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_ NOTICE OF MARIJUANA LICENSE APPLICATION <br /> WASHINGTON STATE LIQUOR CONTROL BOARD <br /> RETURN TO: License Division <br /> 3000 Pacific, PO Box 43075 <br /> Olympia, WA 98504-3075 <br /> Customer Service: ( 360 ) 664-1600 <br /> Fax: ( 360 ) 753-2710 <br /> Website: www. liq.wa.gov <br /> DATE: 11/25/13 <br /> TO: KITTITAS COUNTY COMMISSIONERS <br /> RE: NEW APPLICATION <br /> UBI: 602-932-545-002-0001 <br /> License: 412043 - County: 19 <br /> Tradename: HYDRO LIGHT <br /> Loc Addr: 340 POWERLINE RD, SUITE A <br /> CLE ELUM, WA 98922-8384 <br /> Mail Addr: 340 POWERLINE RD <br /> CLE ELUM, WA 98922-8384 <br /> Phone No. : 509-607-4030 CLIFFORD H HUGHES i � " 9j <br /> Privileges Applied For: C <br /> MARIJUANA PRODUCER TIER 3 J O <br /> MARIJUANA PROCESSOR <br /> As required by ROW 69.50.331 (7) the Liquor Control Board is notifying you that the <br /> above has applied for a marijuana license. You have 20 days from the date of this <br /> notice to give your input on this application. If we do not receive this notice back <br /> within 20 days, we will assume you have no objection to the issueance of this license. <br /> If you need additional time to respond you must submit a written request for an <br /> extension of up to 20 days, with the reason(s) you need more time. If you need <br /> information on the SSN, contact our Marijuana CHRI Desk at (360) 664-1772. <br /> YES NO <br /> 1 . Do you approve of applicant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FI <br /> 2. Do you approve of location? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 3. If you disapprove and the Board contemplates issuing a license, do <br /> you wish to request an adjuducative hearing before final action is taken ❑ ❑ <br /> (See WAC 314-55-160 for information about this process)? . . . . . . . . . . . . . . . <br /> 4. If you disapprove, per ROW 69.50.331 (7)(c) you MUST attach a letter <br /> to the Board detailing the reason(s) for the objection and a statement <br /> of all the facts on which your objection(s) are based. <br /> DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS <br /> LIBRIMSIC092057 OR DESIGNEE <br />