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Home My Public Portal About100_010_Agenda Request-Package Sales-AJ's Beachside MAYOR CITY MANAGER Jason Buelterman 44 Diane Schleicher CITY COUNCIL CITY CLERK Wanda Doyle,Mayor Pro Tem 64, Janet LeViner Barry Brown Rob Callahan ' I CITY ATTORNEY Bill Garhett .1/41 Edward M.Hughes Monty Parks r 04- Paul Wolff i'rn4x:11. CITY OF TYBEE ISLAND City Council Agenda Item Request Agenda Item Requests and supporting documentation must be submitted to the Clerk of Council by 4:00PM on the Thursday prior to the next scheduled Council meeting. If this form is received after the deadline, the item will be listed on the next scheduled agenda. Council Meeting Date for Request: February 12, 2015 Item: Retail Beer/Wine/Liquor-Package Sales Request: Explanation:_ A1's Beachside, LLC 1401 Strand Current Alcohol and Sunday Sales license holder Ability to sell alcohol in package sales. Business is located inside Ocean Plaza Hotel. Gift Shop inside hotel will no longer sell alcohol. Budget Line Item Number(if applicable): Paper Work: X Attached* Audio/Video Presentation** * Electronic submissions are requested but not required. Please email to ileviner(ai)citvoftvbee.org. ** Audio/video presentations must be submitted to the IT department at City Hall by 4:00PM on the Thursday prior to the scheduled meeting. Submitted by: Sharon S. Shaver Phone/Email: 912 472-50721 sshaver@cityoftyhee.org Comments: Date given to Clerk of Council February 3,2015 P.O. Box 2749—403 Butler Avenue,Tybee Island,Georgia 31328-2749 (866) 786-4573—FAX (866) 786-5737 www.cityoftybee.org CITY OF TYBEE ISLAND _, ALCOHOL LICENSE APPLICATIQN � ' Application is hereby made for a license to do business within the City of Tybee Island as a dealer in alcoholic , beverages as indicated below: LICENSE CLASSIFICATION FEE CHECK ?Notice: The applicant Retail Beer/Wine-Package Sales Only,Consumption on Premises Prohibited $ 350 /— for a license shall be a Retail Beer/Wine-Sale by Drink for Consumption on Premises Only 575 citizen of the United Retail Liquor-Sale by Package Only,Consumption on Premises Prohibited 850 / States Chathh a resident of am County, and Retail Liquor-Sale by Drink for Consumption on Premises Only 1,250 owner of the business Retail Liquor-Sale by Package&Drink both in One Building under One Ownership 2,000 or if a corporation, Sunday Sales-Sale by Drink for Consumption on Premises Only 150 ` partnership or other Sunday Sales-Package Sales Only 50 l� legal entity is the Wholesale Beer 765 owner, a substantial Wholesale Liquor 1,500 and major stockholder Wholesale Wine 150 or the applicant may be Distiller,Brewer,or Manufacturer of Alcoholic Beverages 300 the manager of the Special Event-Public or Private Property-Beer,Wine(no current license)per event 50 business charged with Special Event-Public or Private Property-Beer,Wine(no current license)3 days 100 the regular operation of Special Event-Public or Private Property-Beer,Wine(holding current license)per event 10 said business on the Special Event-Business Property-Beer,Wine,Liquor(no current license)per event 50 premises for which the Special Event Business Property-Beer,Wine,Liquor(no current license)3 days 100 license is issued. Special Event-Business Property-Beer,Wine,Liquor(holding current license)per event 10 Business Name A-j is -seActisme L .c., Location N o 1 Sigh A . Mailing Address Po Box }y 14 Phone 9ri_._ qk.