2.2.17 GRAMA Document"CLUB LIQUOR LICENSE"
LOCAL CONSENT
Date: J~W'e_ !(). lo 1 s . (
Attn: DABC licensing & Compliance Section
~~ (7~ , 1.-{~ity·[ ]Town I ]Coun~
hereby grants its consent to the issuance of a club liquor license to: () l?
Bu.ine"Name: ~ &ew W-!)b..._ ~ her~s ht..~<:.G~
Applicant I Business Owner: ~ '4-.J /V\.A .. )<..W e.J. (
Location Address: 41.( (V'AiN F· VA-fl.IC.. {!)_~ 1 (A;( /tYO b()
Pursuant to the provisions of Utah Code 328-5-201 and 328-6-401 through 409, this license allows for the storage, sale
9:::!::!!-~ Janet M. Scott • City Recorder
and consumption of liquor on the premises.
/'
heck if applicable
In accordance with Utah Code 328-1-202, the local
authority also grants consent to a variance regarding
the proximity of this establishment relative to a public
or private school, church, public library, public
playground, or park.
This is a suggested form. A city, town, or county's own form is acceptable.
Local consent maybe fall.ed to the DABC at 801-977-6889 or mailed to:
Department ofAlcoholic beverage Control
POBox3040S
Salt Lake City, UT 84130-0408
Effecfive 7.1.11 v11.10.11 page 7 of 47