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DLLC USE ONLY Job #: APPLICATION WITHDRAWAL Date Accepted: CSR: Arizona Dept. of Liquor Licenses and Control 800 W. Washington St. 5" Floor Phoenix, AZ 85007 (602) 542-5141 Type or Print with Black Ink License Number: JOB# 328080 Agent / Individual Name: WALENTI RICHARD JOSEPH Last First Middle Premises Name (Doing Business As-DBA): PORTILLO'S HOT DOGS 7200 W RAY RD, CHANDLER, AZ 85226 Street City State Tip Code Mailing Address: 2001 SPRING ROAD #400, OAK BROOK, IL_60523 USA Premises Address: REASON FOR WITHDRAWAL <= DO NOT WANT TO SERVE ALCOHOL AT THIS LOCATION. (USE BACK OF PAGE IF NECESSARY) EEE ET Declaration: |, (Print Name} . declare under penalty of perjury that | am authorized by the licensee 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. | Signature REVIEW EMPLOYEE DATE Customer Service Representative Kota Gongalee ___03/06/2025 Investigations (Pending Applications) pita tate O 03/07/2025 | Licensing Manager eo Pesce 03/07/2025 Liquor Board (Hearing files only) _ | DISPOSITIONS O Letter Attached 1 Intent to Halt _ | 0 Revoked-Order# DApplication Denied # 0 Reverted-Order# DApplication Withdrawn _ 11/22/2022 Individuals requiring ADA accommodations please call (602)542-2999