REDACTED RISEN SAVIOR LUTHERAN CHURCH 11.04.23.PDF

I CSR: 
Amount: 
,.~.,, OLJI<' q P'l ., ··1'7 "7.[illl' 
L...J11•'-..1 _ 
IC.• I Ml-
SPECIAL EVENT LICENSE 
APPLICATION FEE $25.00 PER DAY 
Arizona Dcpartn1cnt of Liquor Licenses and Control 
800 W. Washington St. 5'" Floor Phoenix, AZ 85007 
(602) 542-5141 
DLLC USE ONLY 
Job#: 
Date Accepted: 
CSR: 
License#: 
Application MUST be submitted to the Department of Liquor 10 days prior to the event. 
SECTION 1 Applicant must be a member of a qualifying nonprofit organization, political party, or Government entity and 
authorized by an Officer, Director, or Chai person of the Organization. 
1 . Applicant: ,--cc----,--..,.,,--,.--,~.L.,.....LJ....:;J_/-'>,<.__ _____ 
_:' ::.S::.._:u=,,.s=a~·c_n_'...._ _________ _ 
(Must be an Officer/Member of the Non 
2. Applicant's mailing address: 
Street 
City 
State 
Zip 
3. Applicants home/cell phone: 
Applicant's business phone:L./<fO- 89S-& 78 Z 
4. Applicant's email address: 
5. Special Event Name: N6 ii& m fJ.g, 
f 
6. Name of Non-Profit Organization, Candidate or Political Party/Gov.: Ki 3 <'-() Jui V >0 r Lu.--fhe.r0-,,-._. Uw ch 
7. Non-Profit/IRS Tax Exempt Number: 
' 
s. Arizona Corporation Commission File #:M?'IJ2,Cll/-0 If out of State please specify:. ______ _ 
'/) 
() 
L +I 
Ch' 
(Attach letter of good standing) 
9. Event Location Name: J\.1.3 en 0'?1 v/ 0 C 
().: \e.lCL•'-
\...Llc_k_ 
10. Event Address: c/3/.o;) 0 
~. AhY\a. S>cJ,00 I 'Kc\ , Ohoncfle.r AZ- 8S2lff?' 
2/6/2023 
' 
Dates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days, 
Days 
DAY l: 
DAY2: 
DAY3: 
DAY4: 
DAY 5: 
DAY6: 
DAY7: 
DAYS: 
DAY9: 
DAYlO: 
**SEPARATE APPLICATION FOR EACH "NON-CONSECUTIVE" DAY** 
Date 
Day of Week 
Page 1 of 3 
Event Start 
Time AM/PM 
L{: ODp"" 
License End 
Time AM/PM 
8.'0<) {Jlh 
RECEIVED
08/28/2023
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

SECTION 2 What type of security and control measures will you take ta prevent violations of liquor laws at this event? 
(List type and number of police/security personnel and type of fencing or control barriers, If applicable.) 
,/!f 
Number of Police t../ l(O//J nfeaLS Number of Security Personnel 
0Fencing 
~arriers 
Must explain security measures: /. /h&s.<1 On a b lar+enclu-~ h rnoo I. fvc {!J)n'ltff) ()tlm 
I 
arvd OJl'tf, e?. VoluDhUS. 1.2a.J!t.s.1h. fo..ensurf', a!&Jho/ diJJ\ ao tli(we. 
~cS/tJ;. 
SECTION 3 What is the purpose of this event? 
'glpn-slte consumption 
Doff-site (auction/wine/distilled spirits pull) 
How is this special event going to conduct all dispensing. serving. and selling of spirituous liquors? 
Check one of the following boxes. {R-19-318) 
DBoth 
A) )i?fspecial Event being held on an unlicensed premises will require approval and signature by the Local Governing 
Body on page 3. {If checked move to section 4) 
B) 0 Will this event be held on a currently licensed premises and within the already approved and licensed area? 
(Must attach a letter from the licensed premises with an explanation of the option checked below) 
Name of Business 
License Number 
0Place license in non-use - Special Event Ucensee selling all alcohol without retailer involvement 
Must attach letter from the location suspending license for duration of special event 
Phone {Include Area Code) 
0Dispense and serve all spirituous liquors under retailer's license -Business operates normally. minimum of 25% of gross 
revenue from alcohol sales is donated to licensee 
0Dispense and serve all spirituous liquors under special event - The special event licensee is in charge of selling alcohol that was 
purchased or donated by the special event licensee. The retailers existing alcohol inventory must be separated from any alcohol 
used during the special event. Must attach letter from the location suspending license for duration of special event 
0Split premise between special event and retail location - Both the special event licensee and the retailer will conduct 
sales of alcohol. (These sales will be done in separate areas. If alcohol is donated or purchased by the special event licensee 
it must be in a separate area than the alcohol that is dispensed by the licensed retailer.) 
Doff Sale only - Wine/Distilled Spirits Puff. Uve or Silent Auctions - Retailer will still be permitted to conduct all normal sale and 
service of alcohol. 
SECTION 4 
l. Has the applicant been convicted of a felony. or had a liquor license revoked within the last five (5) years? 
D Yes)(j" No If yes. attach letter of explanation. 
2. How many special event days have been issued to this organization during the calendar year?-~/ ____ _ 
3. Is the Organization using the services of a Special Event Contractor? {A licensee can utilize the services of a special event 
contractor who may purchase and sell alcohol on behalf of the licensee. If no special event contractor is listed. the licensee is 
responsible for the sales and service of alcohol. ) 
'A Yes D No If yes. please provide the Name of the Special Event Contractor: AfA-ij BaJfendifS 
4. Is the organization using the services of a series 6. 7. 11. or 12 licensee to manage the sale or service of alcohol? 
{Licensees who hold a series 6. 7. 11. or 12 license are automatically qualified to be the special event contractor) 
0 Yes ~o 
if yes. please provide the Name of Licensee: __________ License #: --------
5. List the name of the Individual or Organization that will receive revenues. MUST EQUAL 100 PERCENT. 
Attach addltlonal sheet If necessary. 
2/6/2023 
Page 2 of 3 
Individuals requiring ADA accommodations please call (602)542-2999

