Local Governing Body Recommendation - Arizona Department Of Liquor Licenses And Control
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1Arizona Department of Liquor Licenses and Control
800 W Washington 5th Floor
Phoenix, AZ 85007-2934
(602) 542-5141
Local Governing Body Recommendation
A.R.S. § 4-201(C)
1. City or Town of: __________________________________________ Liquor License Application #:_______________________________
(Circle one)
(Arizona application #)
2. County of: _______________________________________________ City/Town/County #: ______________________________________
3. If licensed establishment will operate within an “entertainment district” as described in A.R.S. §4-207(D)(2),
______________________________________________________
______________________________________________________
(Name of entertainment district)
(Date of resolution to create the entertainment district)
A boundary map of entertainment district must be attached.
4. The ___________________________________ at a ________________________________ meeting held on the __________________ of
(Governing body)
(Regular or special)
(Day)
_____________________, ____________ considered the application of _______________________________________________________
(Month)
(Year)
(Name of applicant)
for a license to sell spirituous liquor at the premises described in application ______________________________________________,
(Arizona liquor license application #)
for the license series #: type ________________________________________________________________ as provided by A.R.S §4-201.
(i.e.: series #10: beer & wine store)
ORDER OF APPROVAL/DISAPPROVAL
IT IS THEREFORE ORDERED that the license APPLICATION OF __________________________________________________
(Name of applicant)
to sell spirituous liquor of the class and in the manner designated in the application, is hereby recommended
for _____________________________________________________.
(Approval, disapproval, or no recommendation)
TRANSMISSION OF ORDER TO STATE
IT IS FURTHER ORDERED that a certified copy of this order be immediately transmitted to the State Department
of Liquor, License Division, 800 W Washington, 5th Floor, Phoenix, Arizona.
Dated at _______________________ on ________________, _________________, __________.
(Location)
(Day)
(Month)
(Year)
____________________________________________
___________________________________________
(Printed name of city, town or county clerk)
(Signature of city, town or county clerk)
8/21/2015
Page 1 of 1
Individuals requiring ADA accommodations please call (602)542-9027
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