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Home My WebLink AboutRFI24-0739 ABC-221 Forms for 12.13.24 and 1.1.2025KORY L.HONEA SHERIFF-CORONER suf ccnyjsrry^ Daily Event License Approval Sheet The Butte County Sheriffs Office has done a preliminary review of the event listed below,and determined that there are no objections from the Sheriff's Office standpoint. The next step in the process is obtaining approval from the Butte County Department Services Planning Division.Please provide this cover letter with your application to the Planning Department for review and approval.Upon approval,return this cover letter with your application packet to the Sheriff's Office for final approval and issuance of your license. \oc\o^-moo pOrganizationName: Organization Contact Information: (phone or emoil)Zb\VDateofEvent: APN/Address: NOTES: Department Services Planning Division Denied:Approved: {Signature}(Date)(Signature)(Date) Butte County Sheriff's Office Denied:Approved: (Date)(Signature)(Signature)(Date) Department of Alcoholic Beverage ControlStateofCalifornia DAILY LICENSE APPLICATION ABC USE ONLY License#Receipt #Fee Complete all applicable items.Submit this application to your local ABC district office with the required fee (cashier’s check or money order)payable to ABC.Once the daily license is issued,fees cannot be refunded.Listing of ABC district office is available at https://www.abc.ca.qov/contact/district-offices/.Please visit https://www.abc.ca.qov/abc- 221-instructions/for further instructions. $ Conditions Requested □Yes □No Diagram Requested □Yes □No License Type □B&W □General □SpecialSECTION1.ORGANIZATION AND LICENSE TYPE INFORMATION Tax ID 51-70119 Organization Name OROVILLE MOOSE LODGE Organization Mailing Address 1462 14TH ST OROVILLE.CA 95965 LICENSE TYPE □Special Daily Beer and Wine ($50.00) □Amateur Sports Organization □Charitable □Civic D Cultural □Fraternal □Political □Religious □Social □Other: Q Daily General ($75.00) □Political Party/Affiliate Supporting Candidate for Public Office or Ballot Measure □Organization Formed for Specific Charitable or Civic Purpose 0 Fraternal Organization in Existence over Five Years with Regular Membership □Religious Organization □Vessel per Section 24045.10 B&P($50.00) □Special Temporary License ($100.00) □Television Station per Section 24045.2 or 24045.9 B&P □Non-profit Corporation per Section 24045.4 and 24045.6 B&P □Person Conducting Estate Wine Sale per Section 24045.8 B&P □Women’s Educational and Charitable Organization per Section 24045.3 B&P □Other Special Temporary License Per Section: License #:Amount: SECTION 2.EVENT DETAILS Event Dates Total #of Days Hours of Alcoholic Beverage Sales,Service and/or Consumption Virtual Event Mark Yes,if the event is 100%9 AfV-M M1 D Yes Q No virtual Event Address (Street#,Name,and City) 1462 14TH ST.OROVILLE CA 95965 Event Location Description (Jones Park,Pavilion A,etc.) MOOSE LODGE Location Within the City Limit B Yes □No Event Type □Barbeque HDinner □Festival □Lunch □Carnival □Mixer □Dance □Picnic Type of Entertainment NONE Event Open to Public □Sporting Event □Social Gathering □Wedding □Other: B Yes □No□Birthday □Concert Estimated Attendance Security Guard If Yes.How Many □Yes SNo Outdoor Event □Yes ^E^No **If Yes,a diagram of the event area is required50 REQUIRED 0 By checking this box,you are certifying that you understand the requirements detailed in Business and Professions (B&P)Code Section 25682(c)which state that a nonprofit organization that has obtained a temporary daily license from the department must designate a person(s)to receive RBS training certification prior to the event,and that designated person(s)shall remain onsite for the duration of the event. SECTION 3.CONTACT INFORMATION Contact Person LYNN MCGINNIS Phone Number 707 350-5204 Email Address lodgeSI 9@mooseunits.org SECTION 4.SIGNATURES AND APPROVALS I attest that I am authorized by the organization named above to make this application on its behalf. Organization’s Authorized Representative Name LYNN MCGINNIS Phone Number 707 350-5204 Signature Date Signed Ut/tidfil^uui l>JJlJ DateSioneVPropertyOwnerApprovalBy(Name)Required LYNN MCGINNIS Phone Number 707 350-5204 iture /Law Enforcement Approval By (Name).If applicable Phone Number Signature Date Signed District Office Approval By (Name)Phone Number ABC Employee Signature Issuance Date The above named organization is hereby licensed,pursuant to the California B&P Code Division 9 and California Code of Regulations,to engageinthetemporarysaleofalcoholicbeveragesforconsumptionattheabovenamedlocationfortheperiodauthorizedabove.B&P Code Section 25682(c)requires that a designated RBS-trained person(s)shall remain on site for the duration of the event.Failure to complywith thisrequirementwillresultinimmediatecancellationofthepermit.This license may be revoked summarily by the department if,in the opinion ofthedepartmentand/orthe local law enforcement agency,it is necessary to protect the safety,welfare,health,peace and morals