HomeMy WebLinkAboutLicense Application - BOCC (003)WASHINGTON STATE LIQUOR AND CANNABIS BOARD - License Services
3000 Pacific Ave SE - P O Box 43075
Olympia WA 98504-3075
FAX:360-753-2710 EMAIL:specialoccasions@lcb.wa.gov
TO: GRANT COUNTY COMMISSIONERS
SPECIAL OCCASION #: 090080
DESERT AIRE MENS CLUB
504 CLUBHOUSE WAY W
MATTAWA WA 99349
DATE: MAY 18TH & 19TH 2019
APRIL 8TH 2019
TIME: 8 AM TO 5 PM
PLACE: SNACK SHACK AT GOLF COURSE (ENCLOSED) - 504 CLUBHOUSE WAY W, MATTAWA
CONTACT: KEITH SAVISKY (D.O.B. 9.10.58) 253-350-1235
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.
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.
19/1%
DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMIONERS OR DESIGNEE
RECEIVED
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