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Approval Slip - Kentucky

Approval Slip Form. This is a Kentucky form and can be used in Miscellaneous Alcohol Beverage Control Statewide .
 Fillable pdf Last Modified 4/16/2012
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ABC Approval Slip Rev. 01/19/10 APPROVAL OF APPLICATION FOR ALCOHOLIC BEVERAGES LICENSES FROM THE LOCAL ABC ADMINISTRATOR TO: COMMONWEALTH OF KENTUCKY DEPT. OF ALCOHOLIC BEVERAGE CONTROL 1003 TWILIGHT TRAIL FRANKFORT, KENTUCKY 40601-8400 Telephone Fax (502) 564-4850 (502) 564-1442 http://www.abc.ky.gov This is to certify that the application of _____________________________________ (List the exact name the license is to be issued under) for a _______________________________________________________License(s) (List each type of ABC license(s) applied for) Enter the effective date the license(s) begins _______________________________. and enter the date the license(s) shall expire _______________________________. The license(s) is to be located at _________________________________________. (exact address of premises to be licensed) In the city of ________________________________________________, Kentucky. Has been J approved or J disapproved on this _____, ____________, _______ (day) (month) (year) Administrator's Signature ______________________________________________ The Local Alcoholic Beverage Control Administrator for the: J the City of _________________or the J the County of____________________ (Check one) (IMPORTANT NOTICE) Applicants must make arrangements to have this approval faxed or forwarded to the Commonwealth of Kentucky, Dept. of ABC Office in Frankfort or attach this certificate to the application for state license and forward to: Commonwealth of Kentucky Dept. of Alcoholic Beverage Control 1003 Twilight Trail Frankfort, Kentucky 40601-8400 Fax to: (502) 564-1442 American LegalNet, Inc. www.FormsWorkFlow.com
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