ANACAPA GRILL AT CORTE BELLA REDACTED.PDF

AUG 0 3 2023 
MARICOPA COUNTY 
CLERK BOARD OF SUPERVISORS 
PERMANENT EXTENSION OF 
PREMISES/PATIO PERMIT 
A non-refundable $50. fee will apply 
Arizona Dept. of Liquor Licenses and Control 
800 W. Washington St. 5th Floor Phoenix, AZ 85007 
(602) 542-5141 
Type or Print with Black Ink 
DLLC USE ONLY 
Job#: 
Date Accepted: 
CSR: 
*OBTAIN APPROVAL FROM LOCAL GOVERNING BOARD BEFORE SUBMITTING TO THE DEPARTMENT OF LIQUOR* 
**Notice: Allow 30-45 days to process permanent change of premises** 
License#: ____ 
1_20_77_4_6_9_ 
Specific purpose for change: NEW PRfY A TE Ql_Nl_N_G_A_ND_Kl_T_C_H_E_N_A_R_EA ______________ _ 
1. 
Agent/lnd~idual Name:_L_E_~ 
__ 
O_W_I_T_Z _________ 
A_N_D_~_A ________ 
D_A_H_L_M_A_N __ 
Last 
First 
Middle 
2. Premises Name (Doing Business As-DBA): ____ 
A_N_A_C_A_PA_G_R_IL_L_A_T_C_O_R_T_E_BE_L_LA __________ _ 
3. Premises Location Address: _2_2_13_5_N_M_IS_S_IO_N_D_R_I\_'E ______ 
SU_N_C_I1Y 
__ 
W_E_S_T __ 
A_Z _____ 
8_5_37_5 __ 
Street 
City 
State 
Zip Code 
4. Mailing address: 
 
 
 
 
Street 
City 
Slate 
Zip Code 
5. Email Address: 
_____________________ _ 
6. Business Phone Number: -~(6_2~3)_3_2_8-_50_6_8 ______ Contact Phone Number: -~(~6
 __ _ 
7. Is extension of premises/patio complete? 
ON/A [K]YesONo 
If no, what is your estimated completion date?_/_/ __ 
8. Do you understand Arizona Liquor Laws and Regulations? 
KlYes 0No 
9. Does this extension bring your premises within 300 feet of a school? 
0Yes [X]No 
10. Have you received approved Liquor Law Training? 
IXhes 0No 
11. What security precautions will be taken to prevent liquor violation s in the extended area? _M_A_N_A_G_E_R_A_N_D __ 
STAFF HAVE BEEN TRAINED IN THE TECHNIQUES OF LEGAL AND RESPONSIBLE ALCOHOL SALES AND SERVICE. 
10/03/2022 
Page 1 of2 
Individuals requiring ADA accommodations please call (602)542-2999

12. IMPORTANT: Attach the revised floor plan, clearly depicting your licensed premises along with the new extended 
area outlined in block marker or ink, if the extended area is not outlined and marked "extension" we cannot accept 
the application. 
BARRIER 
D Sorrier Exemption: an exception to the requirement of barriers surrounding a patio/outdoor serving 
area may be requested. Sorrier exemptions are granted based on public safety, pedestrian traffic, 
and other factors unique to a licensed premises. List specific reasons for exemption: 
D Approval 0 
Disapproval by DLLC: ----------------------
SIGNATURE 
Declaration: 
I, (Print Nome) ANDREA DAHUv1AN LEW KOWlTZ 
, d eclare under penalty of 
erjury that I am 
authorized to submit this opplicalion. I hove rea d 
o the best of my 
knowledge believe all statements made on this application to be true. orrect and complet . 
GOVERNING BOARD 
After completion, and 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. 
D Approval 
D Disapproval 
Authorized Signoture 
Tltte 
Agency 
Date 
DLLC USE ONLY 
Investigation Recommendation: a Approval D Disapproval by:--------- Dote:___)_} __ 
Director Signature required for Disapprovals: -----------------Date: __ /_/ __ 
10/0312022 
Page 2 of2 
Individuals requiring ADA accommodations please call {602)542-2999

ANACAPA GRILL AT CORTE BELLA 
22135 N MISSION DRIVE 
SUN CITY WEST, AZ 85375 
 
NEW TOTAL SQUARE FOOTAGE – 40,000 SF 
CURRENTLY 
LICENSED  
EXTENSION 
 
RESTAURANT – SEE 
ATTACHED FOR AREA 
DETAILS

ANACAPA GRILL AT CORTE BELLA 
DIAGRAM ATTACHMENT 
RESTAURANT DETAILS 
NEW PRIVATE 
DINING AREA 
NEW KITCHEN 
AREAS