Withdrawal Form

City of Chandler — Study Session (2024-08-12)

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APPLICATION WITHDRAWAL 
Arizona Dept. of Liquor Licenses and Control 
800 W. Washington St. 5'h Floor Phoenix. t\Z 85007
(602) 542-5141
Type or Print with Black Ink 
License Number: 0B0?D631 
---------------- -
DLLC USE ONLY 
Job#: /? 00 '7 0 
 
,, 
CSR: 
Agent/ Individual Nome: ___ E_S-,-----P_A_R_Z_A ______ J_LJ_A_N_IT_A 
_________ A_L_I_C_IA 
__ 
La,t 
First 
Middle 
Premises Nome (Doing Business As-DBA): SNEAKER HEADS SPORTS BAR 
---------- ------------------
Premises Address: 3002 NORTH ARIZONA AVENUE #18 CHANDLER ARIZONA 85225
Street 
City 
Stole 
Zip Code 
Moiling Address: _3_00_2_N_O_R_T_H _A_R_IZ_O_N_
A _A _V_E_N_U_E_#_1_8_C_H_A_N_
D_LE_R_A_R_IZ_O_N_A _8_5_2_25 
__________ _ 
I► 
REASON FOR WITHDRAWAL ◄-
DELAY IN THE PROCESSING OF CITY USED PERMITS 
(USE BACK OF PAGE IF NECESSARY) 
Dec la ration: 
1, (Print Nome) JUANITA ALICIA ESPARZA
authorized by !he licensee to submit this application. I 
of my knowledge believe all statements made on this 
re under penally of perjury fhot 
orn 
REVIEW 
Customer Service Representative 
Investigations ( Pending Applications) 
Licensing Manager 
Liquor Board (Hearing Illes only) 
DISPOSITIONS 
D Letter A ttoched _____ _ 
D Revoked-Order# ______ _ 
D Reverted-Order# _______ _ 
! '/22/2022 
D ln1ent to Holt 
□Application Denied
ontents of this appiico1ion. and to the besl 
.. J.:., correct and complete. 
Signature 
DATE 
LI I Ul!:_1_p'f 
16/07/24 
17/07/24 
□Application Withdrawn