THE VENUE AT FARNSWORTH HALL_REDACTED.PDF

RECEIVED

FEB 15 2023

MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

__DLLC USE ONLY _
PERMANENT EXTENSION OF Job fi
PREMISES/PATIO PERMIT Data Aacepied
A non-refundable $50. fee will apply CSR:

Arizona Dept. of Liquor Licenses and Control
800 W. Washington St. 5" Floor Phoenix, AZ 85007
(602) 542-5141

Type or Print with Black Ink

*OBTAIN APPROVAL FROM LOCAL GOVERNING BOARD BEFORE SUBMITTING TO THE DEPARTMENT OF LIQUOR*
**Notice: Allow 30-45 days to process permanent change of premises**

07070387
Adding 6,800 feet, outdoor space and the band

License#:

Specific purpose for change:

shell

Miller Jeffrey

Last First Middle
2, Premises Name (Doing Business As-DBA); The Venue at Farnsworth Hall

6159 E. University Dr. Mesa AZ 85205

1. Agent/Individual Name:

3. Premises Location Address:

4, Mailing address:

5. Email Address: —_ = 6—=—eté«~™
6, Business Phone Number: 480-832-3461 Contact Phone —_— » «f

7. |s extension of premises/patio complete?

Ca Dyes ino If no, what is your estimated completion date? 03 /01 /23
8. Do you understand Arizona Liquor Laws and Regulations?
[Myes LINo
9. Does this extension bring your premises within 300 feet of a school?
Olyes INo
10. Have you received approved Liquor Law Training?
Yes LINo
Access

11. What security precautions will be taken to prevent liquor violation s in the extended area?

points will be guarded by a security team.

10/03/2022 Page 1 of 2
Individuals requiring ADA accommodations please call (602)542-2999

12. IMPORTANT: Attach the revised floor plan, clearly depicting your licensed premises along with the new extended
area ouilined in black marker or ink, if the extended area is not ouflined and marked “extension” we cannot accept

the application.

BARRIER

Ol Barrier Exemption: an exception to the requirement of barriers surrounding a patio/outdoor serving
area may be requested. Barrier exemptions are granted based on public safety, pedestrian traffic,
and other factors unique to a licensed premises. List specific reasons for exemption:

Approval [J Disapproval by DLLC:

SIGNATURE

Declaration:

1, (Print Name) Jeffrey Craig Miller , declare under penalty of perjury that | am
authorized to submit this application. | have read the contents of this application, and to the best of my

knowledge believe all statements made on this application to be true, correct and complete,

Signature

GOVERNING BOARD

After completion, and BEFORE submitting fo the Department of Liquor, please take this application to your local
Board of Supervisors, City Council or Designate for their recommendation. This recommendation is not binding on

the Department of Liquor.

0 Approval 0 Disapproval

Authorized Signature Title Agency

DLLC USE ONLY

Investigation Recommendation: DO Approval 11 disapproval by:

Director Signature required for Disapprovals:

10/03/2022 Page 2 of 2
Individuals requiring ADA accommodations please call (602)542-2999

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