237 Neb. Admin. Code, ch. 1, § 004

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Current through September 17, 2024

Section 237-1-004 - PETITION: FORM

BEFORE THE NEBRASKA LIQUOR CONTROL COMMISSION STATE OF NEBRASKA

In the matter of: Petition For:

_______________________) ______________________________

(Specify request for promulgation or repeal of rule or for declaratory ruling on)

(Give name & address of petitioner) ___________________________

____________________________

(Specify statute or rule)

COMES NOW PETITIONER and requests the Nebraska Liquor Control Commission for a(n) (promulgation, amendment or repeal of rule _______) or declaratory ruling with respect to the applicability of the aforementioned (specify statute or rule).

The following are statements of facts that shall apply:

____________________________________________________________

Petitioner states that the aforementioned (request for promulgation, amendment or repeal of rule) or (declaratory ruling) is needed for the following reason(s):

___________________________________________________________

(Show how an appropriate action of the Commission would be in the best interest of the State of Nebraska or would terminate controversy or uncertainty) Petitioner alleges that the following named persons are the only persons who have or claim any interest, or would be affected by the disposition of this petition:

_________________________________________________________

(Name)

(Address)

(City)

(State)

_________________________________________________________

WHEREFORE, petitioner prays that the Nebraska Liquor Control Commission take the following action:

_________________________________________________________

__________________________ ___________________________

(Date) (Signature of Petitioner)

237 Neb. Admin. Code, ch. 1, § 004