HomeMy WebLinkAboutHealth Department Files_81077_pg0047 STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
LIQUOR DIVISION
TO: THE DIVISION OF LIQUOR CONTROL
165 CAPITOL AVENUE
HARTFORD, CT 06106
I CERTIFY THAT
NAME OFPERMITTE(E' ,
d,`iYtittttu(�
Par mdyke-+,1sa�` , sor L
NAME OF ESTABLISH ENT
d or Ye� -L
•tt � 9 q STREET
TOWN OF CITY
PATIO: Yes No
COMPLIED WITH THE REQUIREMENTS OF THE STATE PUBLIC HEALTH CODE ON PLACES
DISPENSING FOOD AND BEVERAGES AT THE TIME OF INSPECTION.
DATE:97 r
SIGNATURE-Of DIRECTOR OF flEALTH
OR HIS EN