I, , do hereby request that the Department of Commerce, Division of Liquor Controlconduct an Expansion/Diminution Investigation of the above mentioned permit premises.I request the following area to be reviewed for: ORplease (check the appropriate box). StateOhio 6606 Tussing Road, P.O. Box 4005 Reynoldsburg, Ohio 43068-9005http://www.com.ohio.gov/liqrREQUEST FOR EXPANSION/DIMINUTION (REDUCTION) OF PERMIT PREMISES(Please print or type all information except signatures)This request must be completed in its entirety by the permit holder and signed by the permit holder of record. If the permit holder is a corporation, itmust be signed by an officer or majority stockholder(s) of corporation; if a partnership, it must be signed by all general partners; and if a limitedliability company, it must be signed by all managing members and officers. Attach documents, if any. I understand that this area may NOT be used as permit premises until official approval has been received from the Department of Commerce - Division of Liquor Control.Respectfully,Witnessed & Received by:X Signature of Permit Holder DateLiquor Control Compliance Officerof the Department of Commerce - Division of Liquor Control TitleDLC 4248EOE/ADA SERVICE PROVIDERFOR TTY USERS DIAL ORS 1-800-750-0750 Rev. 5/2019 Permit NumberPermit Class(es)Name of Permit HolderDBA (doing business as)Permit Premises AddressPhone NumberCityZip Code Expansion Diminution American LegalNet, Inc. www.FormsWorkFlow.com LIQUOR PERMIT PREMISES EXPANSION/DIMINUTION (REDUCTION)OF PREMISES GUIDELINESThere is no additional cost to the permit holder for obtaining an expansion or diminution to the existing permit premises. Some of themore common expansions are - but not limited to - a deck, patio, volleyball court, porch, horseshoe pit, larger dining area, largerkitchen, golf course, storage room, etc. Approval of an expansion is necessary; however, it is just as important to advise the Departmentof Commerce - Division of Liquor Control ("Division") of a diminution.Failure to have your expansion or diminution approved by the Division could result in a citation being issued against your permit for"Not Operating at Location Specified on Permit," or "Removal Off Premises of Beer and/or Intoxicating Liquor Sold for On-PremisesConsumption," or both. In order to request an expansion or diminution of your permit premises, please complete the attached Form DLC 4248.All requests for expansions or diminutions must be submitted in writing to the Ohio Department ofCommerce, Division of Liquor Control, Investigative Services Unit, 6606 Tussing Road, P.O. Box 4005,Reynoldsburg, Ohio 43068-9005, (614) 644-2455 or Faxed to (614) 644-4891Include a diagram, rough sketch, copy of blueprint, etc. The diagram must show the proposed expansionor diminution.A Compliance Officer from the Investigative Services Unit will visit your permit premises to view thecompleted expansion or diminution, take photos, and record any other pertinent information. At the timeof inspection, the Compliance Officer will need to see the Food Service Operators License, Vendor'sLicense and Liquor Permit. Approval or denial of the proposed expansion or diminution shall be madewithin 20 working days from the date the premises is inspected by the Division of Liquor Control.Temporary expansions or diminutions WILL NOT be approved.An expansion must be on a common piece of ground and/or adjacent to the current, existing permit premises.All changes in the permit premises MUST COMPLY WITH STATE AND CITY/TOWNSHIP CODES,and all Department of Commerce - Division of Liquor Control rules and regulations.The proposed expansion must be "well defined, properly secured, and delineated by some type of physical structure."Rivers, lakes, ravines, etc. may possibly be considered as "...delineated by some type of physicalstructure." Environmental impact on the surrounding area of the permit premises will also be taken intoconsideration as to whether the request will be approved or denied.Golf course expansions may be "defined" and "delineated" by out-of-bound stakes. The stakes shall beat least one foot above the ground, permanently anchored, and no more than 20 yards apart.If an expansion will include an additional address, the expanded area will be subject to local option.All rights granted by a liquor permit shall be exercised at not more than two fixed bars. If the proposedexpansion will include a third fixed bar or service counter, a duplicate bar permit will be required. DLC 4248Page 2 American LegalNet, Inc. www.FormsWorkFlow.com