VULTURE CITY PRESERVATION SPECIAL EVENT 10.12_REDACTED .PDF
Extracted text (via pymupdf)
8403 characters
I CSR: Amount: SPECIAL EVENT LICENSE APPLICATION FEE $25.00·PER DAY Arizona Department of Liquor Licenses und Control 800 W. Washington St. 5'" Floor Phoenix, AZ 85007 (602) 542-5 14 1 DLLC USE ONLY Job#: Date Accepted: CSR: License#: Application MUST be submitted to the Department of Liquor 10 days prior to the event. SECTION 1 Applicant must be a member of a quallfylng nonprofit organization, polltlcal party, or Government entity and authorized by an Officer, Director, or Chairperson of the Organization. l . Applicant: Robin Moriarty (Musi be an Officer/Member of the Non Profit Enttty) lost First Middle 2. Applican t's mailing address: Street City Stole Zip 3. Applicants home/cell phone: Applicant's business phone: 877-425-9229 4. Applicant's em<;iil address: s. Special Event Name: Vulture City Paracon 6. Name of Non-Profit Organization. Candidate or Political Party/Gov.: Vulture City Preservation Inc. 7. Non-Profit/IRS Tax Exempt Number: _8_5_-_0_8_7_6_0_5_6 ____________________ _ 8. Arizona Corporation Commission File #:J?t> 7ol ~~ If out of State please specify:. ______ _ (Attach letter ol good standing) 9. Event Location Name: Vulture City Ghost Town 10. Event Address: 36610 N355th Avenue, Wickenburg AZ 85390 2/6/2023 Dates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days. Days DAY 1: DAY2: DAY3: DAY 4: DAY 5: DAY 6: DAY 7: DAY8: DAY 9: DAYlO: **SEPARATE APPLICATION FOR EACH "NON-CONSECUTIVE" DAY** Date Day of Week 10/12/23 Thursday Pagel of 3 Event Start Time AM/PM 3:30PM License End Time AM/PM 10PM ____ R ___ ECEIVED ---~uL 9 6 2023 MARICOPA COUf~TY CLERK BOARD OF SUPERVISORS Individuals requiring ADA accommodations please call (602)542-2999 SECTION 2 What type of security and control measures will you take to prevent violations of liquor laws at this event? (List type and number of police/security personnel and type of fencing or control barriers, if applicable.) _______ Number of Police _2 ___ _ Number of Security Personnel 0Fencing 0Barriers Must explain security measures: There will be 2 staff members tending bar with an additional 2 security volunteers. All staff will be trained according to the policies and procedures outlined by the AZ Department of Liquor Licenses and Control SECTION 3 What is the purpose of this event? [Zion-site consumption Doff-site (auction/wine/distilled spirits pull) How is this special event going to conduct all dispensing, seiving. and selling of spirituous liquors? Check one of the following boxes. (R-19-318) 0Both A) 0 Special Event being held on an unlicensed premises will require approval and signature by the Local Governing Body on page 3. (If checked move to section 4) B) D Will this event be held on a currently licensed premises and within the already approved and licensed area? (Must attach a letter from the licensed premises with an explanation of the option checked below) Name of Business License Number 0Place license in non-use - Special Event Licensee selling all alcohol without retailer involvement Must attach letter from the location suspending license for duration of special event Phone (Include Area Code) 0Dispense and seive all spirituous liquors under retailer's license - Business operates normally, minimum of 25% of gross revenue from alcohol sales is donated to licensee 0Dispense and seive all spirituous liquors under special event - The special event licensee is in charge of selling alcohol that was purchased or donated by the special event licensee. The retailers existing alcohol inventory must be separated from any alcohol used during the special event. Must attach letter from the location suspending license for duration of special event 0Split premise between special event and retail location - Both the special event licensee and the retailer will conduct sales of alcohol. (These sales will be done in separote areos. If alcohol is donated or purchased by the special event licensee it must be in a separate area than the alcohol that is dispensed by the licensed retailer.) Doff Sale only - Wine/Distilled Spirits Pull, Live or Silent Auctions - Retailer will still be permitted to conduct all normal sole and seNice of alcohol. SECTION 4 1. