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o+tr.43e taw.un1 <br /> STATE OF COLORADO Oo Not Writs In Thh Space <br /> I T rtil T Rev em LIQUOR ENFORCEMENT QFICEP'S ACTION <br /> Ap ,Ovto <br /> Oak <br /> APPLICATION FOR SPECIAL EVENTS PERMIT <br /> DISAPPAOviD r _ <br /> O. <br /> St1RUC' t0N$' Mawr MI erwYOds art se+ls estoµtant)n.awes Set the tapprwrl <br /> 01 yea foot LaAWl w,ertty NM test tail M!arses IoM aouroval of your Cola L e prte•T•aowewe N M•Number aide Near artfot4iossot*Mow.Then wolf this eoworteeed elo tcsbOn,,1tt,Wooer <br /> km r OW Celoroes Oaomnmewt of Rouen er hart.Capitol Anna*B,+1td ,1375 <br /> Srwor n Swart.Olower,Cstesallo.BD'J03. Onttw's srinaturs <br /> No It MtT Mnu.tt clitANTtO UNTIL THIS AP*L.iCAT'ON►LAS SUN AMehOVto sv YOUR LOCAL L1tlNSING AUTHoeniTv AND Yowl <br /> lavORlhPOflCtsdtNNToFrictn. Fermis wetr.,tad for.rn.ulmonsof Iwo days Coror.do foes ere. 32k Geer.$1000 pit day. Boor,Woes we <br /> Liquor-$l.00 ear Brie: Your lama tiaansNha authority eon'NU Ito tfy amount of[mar fee. <br /> What typo of p rmit an you applying for? XX 3.2%Beer [.1 Beer.1 in.and Liquor <br /> 1. Applicant Louisville Volunteer Fire Dept Telepfl:l,,. N ,mtrer ,666-6333 <br /> 2 Trade Name(,f - <br /> . ltlif, <br /> 3. Atddntts 1240 MAID ►SC.r--- - City County - A 11.1 da>!' Colaado. <br /> •% <br /> 4 Address of plata to have temporary permit. (EXACT LOCATION OF PRE.IiSES MUST BE G4VEN.1 Give streftt 14 nix alter if possible. <br /> If plat is located in a town or rural district where it is impossible to give street and number,the lot and block number or part of <br /> Sstiton Voheti located must be given. <br /> Miner's Field corner of Hwy. 42 and SOuth .Street t <br /> • <br /> ort os''Totatft LOUisv1_,_ County a Colorado. <br /> • <br /> S. The 'XACT date(a) for which application is being made for permit (no more than two days)• <br /> From icily 1I 14 74 . 10.00 0 P'1, to ..�111X 15. 179 _ _ A.�O P Jt_ <br /> 0.• MOO ortf MOW - <br /> From. - - to <br /> WHIP Hour 6are moue <br /> 6 Do you haw legal possouion of the premises for which this application is made? <br /> I Is applicant organis.ltion ricurporated under the I.wi of this state for purposes of a social,fraternal,patriotic.po ttiCat,or <br /> athletic nature.r►OI for pecuniary gain;or is it a regularly chartered branch,loilga,or chapter of a national organization or <br /> society Organised for such Wows.being non•strolit in nature;or is,t a religious or philanthropic institution? <br /> XX Yes f No <br /> 0 If the applicant is an organization incorporated in this state for"non pecuniary" (non•profitl purposes,answer(al. (b) and (C). <br /> (al Organized under the laws of the State of COLORADO _ - Oat. 11-22-74 <br /> (hl Principal business is conducted at 1140_M&in _Louisville_ .County moulder <br /> (ci Complete the following tit derail: <br /> ►AESiosNT Howard A. Pollock 834 Lincoln Av Louisville, CO MM. <br /> vice Peck John Little ohn •01 Garfield Av. Louisville, CO <br /> TREASUREfl 1111111111111111111 MIME <br /> MANAC,EN <br /> H Are the rr*ssruyl licdrwa,f tactli Inn of •i1 u1,cJnt u'rtan,t.el,..n 4r1,,,;,�;qu•ile for Srtvi'iq Irtentt>art ur yw�t EA the orgamf.i1tcml by <br /> ,"*Sous of Ow nw[ure of then yt+ec,ai event wh:ch if rctlarlulatl> I Jil Yct I NO <br />