-o ), I Email Pi-,i i ; kg-. COO Names and Home Addresses of Owners,Partners or Corporate Officers with Ten Percent(10%)Interest in Business Names(attach additional pages if necessary) Date of Birth Home Addresses City,State,Zip Social Security# ^I L '13V r315 coffidril M. i'lWee uttfD j .3131"-g ' . ,. - If special event,date(s)of event Name of event: + Is business incorporated? , State of Incorporation +fix Date Incorporated .1'4///5- Names of landlord of the business location(3201 oien. ► f� Address 14 01 STRA J kQ� Phone 1 � '7'7 What other business is conducted at this location? OCE1}� 71-P112-I" "ioteL- Has application been made for required State and Federal Licenses? 7�S - - Has applicant,any person connected with,or any person having an interest in this business: o ever been convicted of any violation of law other than far a traffic violation? ki 0 o ever served time in prison or other correctional institution? KO o ever had an alcohol beverage license suspended or revoked at any time in any location? ■ d (if answer is yes,give details) If this application is for RENEWAL of an existing license,enter License Number of existing license If business is an eating establishment,are SUNDAY sales of alcoholic beverages contemplated? 'fE c�S If yes,submit additional affidavit. ALL OF THE FOREGOING INFORMATION IS HEREBY GIVEN AND ALL OF THE FOREGOING STATEMENTS ARE HEREBY MADE ON OATH WILLFULLY, KNOWINGLY,AND At •LUT Y AND THE SAME IS AND ARE HEREBY SWORN TO ME TO BE TRUE UNDER PENALTY OF LAW. f` f� I'll �ilA i 5 Applicant Signature Date r■ Approval Signature Date i city Manager S • i1`ar subscribed be • - r is d , 1� 3 Zoning n Police . ! � . City Council _ blic SHARON S.SHAVER Notary Public,Chatham County,GA My Commission Expires Dec. 5, 2015 The CONSENT FORM is required for ALL alcohol license applications. CONSENT FORM I HEREBY AUTHORIZE THE TYBEE ISLAND POLICE DEPARTMENT TO REQUEST ANY CRIMINAL BACKGROUND HISTORY RECORD INFORMATION PERTAINING TO ME WHICH MAY BE IN THE FILES OF ANY STATE OR LOCAL CRIMINAL JUSTICE AGENCY. BE IT FURTHER UNDERSTOOD THAT THE PURPOSE OF OBTAINING THIS INFORMATION IS TO SATISFY THE REQUIREMENTS SET FORTH BY THE MAYOR AND COUNCIL OF THE CIT/ OF TYBEE ISLAND,REGARDING AN ALCOHOL BEVERAGE LICENSE PPLICATION. It 141/1 4 0� � IN FULL NAME(PRINT) SEX / RACE / DATE OF BIRTH ' l 5 N .A DRESS I IAL S C • NUMBER &A. 3� itif A )hi X 15 CITY,STATE,ZIP IGNATU' / DATE The ACKNOWLEDGEMENT is required for all LIQUOR BY THE DRINK alcohol license applications. ACKNOWLEDGEMENT I dedare knowledge and understanding of Municipal Code Section 58-80:There is levied an excise tax on the sale of distilled sr rf by the "nk in the amount of three percent of the arg to the public for the beverage. rri 'MA li 77 7O 1 SIGNATURE DATE The AFFIDAVIT is required if SUNDAY SALES of alcohol for consumption on premises are contemplated. Food and beverage sales records prepared by a CPA are required to be furnished to the City upon request. STATE OF GEORGIA COUNTY OF CHATHAM CITY OF TYBEE ISLAND 1 AFFIDAVIT I, 4 at KLS a l" � , do hereby make this affidavit to be part of my application for an alcohol beverage license in the City of Tybee Island to sell distilled spirits, malt beverages and/or wine for the consumption� n i remises in my eating establishment on Sunday. Said establishment is located at Tybee Island, Georgia. I am the Ca VtiK of the establishment known as < 1 �� L4 . I hereby further state that at least fifty percent (50%) of the total annual gross food and beverage sales are derived from the sale of prepared meals or food. vs 1/-491)15 SIGNATURE DATE akApproved Denied Chief of Police E Mrialliff I Date w 1 I • tec r• a His w lie