HomeMy Public PortalAboutAB 06-079 Attachment03/24/2006 13:56 FAX 2086343038 CITY OF KCCALL
i1/ Retail Alcohol Beverage License Application for 2006
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City of McCall
'216 E. Park Street
McCall, ID 83638
M
Phone: 208-634-7142
Name of Business: 1110uhtal/) 9)-COL COJ-)nc0h1 rE DBA:
Sole Proprietorship LLC Corporation // Individual
List All Owner(s)/Shareholder(s)/Officer(s) Name(s), Resident Address(es), Drivers License
Number(s), Date(s) of Birth and Social Security Number(s) - Attach a separate page, if necessary.
aol-a2� --
Physical Address: /007 M -MlYd 9.
Mailing Address: D
Phone: 0903- (o34{-7800 Fax: 08 - (a8q - 707 /
Emergency Phone After Hours: 403 -8b(a-59 7`�
Is applicant over 21 years of age? Yes X No
Has applicant ever been convicted of any felony or any crime involving moral turpitude or of the
violation of any law regulating, governing or prohibiting the sale of alcoholic beverage or intoxicating
liquors? Yes No // (If yes, attach explanation)
City License Fees:
Retail Beer (on - premises) $200.00
Retail Beer (off - premises) $50.00 So
*Retail Wine by the Drink (on - premises) $200.00
Retail Wine (by the Bottle) (off - premises) $50.00
**Liquor by the Drink (includes Wine by the Drink) $375.00 —
Total:
*In order to be licensed for Retail Wine by the Drink on -premises ($200) without a Liquor License,
you must also be licensed for Retail Beer on -premises ($200).
**In order to be licensed for Liquor by the Drink ($375), you must also be licensed for Retail Beer on
premises ($200 .
Page 1 of 2 ( &,% printed: 3/24/2006
03/24/2006 13:56 FAX 2086343038 CITY OF MCCALL
Retail Alcohol Beverage License Application for 2006
City of McCall
Warne of Business: �jouurl9rU CUF_�>�o�EC�%p�� 7 DBA: ,- r tY�
Please complete and return this form along with the following: the McCall City License Fees (see schedule
above), a copy of your current State Retail Alcohol Beverage License, and a copy of your current County Retail
Alcoholic Beverage License. Mail or deliver all items directly to the McCall City Hall, 216 East Park Street,
McCall, ID 83638, attn: Shirley Overton. License applications will be considered by the McCall City Council at a
regular meeting. Approved Licenses will be mailed to the business location.
License will be issued through December 31st of the current year. I agree to a criminal background check.
Applicant's Name (printed):
Applicant's Signature: ��r� Date: O�ay�G
Denied
)proved by Police Chief VK
ate of City Council Approval:
Reason for Denial
Chief of Police
Line #: / 9 Date Issued:
MCC 4-2-3(B): The name and the resident address of the applicant which, If a co -partnership, shall Include the name and resident address of each
partner; If a corporation, association or group acting as a unit, the name and resident address of the officers and the Board of Directors, trustees or
other governing board.
MCC 4-1-3(C): That the applicant is a citizen of the United states and has been a bona fide resident of Valley County, Idaho for a period of one year
.prior to the date of making application, Is over twenty one (21) years of age, of good moral character and has never been convicted of any law
regulating, governing or prohibiting the sale of alcoholic beverage or Intoxicating liquors.
MCC 4-1-4: The City Council shall have the right to reject any and all applications, at its option.
Page 2 of 2 printed: 3/24/2006
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