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cc: CMMRS Neatherlin,Shutty &Trask <br /> Clerk ) e�1i1�I q <br /> roC) ,(� <br /> WASHINGTON STATE LIQUOR AND CANNABIS BOARD - LICENSE SERVICES <br /> 3000 Pacific Ave SE - P O Box 43075 <br /> Olympia WA 98504-3075 <br /> EMAIL SPECIALOCCASIONS@LCB.WA.GOV FAX 360-753-2710 <br /> TO: MASON COUNTY COMMISSIONERS August 27, 2019 RECEIVED <br /> SPECIAL OCCASION #: 092570 <br /> KAREN HILBURN CANCER FUND AUG 3 0 2019 <br /> 2526 LACROSSE COURT <br /> SHELTON WA 98584 Mason County <br /> Commissioners <br /> DATE: OCTOBER 27, 2019 TIME: 4 PM TO 9 PM <br /> PLACE: ALDERBROOK RESORT - 10 E ALDERBROOK DRIVE, UNION <br /> CONTACT: KELLE OBLIZALO (DOB: 1.28.70) 360-898-3963 <br /> SPECIAL OCCASION LICENSES <br /> * _Licenses to sell beer on a specified date for consumption at a <br /> specific place. <br /> * _License to sell wine on a specific date for consumption at a <br /> specific place. <br /> * _Beer/Wine/Spirits in unopened bottle or package in limited <br /> quantity for off premise consumption. <br /> * _Spirituous liquor by the individual glass for consumption at a <br /> specific place. <br /> If return of this notice is not received in this office within 20 days from the above <br /> date, we will assume you have no objections to the issuance of the license. If <br /> additional time is required please advise. <br /> 1. Do you approve of applicant? YES NO <br /> 2. Do you approve of location? YES NO <br /> 3. If you disapprove and the Board contemplates issuing a <br /> license, do you want a hearing before final action is <br /> taken? YES NO <br /> OPTIONAL CHECK LIST EXPLANATION YES NO <br /> LAW ENFORCEMENT YES NO <br /> HEALTH & SANITATION YES NO <br /> FIRE, BUILDING, ZONING YES NO <br /> OTHER: YES NO <br /> If you have indicated disapproval of the applicant, location or both, <br /> please submit a statement of all facts upon which such objections are based. <br /> DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE <br />