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DLLC USE ONLY TEMPORARY EXTENSION OF Tob # PREMISES/PATIO PERMIT Date Accepted: A non-refundable $100 fee will apply an Arizona Department of Liquor Licenses and Control 800 W. Washington St. 5" Floor Phoenix, AZ 85007 (602) 542-5141 OBTAIN RECOMMENDATION FROM THE LOCAL GOVERNING BODY BOARD 60 DAYS PRIOR AS WELL AS SUBMIT A COPY TO THE DEPARTMENT OF LIQUOR 07070255 Miller , Jeffrey Last First Middle License#: 1. Agent Name: 2. Business Name: L'ENTRATA BMcttrer locatontadcress: 41111 N DAISY MOUNTAIN Drive #117 PHOENIX Arizona 85086 Street City le 4. Business Phone Number: 6232481727 Contact Phone — — PO Box 2502, Chandler AZ 85244 Street City State Zip Code 6. Email Address: Liquorlicense@azlic.com Overflow area during soloist singing to prerecorded tracks 5. Mailing address: 7. Specific purpose for change: Dates of the Temporary Extension — Must not exceed 6 months. Date Day of Week Start Time End Time 10/25/2023 Wednesday 5PM 9PM (Attach additional sheet if necessary) Must provide written notice to the Department of Liquor of any modification 10 days prior to change/addition to scheduled Temporary Extension. 4/27/2023 Page 1 of 2 Individuals requiring ADA accommodations please call (602)542-2999 8. Do you understand Arizona Liquor Laws and Regulations? lJ Yes CNo 9. Does this extension bring your premises within 300 feet of a school? Clyes No IMPORTANT 1, MUST submit a security plan and identify security measures that will be Implemented in order to: (Pursuant to A.R.S. § 4-207.03 (B) 1-4) e 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 not outlined and marked “extension” we cannot accept the application.6 BARRIER 0 earier 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: O Approval O1 Disapproval by DLLC: SIGNATURE Declaration: |, (Print Name) Jeffrey Miller , 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. a 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 thelr recommendation. This recommendation Is not binding on the Department of Liquor. DO Approval O Disapproval Authorized Signature Title Agency DLLC USE ONLY Investigation Recommendation: D1 Approval D1 bisapproval by: Director Signature required for Disapprovals: 4/27/2023 Page 2 of 2 individuals requiring ADA accommodations please call (602)542-2999 Security Plan U’Entrata, License #07070255 41111 N Daisy Mountain Dr, #117 Phoenix AZ 85086 Extension area will be enclosed with fencing. ID check at point of purchase by employees trained on proper ID checking Extended area will not have a portable bar. There will be 4 bar height tables and 12 chairs, the area will mainly be used for extra space for patrons to mingle Area will be under constant supervision by staff to ensure compliance with liquor laws, exits will be under constant observation to ensure no alcohol enters or leaves the premises Exdension area will toke up half of 700gle Maps LEntrata Imagery ©2023 Airbus, Maxar Technologies, U.S. Geological Survey, Map data©2023 20 ft