THEATRE WEST PAGE 2 AMENDED.PDF

SECTION 10
1. Has the applirit been convicted of a felony, or had a liquor license revoked within the last five (5) years?
0Yes No (If yes, attach explanation.)
2. How many special event licenses have been issued to this location this year?
(The number cannot exceed 12 events per year; exceptions under A.R.S. §4-203.02(D).)
3. Is the organization using the services of a promoter or other person to manage the event? aes EINo
(If yes, attach a copy of the agreement.)
4. List all people and organizations who will receive the proceeds. Account for 100% of the proceeds. The organization
applying must receive 25% Of the gross revenues of the special event liquor sales. Attach an additional page if necessary.
,hE
Name 7:2-/E-R7-/Y.k7 Percentage: 4
1k11(0/ ;'1 IH c. at.J EtvP < JuNC (6- wt--,s---r
Ac Stiecd City - Zip
Nar %Id 5 0 d t: 174/ l'Ori3ercentage: 6-
471,71_0,1...c 15.1 5(A N C GrATs7- z 37-
I jss Street City State Zip
5. Please read A.R.S. § 4-203.02 Special event license; rules and R19-1-205 Requirements for a Special Event License.
Note: ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY.
"NO ALCOHOLIC BEVERAGES SHALL LEAVE SPECIAL EVENT UNLESS THEY ARE IN AUCTION SEALED CONTAINERS OR THE
SPECIAL EVENT LICENSE IS STACKED WITH WINE /CRAFT DISTILLERY FESTIVAL LICENSE"
6. What type of security and control measures will you take to prevent violations of liquor laws at this event?
(List type and pumber of police/security personnel and type of fencing or control barriers, if applicable.)
Number of Police 7 Number of Security PeLsonnel EiFencing DBarriers
13Rt- gr -;WAidia7LE Mv4
Explanation:
eiReuLtvir 4edift(1) 19R151
SECTION 11 Date(s) and Hours of Event. May not exceed 10 consecutive days.
See A.R.S. § 4-244(15) and (17) for legal hours of service.
Event Start License End
Date Day of Week Time AM/PM lime AM/PM
/0 ;30 PA,
DAY 1: FR t RIF c530
DAY 2:
DAY 3:
DAY 4:
DAY 5:
DAY 6:
DAY 7:
DAY 8:
DAY 9:
DAY 10:
8/13/2015 Page 2 of 4
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