application permit · E-1

Approval of New Liquor License - Dollar General Store #31819 — E.1

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CLASS "B" RETAIL ALCOHOL LICENSE APPLICATION Business Information Name of Legal Entity: DOLGENCORP LLC FEIN: XX-XXX2764 Business Type: Limited Liability Company This business is registered with the Secretary of State. Business Number of Secretary of State: 370301 Premises Information Premises DBA: DOLLAR GENERAL STORE # 31819 Premises Address: 1300 TALL GRASS AVE TIFFIN IA 52340-4755 Premises Type: Convenience Store Number of Floors: 1 Control of Premises: Lease The total square footage of the entire retail sales area plus any alcoholic beverage storage areas of the business. This includes areas of walk-in alcoholic beverage coolers that are accessible to the public. 9713 Does your premises conform to all local and state health, fire and building laws and regulations? Yes Does or will your licensed location wholesale alcoholic beverages to on-premises retail alcohol licensees? No License Information Effective Date: 12-Jun-2026 Length of License Requested: 12MONTH

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Attached to agenda item: E-1 Approval of New Liquor License - Dollar General Store #31819

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