THE TROUGH BAR & GRILL REDACTED.PDF

0 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 premise. List specific reasons for exemption:
0 Approval 0 Disapproval by DLLC: Date: _/_/
Notary
i, (Print Full Name)S ee-446-1. 6-; ea , hereby declare that I am a CONTROLLING PERSON/ AGENT filing this
notification. I have read this docu'rnent and the contents and all statements are true, correct and complete.
X (Signature) State of k\---, -7,-AAcA County of (IC ,r oPcA
Controlling Perso )Agent the foregoing Instrument was acknowledged before me this
\
Day pAo th Year
My commission expires on: k BRYNDA SHERRY
Notary Public - State of Arizona
MARICOPA COUNTY
My Commission Expires Signajy4ofAllY PUBLIC
November 16, 2018
GOVERNING BOARD
After completion, and BEFORE submitting to 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.
This change in premises is recommended by the local Board of Supervisors, City Council or Designate:
Authorized Signature Title Agency Date
DLLC USE ONLY
Investigation Recommendation: 0 Approval 0 Disapproval by: Date: / /
Director Signature required for Disapprovals: Date: / /
2/23/2016 Page 2 of 2
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