Citizens Log Of Disruptive Activity
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Citizens Log Of Disruptive Activity Form. This is a California form and can be use in Department Of Alcoholic Beverage Control Statewide.
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Tags: Citizens Log Of Disruptive Activity, ABC-099-L, California Statewide, Department Of Alcoholic Beverage Control
Department of Alcoholic Beverage Control CITIZEN'S LOG OF DISRUPTIVE ACTIVITYInstructions: List details of disturbances. State how disturbance was related to the licensed premises.OWNER/LICENSEECASE AGENTABC LICENSE NUMBERAGENT'S PHONE NUMBERPREMISES ADDRESSPREMISES' PHONE NUMBERDATETIMEWhat I saw, heard, or experienced that disturbed me,where and how it happened and who did itThis log was prepared byCITIZEN'S PRINTED NAMECITIZEN'S SIGNATURECITIZEN'S ADDRESS (Street number and name, city, state, zip code)ABC-099-L (rev. 01/19) State of California Gavin Newsom, Governor American LegalNet, Inc. www.FormsWorkFlow.com
