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NOTICE OF MARIJUANA LICENSE APPLICATION <br /> WASHINGTON STATE LIQUOR CONTROL BOARD <br /> 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: 12103/13 <br /> TO: KITTITAS COUNTY COMMISSIONERS <br /> RE: NEW APPLICATION <br /> UBI: 603-146-231-001-0001 <br /> License: 412211 — County: 19 APPLICANTS: <br /> Tradename: BREEDEN FARMS <br /> Address: 2231 THORP CEMETERY RD BREEDEN, RYAN DANIEL <br /> THORP, WA 98946-9532 1972-03-31 <br /> BREEDEN, KARI LEA <br /> (Spouse) 1973-12-22 <br /> Phone No. : 509-899-0671 RYAN BREEDEN <br /> Privileges Applied For: <br /> MARIJUANA PRODUCER TIER 3 ` r' <br /> As required by RCW 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F1 1-1 <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 RCW 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 />