of the people of the State. ABC-221 (Rev.11/2023) KORY L.HONEA SHERIFF -CORONER G€yiy£smr Daily Event License Approval Sheet The Butte County Sheriff's Office has done a preliminary review of the event listed below,and determined that there are no objections from the Sheriff's Office standpoint. The next step in the process is obtaining approval from the Butte County Department Services Planning Division.Please provide this cover letter with your application to the Planning Department for review and approval.Upon approval,return this cover letter with your application packet to the Sheriff's Office for final approval and issuance of your license. OvO\)\W Voc3vC^Organization Name: noT -530-5'^^^'Organization Contact Information: (phone ff or email) Date of Event: AHU-2-Oq}0v\\^G.APN/Address: NOTES: Department Services Planning Division /2--Z-2^Denied:Approved: (Signature)(Date)(Signature)(Date) Butte County Sheriff's Office Approved:Denied: (Date)(Date)(Signature)(Signature) Department of Alcoholic Beverage ControlStateofCalifornia DAILY LICENSE APPLICATION ABC USE ONLY License#Receipt #Fee Complete all applicable items.Submit this application to your local ABC district office with the required fee (cashier’s check or money order)payable to ABC.Once the daily license is issued,fees cannot be refunded.Listing of ABC district office is available at hUps://www.abc.ca.qov/contact/district-offices/.Please visit https://www.abc.ca.qov/abc- 221-instructions/for further instructions. $ Conditions Requested □Yes □No Diagram Requested □Yes □No License Type □B&W □General □Special SECTION 1.ORGANIZATION AND LICENSE TYPE INFORMATION Tax ID 51-70119 Organization Name OROVILLE MOOSE LODGE Organization Mailing Address 1462 14TH ST OROVILLE,CA 95965 LICENSE TYPE □Special Daily Beer and Wine ($50.00) □Amateur Sports Organization □Charitable □Civic □Cultural □Fraternal □Political □Religious □Social □Other: IE Daily General ($75.00) □Political Party/Affiliate Supporting Candidate for Public Office or Ballot Measure □Organization Formed for Specific Charitable or Civic PurposeBFraternalOrganizationinExistence over Five Years with Reguiar Membership□Religious Organization □Vessel per Section 24045.10 B&P ($50.00) □Special Temporary License ($100.00) □Television Station per Section 24045.2 or 24045.9 B&P □Non-profit Corporation per Section 24045.4 and 24045.6 B&P □Person Conducting Estate Wine Sale per Section 24045.8 B&P □Women's Educationai and Charitable Organization per Section 24045.3 B&P □Other Special Temporary License Per Section: License #:Amount: SECTION 2.EVENT DETAILS Event Dates Totai #of Days Hours of Alcoholic Beverage Sales,Service and/or Consumption Virtual Event Marie Yes,if the event is 100% Event Address (Street#,Name,and City) 1462 14TH ST,OROVILLE CA 95965 J'/M -.p/^1 D Yes Q No virtual Event Location Description (Jones Park,Pavilion A,etc.) MOOSE LODGE Location Within the City Limit B Yes □No Event Type □Barbeque BDinner □Birthday □Concert □Carnival □Dance Type of Entertainment NONE Event Open to Public □Sporting Event □Social Gathering □Wedding □Other: B Yes □No□Festival □Lunch □Mixer □Picnic Estimated Attendance Security Guard If Yes,How Many □Yes ElNo Outdoor Event □Yes**lf Yes,a diagram of the event area is required65aNo REQUIRED B By checking this box,you are certifying that you understand the requirements detailed in Business and Professions (B&P)Code Section 25682(c)which state that a nonprofit organization that has obtained a temporary daily license from the department must designate a person(s)to receive RBS training certification prior to the event,and that designated person(s)shall remain onsite for the duration of the event. SECTION 3.CONTACT INFORMATION Contact Person LYNN MCGINNIS Phone Number 707 350-5204 Email Address lodgeSI 9@mooseunits.org SECTION 4.SIGNATURES AND APPROVALS I attest that I am authorized by the organization named above to make this application on its behaif. Signature / Siawature Organization’s Authorized Representative Name LYNN MCGINNIS Phone Number 707 350-5204 Date Signed Property Owner Approval By (Name)Required LYNN MCGINNIS Phone Number 707 350-5204 Date Signed Law Enforcement Approval By (Name),if applicable Phone Number Sigiirature Date Signed District Office Approval By (Name)Phone Number ABC Employee Signature Issuance Date The above named organization is hereby licensed,pursuant to the California B&P Code Division 9 and California Code of Regulations,to engageinthetemporarysaleofalcoholicbeveragesforconsumptionattheabovenamedlocationfortheperiodauthorizedabove.B&P Code Section25682(c)requires that a designated RBS-trained person(s)shall remain on site for the duration of the event.Failure to comply with thisrequirementwillresultinimmediatecancellationofthepermit.This license may be revoked summarily by the department If,in the opinion ofthedepartmentand/or the local law enforcement agency,it is necessary to protect the safety,welfare,health,peace and morals of thepeopleoftheState. ABC-221 (Rev.11/2023)