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Posting Affidavit Form. This is a Alaska form and can be use in Alcoholic Beverage Control Board Statewide.
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STATE OF ALASKA
ALCOHOLIC BEVERAGE CONTROL BOARD
AFFIDAVIT IN CONNECTION WITH POSTING LIQUOR LICENSE APPLICATION
Section 04.11.260, 04.11.310, & AAC 104.125 Alaska Statutes, Title 4
POSTING AFFIDAVIT
I, the undersigned, being first duly sworn on oath, depose and say that:
1.
a.
Posting of application for a new
liquor license
for
,
located at
.
(address and/or location)
OR
b.
liquor license
Posting of application for transfer of a
currently issued to
is
2.
whose business name (d/b/a)
located at
.
(address and/or location)
Has been completed by me for the following 10 FULL day period:
to
.
*** Prior to the filing of said application, a true copy of the application was posted at the following described
locations: (name and address of location)
a.
.
b.
3.
Location of premises to be licensed
Other conspicuous location in the area
.
I believe that with the approval of this application population would not at one time exceed in the aggregate
of one license of the type requested for population as provided by law. AS 04.11.400 (check one)
a.
( ) a radius of five (5) miles of the proposed location.
b.
( ) an incorporated city, organized borough or unified municipality.
c.
( ) does not apply (application filed under AS 04.11.400(d)(e)(g) or transfer of license holder
or location within an incorporated city or unified municipality or organized borough).
d.
( ) established village.
(signature)
SUBSCRIBED and SWORN to me this
day of
, 20
Notary Public in and for Alaska
My commission expires:
.
.
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