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<br />- . <br /> <br />Application for 1 to 4 Day Temporary On-Sale Liquor License <br /> <br />Page 1 of2 <br /> <br />A,l)PL~c'\..'rlONANn l:lElli'\'llT <br />FOR A 1. TO 4 DAY TE1VWORAR'f ON-SALE L1QUOR LIC1J:,NSE <br />(Org:li<lizlll~on ur loc;l!iQU Emii.ed 10 :3 p..:e:I!~H:s iu ,\ I2 month peri.od.) <br /> <br /> <br />( lvlo <br /> <br />TAX Ex:EMI"T NU\f8ER <br /> <br />IG9'J ~~'r\. 'Sf""'. #- 20! <br /> <br />tc.'--II< <br /> <br />\Vi:U the :J;pp.lic.lilll cotltra'Jtlllr i!llc)!'Qc:Hing Hqllm: &~rvices't If ,,(), d,'e ,he iltl!.ln!l: i1nd ;tdcIl':::~. C!['" ih~ ]jcm[;, ll-~:::il:~c provildiul!: ~iL>c slOTvlce <br />~\J6 - . -. <br /> <br />\'Vill tbcappjj}(::illli[ Ci:lny liquor .Esbilily ill"'l.lnmcc~' fj'so, the c,trrlcr' }; lWlliC lUlU :!i.:!!(Hml of tovcruf:::. <br />(NOTE~ hl.,'>llr~lce:sm)lmruml~ltarY)"'''_,JeS! C Dr pOR\-\-t' Z-( Sv\S..,.'C.ACE" f <br /> <br />r4~~l;/''\+ <br /> <br />'7 <br /> <br />"__ APPROVAL. ... <br />AP'PLICA DON [\10S'fBE AP.PROVEfJHY CITY OR COUNTY 'BEPORE; SU!lM ITTlNG TO U{!UOR CO.JIlt'.ROI, <br /> <br />CTTY/COLiNTY <br /> <br />DATE AP1>ROVED <br /> <br />CITY FEE Ai\.10UNT <br /> <br />UCENSE DATES <br /> <br />DATE JiEEPAJD <br /> <br />StGNATURE CTTY CJ.J1RK OR COUN:T:{ OFFiCIAL <br /> <br />APPRO\/]~D LIQUOR CONTROL DlllliCTOR <br /> <br />NOIE; ~Ol[) lwl Sepilr<de the:sciwo p:.!:l.t~> :;;endboth l}arts: tn the; atldr\":s,' itlW~'C i~nd the udgimi.l sighed hy this i1h'isiml <br />will be retuml:d ai~ the ltcense. Submit to the Cli)' (O~ COllnty at JC2lSt In da:..." bc:n~rc thee:'Wt'Itl. <br /> <br />PS-O')079{8J <br /> <br />http://www.dps.state.rnn.us/alcgamb/ alcenflforms/ 4daytemp .html <br /> <br />9/26/00 <br />