HomeMy WebLinkAboutBusiness License License 1988-4-26
LICENSE TYpc SPECIAL EVENT LIQUOR EXPIRES 880605 (ONE DAY JUNE 4)
BUSINESS NAME SPRINGFIEI [) n KS MASH RASH OWNER NAMC SPRINGFIELD ELKS
ADDRESS 1701 CFNTFNNIAI 131 vn. ADDRESS 1701 CENTENNIAL BLVD.
,I SPRINGFIELD. OR 97477 SPR I NGFI ELD. OR 97477
CITY STATE ZIP CITY STArE ZIP
PHONE NUMBER 746-5207 PHONE NUMBER 746-5207
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vi I T U~ "t-'HII~L\"'I t:.LU ~~ount~.cv~ '$25.00
l1cense I CITY lICE~~ ~ ~~~. 880426
IN ACCORDANCE WITH STING CITY ORDINANCE, THE FOllOWING LICENSE IS GRANTED
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APPROVED
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Approved by the Common Council
of the CIty of Sprrngfleld
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DATE
DEPARTMENT HEAD
DATE
DEPARTMENT HEAD DATE FINANCE DIRECTOR
THIS LICENSE IS NOT TRANSFERABLE
DATE
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i. 11 Expected Attendance' "')." _' ~ , . ,~: ".1"
12 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 sU~ltted IS complete and correct to the best of
my/our kn05)~ge ~
"Slgnature U/+%",;;~_ Adt:I~~ . Oate4/2l/88
13 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
Nam.. DeWayne H~qbee - Club Manaqer Phone 747-2145
AuthOrized Slgnature~ "'//"'-. J./j~~ Date 4/21/88
14 RECOMMENDATION OF CITY POLICY DEPARTMENT/COUNTY SHERIFF'S OFFICE
Recommendation Grant _ Oeny_
Police Agency
AuthOrized Slgnaturp . Oat..
If recommendation IS refused. please Indicate grounds for refusal by letter
15 THIS AUTHORITY IS NOT VALID UNLESS SIGNED BY AN OLCC REPRESENTATIVE
License IS Granted_ Recommend Refuse_Date Issued
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RESTRICTION~ Fee Pain
nate Issued
.Recelpt #
Form 84545-469
(Rev S-85)
'In ~,." l"'" ~C'') f) ~ '"I........
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