.B 5.25.50) 425-238-6531
SPECIAL OCCASION LICENSE
* _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 V NO
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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.
DATE SIGN TURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS 0R
DESIGNEE