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DORA #1 "Depot DORA" Proposed Signage Locations
The locations for the Depot DORA signs are included on the Proposed Dora Map, Exhibit A
In total, there will be 12 signs on the border of the DORA.
• 1 at the North end of Neff St
• 2 at the corners of Fort Wayne Ave and N D St
• 2 at the corners of N 8th St and N D St
• 2 at the corners of US 27 and N D St
1 at the corner of N 10th St and N D St
• 2 at the corners of N 10th St and N E St
• 1 at the corner of N 8th St and N E St
• 1 at the corner of N 8th St and Ft Wayne Ave
SSE fTA�
DESIGNATED OUTDOOR REFRESHMENT INDIANA ALCOHOL AND TOBACCO COMMISSION
AREA (DORA) DESIGNATION 302 west Washington Street, Room E-114
State Form 57288 (6-23) Indianapolis, IN 46204
ej8 (317) 232-2430
http://www.in.gov/atc
INSTRUCTIONS: 1. Please type or print clearly.
2. There is no charge or fee to be designated as part of a designated outdoor refreshment area (DORA).
3. If you already hold a retail permit within a DORA and are requesting a DORA permittee designation, please complete Sections 1, 3,
and 4 below.
4. If you will be obtaining a temporary beer and wine permit, requesting supplemental catering authority, or are a craft manufacturer
requesting to operate within a DORA on a temporary basis, please complete Sections 2, 3, and 4 below.
SECTION 1: RETAIL PERMITTEES
Permittee name (as printed on permit)
Permittee number
Doing business as (d/b/a)
Permit expiration date (mm/dd/yyyy)
Permit address (number and street, city, state, and ZIP code)
Name of person making application
Telephone number
E-mail address
Has the DORA already been approved by the ATC? ❑ Yes ❑ No
DORA Reference Number (approved DORAs only)
SECTION 2: TEMPORARY VENDORS, SUPPLEMENTAL CATERERS & CRAFT MANUFACTURERS
Please select one:
❑ Temporary beer and wine permit ❑ Supplemental catering permit ❑ Craft manufacturer (artisan distiller, farm winery, small brewer)
Permittee name
Permit number (catering and manufacturing permits only)
Doing business as (d/b/a)
Permit expiration date (mm/dd/yyyy) (catering and manufacturing permits only)
Address (number and street, city, state, or ZIP code) or description of designated vendor/caterer area
Name of person making application
Telephone number
E-mail address
DORA Reference Number
Start date (mm/dd/yyyy)
End date (mm/dd/yyyy)
SECTION 3: LOCAL JURISDICTION APPROVAL
Printed name of city or town official
Date (mm/dd/yyyy)
Signature
Title
SECTION 4: CERTIFICATION AND SIGNATURE
I hereby certify that I have reviewed this application form prior to signing, and that all information provided herein is true and correct. I acknowledge and
understand that it is a felony under Indiana law to misrepresent or falsify any portion of this application or attached documents.
Printed name of applicant
Date (mm/dd/yyyy)
Signature
Title
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