Temporary Permit Bonilla 03-30-2023Alcoholic Beverage Control
109 SW 9th Street, 5th Floor
PO Box 3506
Topeka KS 66601-3506
Mark A. Burghart, Secretary
Department of Revenue
Phone:785-296-7015
Fax: 785-296-7185
kdor _abc.email@ks.gov
www.ksrevenue.gov
Laura Kelly, Governor
TEMPORARY PERMIT LOCATION AND ZONING
FEIN/SSN: 511-96-3263 Applicant Name: Ricardo M. Bonilla
Phone Number: (785) 643-2892 Event Date(s) (must be consecutive): April 15, 2023
Event Type: J;l"Charitable Auction On-Premise i;;::r Porcelain Container bf Special Event* -Number of days: _1 ____ _
*A special event is held on public streets, allevs. roads. sidewalks or hiqhwavs and must be approved, by ordinance or resolution, by the local
governing body of any city, county or township where such special event is being held.
SECTION 1 -EVENT AREA: Complete this section for On-Premise and Special Events only.
In the space below, draw the floor plan and any outside areas included in the proposed event area where alcoholic liquor will be sold,
served, or consumed. If the area is outside, it must show the line of demarcation to define the event area; and, include nearby streets
for reference. Shade in the areas you DO NOT wish to be permitted.
Alcohol to be Consumed
Alcohol to be served
All outside area will not have Alcohol
SECTION 2 -CERTIFICATE OF CITY, TOWNSHIP OR COUNTY CLERK: (Completed by tlie cler
I HEREBY CERTIFY THAT THE PREMISES AT 4-HBuilding Bob Flaherty Dr. Salina I ,.,d,~~~·
Location Street Address City
CITY LIMITS: ~Inside the incorporated city limits IF Outside the city limits
ZONING: i;il'within an area that complies with all applicable zoning regulations required by KS.A 41-1201 (e)
t.o"&J.. c.-3
ABC-892 (Rev. 08122)