VULTURE CITY PRESERVATION INC. 10.7.2022_REDACTED.PDF
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DLLC USE ONLY Job #: Arizona Depariment Liquor License and Control 800 W Washington St. 5" Floor Date Accepted: Phoenix, AZ 85007-2934 Sk: azliquor.gov ” 602-542-5141 license #: SPECIAL EVENT LICENSE APPLICATION FEE $25.00 PER DAY A service fee of $25.00 will be charged for all dishonored checks (A.R.S § 44-6852 1-10 days consecutive days only, Cash, Checks or Money Orders Only SECTION 1 Applicant must be a member of a qualifying nonprofit organization, political party, or Government entity and authorized by an Officer, Director, or Chairperson of the Organization. ROBIN MORIARTY 1. Applicant: 2. Applicant's mailing address: City State lp 3. Applicants home/cell phone! Applicant's business phone: 4. Applicant's email address; SECTION 2 Name of Non-Profit Organization, Candidate or Political Party/Gov.: VULTURE CITY PRESERVATION INC. SECTION 3 Non-Profit/IRS Tax Exempt Number: 85-0876056 SECTION 4 Event Location: 36610 N 355TH AVE, WICKENBURG, AZ 85390 SECTION 5 Dates and Hours of Event. Days must be consecutive but may not exceed 10 consecutive days. See A.R.S. § 4-244(15) and (17) for legal hours of service. **SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY** oe : ; Event Start License End Days pote Dayorwerk Time AM/PM Time AM/PM bavi: OCT 72022 ~~ FRIDAY 5:00PM 11:59PM DAY 2: DAY 3: DAY 4: DAY 5: DAY 6: DAY 7: DAY 8: DAY 9: DAY10: 4/9/2021 Page 1lof3 . Individuals requiring ADA accommodations please call (602)542-9027 SECTION 6 What type of security and contro! measures will you take to prevent violations of liquor laws at this event? (List type and number of police/securlty personnel and type of fencing or control barrlers, If applicable.) Number of Police 2 Explanation: THERE WILL BE 2 STAFF MEMBERS TENDING BAR, WITH 2 ADDITIONAL SECURITY VOLUNTEERS. ALL STAFF WILL BE TRAINED ACCORDING TO THE POLICIES AND PROCEDURES Number of Security Personnel Fencing Csariers OUTLINED BY ARIZONA DEPARTMENT OF LIQUOR LICENSES AND CONTROL SECTION 7 Will this event be held on a currently licensed premises and within the already approved premises? CyYesII No if yes, Local Governing Body signature is not required. Name of Business License Number Phone (Include Area Code) SECTION 8 How is this special event going to conduct alll dispensing, serving, and selling of spirituous liquors? Please read R-19-318 for explanation and check one of the following boxes. Cplace license in non-use Ddispense and serve all spirituous liquors under retailer's license TOepense and serve alll spirituous liquors under special event Dspiit premise between special event and retail location SECTION 2 What is the purpose of this event? on-site consumption off-site (auction/wine/distilled spirits pull) [oth SECTION 10 1. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years? Cl yes HI No If yes, attach explanation. 2. How many special event days have been issued to this organization during the calendar yeare 3. Is the Organization using the services of a Licensed Contractor? C1 Yes ZI No If yes, please provide the Name of the Licensed Contractor: 4. |s the organization using the services of a series 6, 7, 11, or 12 licensee fo manage the sale or service of alcohol? (Yes [AI No if yes, please provide the Name of Licensee: License #: 5. The applying non-profit organization must receive 25% of the gross revenues of the total liquor sales. List the names of the individuals or organizations who will receive the rest of the proceeds, MUST EQUAL 100%. Name: VULTURE CITY PRESERVATION, INC. Percentage: 400% saree, B40 S WEST ROAD, UNIT 22, WICKENBURG, AZ 85390 Street city State 1p Name: Percentage: Address: Street City State Zip 4/9/2021 Page 20f 3 Individuals requiring ADA accommodations please call (602)542-9027 Please read A.R.S. § 4-203.02 Special event license; rules and R19-1-205 Requirements for a Special Event License. ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. PULL SEALED CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKED WITH WINE /CRAFT DISTILLERY FESTIVAL LICENSE, SECTION 11 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. If the special event will be held ata 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 government before submission to the Department of Liquor Licenses and Control. Please contact the local governing board for additional application requirements and submission deadlines, Additional licensing fees may also be required before approval may be granted. For more information, please contact your local jurisdiction. SIGNATURE 1, (Print Full Name) © Diet hereby swear under penalty of perjury and in compliance with A.R.S. § 4-210(A)(2) and (3) that! have read Lard understand the foregoing and verify that the information and statements that | have made herein are true and correct to the best of my Knowledge. Applicant Signature:. \ onl nf Signgture: b= GOVERNING BOARD Date Received: recommend CIAPPROVAL [I DISAPPROVAL (Govemment Official) On behelf of (City, Town, County) Signature DLLC USE ONLY CIAPPROVAL C1 DISAPPROVAL BY: A.RS. § 41-1030. Invalidity of rules not made according to this chapter; prohibited agency action; prohibited acts by state employees: enforcement; notice B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition. D. This section may be enforced in a private civil action and relief may be awarded against the state. The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the state for a violation of this section. E. Astate employee may not intentionally or knowingly Violate this section. A violation of this section is cause for disciplinary action or dismissal pursuant to the agency's adopted personnel policy. F, This section does not abrogate the immunity provided by section 12-820,01 or 12-820.02. 4/9/2021 Page 3 of 3 Individuals requiring ADA accommodations please call (602)542-9027 Covered Bar / Serving Area (Note, 2 attendants at bar at all times) fs] Security Volunteer Entrance © © (--) Security Volunteer Special Event Space