HomeMy WebLinkAboutPermit License 1986-10-10
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f- 10, Method of supervision to insure compliance with liquor laws:Hw responsJ.o.Lll persons servJ.ng me
5 beverage~. Servigg persons are to follow all rules of the OLCC.
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APPLICATION SHOULD BE RECEIVED NOT LESS THAN 10 DAYS PRIOR TO EVENT "(~
. .ON L10UOR CONTROL COMMISS. ~- ()C.Lu
APPLICATION AND AUTHORITY TO OPERATE - SRB-SRW 7001 n /-I "
APHiCATION IS MADE FOR:
Special Retail Ber @$10.00 per day 1
No, of Days ' No, of stands
XXX Special Retail Wine@$lO,OO per day
No, of Days 1 No, of stands 1
NOTE: Fee must be paid by CHECK or MONEY ORDER
PLEASE TYPE OR PRINT FIRMLY USING BALL POINT PEN
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DO NOT WRITE IN THIS SPACE
1. Applicant: Springfield Motors, Inc. Phone 747-3305
2. Trade Name Same License Type
3, Person Responsible at Event Robert C. Scherer Phone 747-3305
4, Mailing Addres, P.O. Box 87 City Sprinl?field
5, DATE(S) AND HOURS OF EVENT(S) 10-23-86 5 :00 p.m. to 9:30 p.m.
6, EVENT ADDRESS: 702 North A St. CITY Sprinl?field
7, Type' of Event; Qpen House jSpringfi.e1d lJllamber of lJonunerce Open house
8, Above location is Within City Limits Yes Outside City Limits
9, Boundaries of Event: Property of Springfield Motors, Inc. at 702 North A St.. Sprinl?field
Zip 97477
Zip
97477
11,
12,
Expected Attendance: 1;'0
I/We understand that a false or misleading answer to any of the foregoing questions may subject this application
to denial, I/We certify that all information submitted is complete and correct to the best of my/our knowledge,
Signature(s) ~~1A Date Oct. 10, 1986
Date
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AUTHORIZATION BY PROPERTY OWNER/OPERATOR CONTROLLING PROPERTY
I own/control the property where this event is to be held, This application meets with my approval.
Owner or Agent:
Name lJlarence L. Scherer Phone 747-3305/746-1345
Au~horized Signature d~/ :/~~/-/ Date Oct. 10, 1986
RECOMMENDATION OF Cl"rY POLICE DEPARTMENT/COUNTY SHERIFF'S OFFICE
Recommendation: Grant Deny
Police Agency
Authorized SignaturQ
Date
THIS AUTHORITY IS NOT VALID UNLESS SIGNED BY AN OLCC REPRESENTATIVE
License is Granted Recommend Refuse Date Issued
By Title
RESTRICTIONS Fee Paid
Receipt #
Form 84545-478
(Rev. 12-85)
SEE BACK FOR INSTRUCTIONS
APPLICANT'S COPY
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