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years? D Yes 0 No If yes, attach letter of explanation. 2. How many special event days have been issued to this organization during the calendar year? _O ______ _ 3. Is the Organization using the services of a Special Event Contractor? (A licensee can utilize the se1Vices of o special event contractor who may purchase and sell olcohol on behaff of the licensee. If no special event controcfor is listed, the licensee is responsible for the sales and se1Vice of alcohol. ) D Yes IZI No If yes. please providA the Name of the Special Event Contractor:--~------------------ _______ _ 4. Is the organization using the services of a series 6, 7, 11, or 12 licensee to manage the sale or seivice of alcohol? (Licensees who hold a series 6, 7, 11, or 12 license are automatically qualified to be the special event contractor) 0 Yes 0 No if yes, please provide the Name of Licensee: License#: ---------- --------- 5. List the name of the Individual or Organization that will receive revenues, MUST EQUAL 100 PERCENT. Attach additional sheet if necessary. 2/6/2023 Page2af 3 Individuals requiring ADA accommodations please call (602)542-2999 Name: Vulture City Preservation Inc. Percentage: _1_0_0_%_0 ________ _ Address: Street City State Zip Name: ________________________ Percentage:------------ Address:-------------------------------- -------- Street City State Zip Please read A.R.S. § 4-203.02 Special e vent license: rules a nd Rl 9- 1-205 Reguirements for a Special Event License. ALL ALCOHOLIC BEVERAGE SALES M UST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. NO ALCOHOLIC BEVERAGES SHALL LEAYE A SPECIAL EVENT UNLESS THEY ARE IN AUCTION WINE OR QISTILLEP SPIRITS PULL SEALED CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKED WITH WINE /CRAFT DISTILLERY FESTIVAL LICENSE SECTION 5 License premises diagram. The licensed premises for your special event is the area in which you are authorized to sell, dispense or serve alcoholic beverages under the provisions of your license. Please attach a diagram of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control measures and security position. I -t ATTACH DIAGRAM ... I II If the special event wnl be held at a location without a permanent liquor license or if the event will be on any portion of a location that is not covered by the existing liquor license, this application must be approved by the local governing body before submitting to the Department of Liquor Licenses and Control. Please contact the local governing board for additional information. APPLICANT SIGNATURE Declaration: I, (Print Name) Robin Moriarty , declare under penalty of perjury tha t I am autho rized to subm it this applic a tion. I have read the contents of this a ·ca ti n, and to the best of m y kn owle d ge believe all statements made on this application to be true. correct (ld co LOCAL GOVERNING BODY Date Received: _______ _ !, _____ ________ _ _ __________ recommend DAPPROVAL 0 DISAPPROVAL (Government Officio!) (ntle) On behalf of ___________ _ _________________ -------- (City, Town, County) Signature Dote Phone The local governing body (city, town or municipality where the fair/festival will take place) may require additional applications to be completed and submitted. Please check with local government as to how far In advance they require these applications to be submitted. Additional licensing fees may also be required before approval may be granted. AZDLLC USE ONLY 11 DAPPROVAL D DISAPPROVAL BY: ___ _____ _______ DATE: _ _______ _ 2/6/2023 Page 3 of 3 Individuals requiring ADA accommodations please coll (602)542-2999 II ro OJ !.... <( b.O c ·-> !.... OJ V') ............. !.... ro co "'O OJ !.... OJ > 0 u - V'l QJ E +"' cu +"' cu I-cu ..0 +"' cu V'l +"' c cu -0 c QJ +"' +"' cu N ... ~ 0 z -~ c: u a.. ro QJ ""C I- Q) <t: c. 0 c::: CD> CJ)