HomeMy WebLinkAboutLicense Application - BOCCWASHINGTON STATE LIQUOR AND CANNABIS BOARD - License Services
3000 Pacific Ave SE - PO Box 43075
Olympia WA 98504-3075
TO: GRANT COUNTY COMMISSIONERS April 9, 2019
SPECIAL OCCASION #: 092445
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN
425 N PAXSON DR
MOSES LAKE WA 98837
DATE: MAY 4, 2019 TIME: 4 PM TO 9 PM
PLACE: PORT OF MOSES LAKE - 7810 ANDREWS ST NE, MOSES LAKE
CONTACT: JENN OLSON DOB/5.19.1975 509-764-9694
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.
If you have indicated disapproval of the applicant, location or both,
please submit a statement of all facts upon which such objections are based.
4/l6/191
DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY CCt4MIS
Ile
GNE
rr�PJ7 C�1U1!TY C`?PJlI P _SS IONERS
1. Do you approve of
applicant?
YES ✓
NO
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.
4/l6/191
DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY CCt4MIS
Ile
GNE
rr�PJ7 C�1U1!TY C`?PJlI P _SS IONERS