UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL

 

“TEMPORARY SPECIAL EVENT BEER PERMIT”

 

LOCAL CONSENT

 

                                    Date: ________________

 

 

Utah Department of Alcoholic Beverage Control

Licensing & Compliance Section

1625 South 900 West

P.O. Box 30408

Salt Lake City, Utah 84130-0408

 

 

 

_____________________________(City) (Town) (County) hereby grants its consent to the issuance of a state temporary special event beer permit for ____________________, owned by ________________________________________ and located at ______________________________________pursuant to the provisions of 32A-10, Utah Code, for the purpose of the storage, sale, and consumption of beer on the premises of the event.

 

 

___________________________________

Authorized Signature

 

 

___________________________________ 

Name / Title