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DEPARTMENT OF LIQUOR CONTROL COUNTY OF HAWAII <br />Hilo Lagoon Centre, 101 Aupuni St., Unit 230, Hilo, Hawaii, 96720 * Phone: (808) 961-8218 * Fax: (808) 961-8684 <br />E -Mail: cohdlc@hawaiicounty.gov <br />APPLICATION FOR TEMPORARY INCREASE IN LICENSED PREMISES <br />Pursuant to Rule 4-8, of the Rules of the Liquor Commission of the County of Hawai'i, application is <br />hereby made for a temporary increase in licensed premises, as follows: <br />LICENSEE: <br />DATE OF EVENT: <br />TIME OF EVENT: <br />AREA AND LOCATION OF INCREASE: <br />PROPOSED USE: <br />NUMBER OF PERSONS ATTENDING: <br />ENTERTAINMENT (Per Category of License): <br />SUBMIT: <br />• Consent of Landlord <br />• Sketch of site indicating bar, how area will be cordoned off, ingress, egress <br />• Permit for Temporary Structure (Bldg. Division), if applicable. <br />By <br />(Signature) <br />Name: <br />Title: <br />Date: <br />Phone No.: <br />Fax: <br />E -Mail: <br />PERMIT <br />The application for temporary increase has been approved and is issued subject to the following <br />conditions: <br />1. Time of event shall not exceed 12:00 midnight. <br />2. The Commission or Director may impose conditions, as follows: <br />3. The permit shall be posted at the site. <br />Not more than 6 applications per license year: <br />❑ Event 1 <br />❑ Event 2 <br />❑ Event 3 <br />❑ Event 4 <br />❑ Event 5 <br />❑ Event 6 <br />11/6/17 <br />By <br />Director <br />Date <br />Ratified by the Liquor Commission on: <br />Hawaii County is an Equal Opportunity Provider and Employer <br />