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Form # 5 Revised 1-1-12 Page 1 of 1 DAWSON COUNTY PLANNING AND DEVELOPMENT ALCOHOL LICENSING 25 JUSTICE WAY, SUITE 2322 Dawsonville, GA 30534 (706) 344-3500 x 42335 DISTILLED SPIRITS PROJECTED PURCHASES PROJECTED GROSS SALES APPLICANT: BUSINESS NAME: ADDRESS: Please provide the following projections for your establishment: Projected Purchases of Projected Gross Sales of Distilled Spirits (in liters) Mixed Drinks Balance of Calendar Year 20 Calendar Year 20