HomeMy WebLinkAboutMT Department of Revenue (2)Dan Bucks
Director
May 30, 2007
Montana Department
Brian $chweitzer
Governor
RE:
Application for Issuance of One Original (NEW) Montana Retail Off-
Premises Consumption Beer/Wine License No. 03-999-9553-303,
WAL-MART SUPERCENTER #4412, 101 Bernhardt Road, Laurel,
Yellowstone County, Montana
NEWLY LICENSED PREMISES
The above referenced application was received at the Department of Revenue, Liquor
Licensing. Notice is being provided to you to give you an opportunity to advise if the
applicant and premises meet all the laws and ordinances your office is responsible for
regulating. We will be happy to provide any additional information that is needed.
Local laws are not enforced through the alcoholic beverage licensing process; however,
if there are local laws affected by this application, compliance with those laws may
influence the final determination to issue the license.
This is an application for a new premises; a premises not currently licensed for
the sale of alcohol. Building, health and fire approval will be required before
department approval will be considered. If any agency determines deficiencies exist
that should be considered in the issuance of this license, please advise this office in
writing by June 29~ 2007. If we receive a determination of a local deficiency, the license
application process cannot be completed until the issue is cleared up at the local level.
If you have any question_s, please call (406) 444-0717.
Compliance Specialist
Department of Revenue
Liquor Licensing
P O Box 1712
Helena MT 59624-1712
c: Annette Rinehart, Department of Labor & Industry
Customer Service (406) 444-6900 · TDD (406) 444-2830 · www.mt.gov/revenue
CERTIFICATE OF SERVICE
I certify that on this 30th day of May ,2007, a true and correct
copy of the foregoing has been served by placing same in the United States mail, postage
prepaid, and addressed as follows:
LAUREL CITY COUNCIL
PO BOX 10
LAUREL MT 59044
LAUREL CITY ATTORNEY
PO BOX 10
LAUREL MT 59044
LAUREL POLICE CHIEF
MIKE ATKINSON
PO BOX 10
LAUREL MT 59044
LAUREL CITY BUILDING INSPECTOR
PO BOX 10
LAUREL MT 59044
YELLOWSTONE COUNTY SANITARIAN
BOX 35033
BILLINGS MT 59107
YELLOWSTONE COUNTY
TREASURERS OFFICE
P O BOX 35010
BILLINGS MT 59107-5010
ADMINISTRATIVE ASSISTANT
FIRE PREVENTION AND INVESTIGATION BUREAU
303 NORTH ROBERTS BOX 201417
HELENA MT 59620-1417
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Date Rcvd:May 21, 2007
City: Laurel County: Yellowstone
Type of License: BserA/Vine
License No~ NLmNI03-999-9553-303
CHANGE ORDER
NEW OFF-PREMISES
License Fse:$ Cashier No:
Process Fse:$100.00 Cashier No:
APPLICANT INFO:
Applicant Name: Wal-Mart Stores, Inc.
Applicant Mailing Address
702 SW 8th Street
Bentonvllle AR 727160500
Trade Name: Wal-Mart Supercenter #~.~.12
Physical Address: 10t Bernhardt Road -
Laurel
City: Laurel County: Yellowstone
1) ~ N Rcvd pmcessing tee and license tee
Special Restrictions:
Verify Lte~s
2) Y N Rcvdandmvlawedcompleteappdocs
3) ~N Rcvd One Stop Application
4) MN Rcvd Corp Statement
5) ItY~ Rcvd and reviewed lease/purch agreement/proof of
~nership, source of funding
6) (~N Assumed business name as filed with the Secretary of
E~tate's office
7) ~ Rovd current Cart of Existance/LLC/LLP/Partcershlp
8) ~ ~ N R~d copy of bank signature card
9) (/~~er[cr~l Rcvddimensions & reviewed floor plan showing general layout &
10)~,~ ~_,~, Rc~ gmcery irr, mntory
11)~ ~.) App indicates a manager other than applicant
12) Y Rcvd mgmt agreement and PHS/ROi 1~
13) ~. N Verify sale of Tobacco
14) ~,)N Rcvd PHS ROI for all owners of 10% cr more
considered complote:~_O ~
Repolt revievmd
New or Remodel'~N
_Concerns. Returned
Date of compieEon if Yea
Application Appmved On :
Attorney or Contact:
Atterjley Phane:
Attorney Fmc
BY.'
Notes:
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DEPARTMENT OF REVENUE
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