Name::RS-en ~vl~r Lu.,fhefQI\, OhLt<eL 
Percentage: __ 
/_0_0~'%~o~--­
Address: 
Street 
City 
State 
lip 
Please read A.R.S. § 4-203.02 Special event license; rules and Rl 9-1-205 Requirements for a Special Event License. 
ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. 
NO ALCOHOLIC BEVERAGES SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN AUCTION WINE OR DISJILLEQ SPIRITS PULL 
SEALEQ CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKEQ WITH WINE /CRAFT QISTILLERY FESTIVAL LICENSE 
SECTION 5 License premises diagram. The licensed premises for your special event is the area in which you are 
authorized to sell, dispense or serve alcoholic beverages under the provisions of your license. Please attach a diagram 
of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control 
measures and security position. 
If the special event will be held at a location without a permanent liquor license or if the event will be on any portion of a location 
that is not covered by the existing liquor license, this application must be approved by the local governing body before submitting 
to the Department of Liquor Licenses and Control. Please contact the local governing board for additional information. 
APPLICANT SIGNATURE 
Declaration: 
O 
~ \ 
\ 
I. (Print Name) 0 lA.3,Q.[\ Jv Q\ 0 
, declare under penalty of perjury that I am 
authorized to submit this application. I have read the contents of this application, and to the best of my knowledge 
believe all statements made on this application to be true, corr~dcomplete. 
1 
{LJJA/JAAI. 
1 s2K1r! .e_ [) 
LOCAL GOVERNING BODY 
Date Received: _______ _ 
I,-------------- ____________ recommend 
DAPPROVAL 0 DISAPPROVAL 
(Government Official} 
(Tiiie) 
On behalf of ____________ .------------ ____________ _ 
(City, Town, County) 
Signature 
Date 
Phone 
The local governing body (city, town or municipality where the fair/festival will take place) may require additional 
applications to be completed and submitted. Please check with local government as to how far in advance they require 
these applications to be submitted. Additional licensing fees may also be required before approval may be granted. 
AZDLLC USE ONLY 
I 
D""'•oVAc D ,,,,,eeoVAc "' ______________ DATE: _______ _ 
21612023 
Page 3 of 3 
I

/ 
/ 
/ 
/ 
/ 
~o/ 
~ 
0000·0.Q{:) 
~ 
~ 
I 
\ 
I 
\ 
I 
\ 
I 
\ 
,. 
I 
~.,11, 
123 
: I 
.. 
-
:11 
~ I: I 
I r~ 
... 
Ltk 1 kil I 
'=ii I 
W NORTH CHURCH BUILDING 
38i17 SF {INCLUDES FRONT ENTRY ROOF OVERHANG) 
bt:s)~pif&J:W@ 
6;il, 
:,¥tf' 
JI 
~ 
.Y.s ' 
x 
!{_ 
N~AY 
~ 
APN 303·51-9750 
s.,, 
·• t·" l 
/j,t,R-'sCsR!(.f)D 
. 
~-~ J 
K•-t- 1..,..... ~ 
I 
~a_,,.,, ·fj'y1:J-
W1t1d<D'V" 
o 
·o· 
o. 
I : 
I 
NORTH 11 ! 
.E.NTRY 
I 
I 
I 
I 
I : 
I 
11 
!_ n 
'I 
<;=:i 
==;> 
---· ·; 1': 
NEWDfil\ 
i1' 
' ' ' ' ' 
~nu-H 
0 
' ' ' 
I ' ' ' ' ' ' ' I ' ' , , 
' , , , 
' 
I 
I 
I 
I 
I 
' 
I 
f 
.... 
w 
" > 
<O 
-
. al 
0:: 
1~ 0 
I
·~ I:'. 
0 
<t 
~ > 
r~ 0: 
·--~ . 
""""· ! t-
,, 
" ! 
~~·:1 
~~~~ :i: -n~ 
liii'I 
.: I 
0 
=n Li_, 
r-nu 
_)__nu~ 
I I I I I I I I II 
--, <>.r------
I 
!ll 
I .~ I 
, . l 
123 
I : l 
I. 
I 
NEWE'_&fllilN.9 LOT ----j <Ff----
'' .. 
.. 
· -
-
-soOo2~33Qo·-*1 
. 
I 
' 
_ 
A-rut.. wi+h 
i 
' ' ' 
I 
-----, '" 
'~ 
-fufrica.dJi..V 
I 
: 
n Erd!CL/1[..Q___, 
: 
·-,a 
110 
11ro 
,ro 
.~ 
hill

t 
f: 
' 
J 
·-:. 
'• 
.J 
':" 
,., 
°' 
! -
;.. 
!.

Google Maps 
.23620. S( na School Rd 
23620 S Alma School Rd 
Imagery ©2021 Maxar Technologies, U.S. Geological Survey, Map data ©2021 
50 ft: 
= 
• I 
= 
< 
~ 
23620 S Alma School Rd, Chandler, AZ 85248 
Photos

"O 
0::: 
0 
0 
..c 
() 
U) 
co E 
<( 
U) 
~ 
.,.... 
['-. 
(\"') 
N 
C.;) 
.'<.,, ·• 
;:;. 
•-. 
·'. 
I 
ii 
·~ 
"