Extracted text (via ocr_local)
6247 characters
DLLC USE ONLY
TEMPORARY EXTENSION OF Tob fe
PREMISES/PATIO PERMIT Date Accepted:
A non-refundable $100 fee will apply Gk:
Arizona Department of Liquor Licenses and Control
800 W. Washington St. 5"° Floor Phoenix, AZ 85007
(602) 542-5141
APPLICATION DUE TO THE LOCAL GOVERNING BODY 60 DAYS BEFORE DELIVERY TO THE DEPARTMENT OF LIQUOR
APPLICATION MUST BE SUBMITTED TO THE DEPARTMENT OF LIQUOR 30 DAYS PRIOR TO FIRST SCHEDULED DATE
ARS. § 4-207.03
license#; 912070018653 §
1, Agent Name: ESPARZA JUANITA ALICIA
“ Fist Middle
2. Business Name: PALOMINO CLUB
3, Business Location Address: 107 EAST WICKENBURG WAY WICKENBURG ARIZONA 85390
Street Clty State Zip Code
4. Business Phone Number: 928-684-4442 Contact Phone Number: 623-302-2234
5. Mailing address: 107 EAST WICKENBURG WAY WICKENBURG ARIZONA 85390
Street City State lip Code
&. Email Address; AELIQUORLICENSE@GMAIL.COM
7. Specific purpose for change: ONE DAY EVENT
8. Does this extension bring your premises within 300 feet of a school? [Yes No
Dates of the Temporary Extension - Must not exceed 6 months.
Date Day of Week Start Time End Time
FEBRUARY 23, 2025 SUNDAY 9:00 AM 6:00 PM
(Attach additional sheet if necessary)
MODIFICATIONS TO DATES AND TIMES ONLY, USING THE SAME EXTENDED DIAGRAM OF PREMISES, ARE ALLOWED
REQUIRES A 10 DAY ADVANCE NOTICE TO THE DEPARTMENT OF LIQUOR FOR APPROVAL
11/14/2023 Page | of 2
Individuals requiring ADA accommodations please call {602}542-2999
REQUIRED ATTACHMENTS
1, MUST submit a security plan and identify security measures that will be implemented in order to:
° Provide for the safety of the patrons.
. Ensure anyone under legal drinking age does not purchase, possesses, or consume alcohol.
. Prevent unauthorized removal of alcohol from the extended premises.
. Prevent unauthorized carrying of alcohol onto the extended premises.
2. MUST attach a diagram, clearly depicting your licensed premises along with the new extended area,
if the extended area is nof outlined and marked “extension” we cannot accept the application.
BARRIER
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 licensed premises. List specific reasons for exemption:
oO Approval O Disapproval by DLLC:
SIGNATURE
Declaration:
|, (Print Name) JUANITA ALICIA ESPARZA . declare under penalty of perjury that | am
authorized to submit this application. | have read the contents of this application, and to the best of my
knowledge believe all statements made on this application to be true, correct and complete.
JO purge
Signature
GOVERNING BOARD
After completion, and at least 60 days 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.
Date Received: Vo las Agency: Town of lw. CKen boty
Decision Date: Title: q
0 Approval O Disapprovat
Authorized Signature:
DLLC USE ONLY
Investigation Recommendation: Oo Approval Oo Disapproval by:
Director Signature required for Disapprovals:
11/14/2023 Page 2 of 2
Individuals requiring ADA accommodations piease call {602)542-2999
N
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SECURITY PLAN PALOMINO CLUB
January 8, 2025
The Arizona Department of Liquor License and Control
800 W. Washington St. 5" Floor
Phoenix, Arizona 85007
To Whom It May Concern:
The following security plan and precautions will be as follows for the temporary extension
parking lot located at 107 E. Wickenburg Way Wickenburg, Arizona 85390 under liquor
license 012070018653.
Provide for the safety of patrons:
4ft tall snow fencing will line the entire extension with 2 exits for patrons to enter and exit.
At each of those exits security will ensure no alcohol comes on the premises or off the
premises. We will also have security walking around the event to ensure all patrons safely
enjoy the event. Should there be any issue with any patron they will be asked to leave the
premises and security will escort them out.
Ensure that an individual who is under the legal drinking age of 21 does not
purchase, possess or consume spirituous liquor on the extended are of the
extension:
Security will be posted at each exit and entrance letting one patron in at a time. As they
enter, security will do a brief look of their person to ensure no liquor, beer or other
alcoholic beverages are being brought on the premises. Should a patron attempt to
bring liquor, beer or any other alcoholic beverage on the premises they will be stopped
at the gate by security and asked to return said items outside of the premises.
Prevent the unauthorized removal of spirituous liquor from the extension of
premises.
Security along with signs stating "No Liquor Beyond This Point” will be posted on either
side of each exit. Security will ensure only one person leaves at a time and will ensure
no liquor will leave the permitted premises. If a patron attempts to leave the premises
with liquor, beer or any other alcoholic beverage, security will stop them, inform them no
liquor is allowed outside of the premises and remove the beverage from their
possession.
Prevent unauthorized carrying of alcohol onto the extended premises.
Security will be posted at each exit and entrance letting one patron in at a time. As they
enter, security will do a brief look of their person to ensure no liquor, beer or other
alcoholic beverages are being brought on the premises. Should a patron attempt to
bring liquor, beer or any other alcoholic beverage on the premises they will be stopped
at the gate by security and asked to return said items outside of the premises