Parkview Taphouse Ext of Premises 06032026_Redacted

RECEIVED
JUN 03 2026

Sa DLLC USE ONLY
CSR:

Arizona Department of Liquor Licenses and Control
800 W Washington Sth Floor ae
Phoenix, AZ 85007-2934 eo™
www.azliquor.gov

(602) 542-5141

APPLICATION FOR EXTENSION OF PREMISES/PATIO PERMIT

**Notice: Allow 30-45 days to process permanent change of premises**
Rl Permanent change of area of service. A non-refundable $50. Fee will apply. Specific purpose for change:

PpTioS ¢ OPEN AIR SPACE AND Dull DING

(Temporary change (No Fee) for date(s) of: __/ /___ through __/__/___list specific purpose for change:

MMWDCNG L

LC __

1. Licensee's Nam

2. Mailing address:

3. Business nome PARKVIEW TAPHOUSE _ - we =_
4. Business address 3d, PARKVIELW AV E Fou N PIN H INS = AZ 85) CP .

State lip Code

5. Email Addres' =

6. Business Phone Number: H&O Q3]- WH Contact Phone — | —

7. Is extension of premises/patio complete?
& N/A oO Yes CINo If no, what is your estimated completion date? / /

8. Do you understand Arizona Liquor Laws and Regulations?

[Xlyes LINo

| 9. Does this extension bring your premises within 300 feet of a church or school?

Doves Iino

10. Have you received approved Liquor Law Training?

[yes LINo

[ Aer
11. What security precautions will be taken to prevent liquor violation s in the extended area? EN CLOSE Y

PATIO AREA /FENCING

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

application.

1/25/2017 Page 1 of 2
Individuals requiring ADA accommodations please call (602)542-9027

SIA APTRUVALT RUM LOCAL GUVERMING BURKD SLi URE SUBMINING TO ITE Barkin CF Kox- Oe - r

licensed premises. List specific reasons for exemption:

—= — ——— —= <=
oO 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

Lars ovet Tnisapproval by DLLC:

Notary

, hereby declare that | am a CONTROLLING PERSON/ AGENT filing this
and the contents and all statements are true, correct and complete.

|, (Signature),
notification. | hav

State of Arizona

)
County of Went yc }

On this | Day of Se 20 ae before me personally appeared Winn, u C WANN BN
ay ear

Month Print Name of Document Signer)

Whose identity was proven to me on the basis of satisfactory evidence tobe erson who he orshe claims to be and

acknowledged that he or she signed the above/attached owe f;

ZAVe) “ICV €
J Signatyre NOTARY PUBLIC

PHYLLIS A PADGETT-ESPIRITU
Notary Public - Arizona
Maricopa County
Commission # 672434
My Comm. Expires Sep 6, 2028 §

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GOVERNING BOARD

xO = — == —

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. “

DO Approval DO Disapproval
Authorized Signature Title Agency Date
DLLC USE ONLY

Investigation Recommendation: 0 Approval O Disapproval by:

Director Signature required for Disapprovals:

1/25/2017 Page 2 of 2
Individuals requiring ADA accommodations please call (602)542-9027

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EXPANSION