HomeMy Public PortalAboutDoc_2010129 bennysLICENSE CLASSIFICATION
FEE
CHECK
Notice: The applicant
for a license shall be a
St of t United
Chatham a am Coounty, un t and of
C
owner of the business
or if a corporation,
partnership or other
legal entity is the
owner, a substantial
and major stockholder
or the applicant may be
the manager of the
business charged with
the regular operation of
said business on the
premises for which the
license is issued.
Retail Beer /Wine Package Sales Only, Consumption on Premises Prohibited
350
Email
Phone c 02_ 7
Retail Beer /Wine Sale by Drink for Consumption on Premises Only
575
Retail Liquor Sale by Package Only, Consumption on Premises Prohibited
850
City, State, Zip
Retail Liquor Sale by Drink for Consumption on Premises Only
1,250
Retail Liquor Sale by Package Drink both in One Building under One Ownership
2,000
ca. A Cam_ ?lLftk
Sunday Sales of Alcoholic Beverages
150
V.
Wholesale Beer
765
T 4 313 Z�
Wholesale Liquor
1,500
Wholesale Wine
150
Distiller, Brewer, or Manufacturer of Alcoholic Beverages
300
Special Event Public or Private Property Beer, Wine (no current license) per event
50
Special Event Public or Private Property Beer, Wine (no current license) 3 days
100
Special Event Public or Private Property Beer, Wine (holding current license) per event
10
Special Event Business Property Beer, Wine, Liquor (no current license) per event
50
Special Event Business Property Beer, Wine, Liquor (no current license) 3 days
100
Special Event Business Property Beer, Wine, Liquor (holding current license) per event
10
Business Name e -e_ e_ r i2 11 f A- ry
J i l S Gi.�.c.(Y.ct� .l�l�I.c.
Location 1 .3 7 U ck (r c )e
Mailing Address F 7-0' 4 cg
Email
Phone c 02_ 7
iG. 0 2-( h y no Se- 030 Ve((.so<<e ii)el
o
Names and Home Addresses of Owners, Partners or Corporate Officers with Tn Percent (10 Interest in Business
Names (attach additional pages if necessary)
Date of Birth
Home Addresses
City, State, Zip
Social Security
go Se_ Y (5rn ✓1
1
1 0 c.A in,6er
ca. A Cam_ ?lLftk
1
1-1 73. (;x)ke� Sr.
1 t /'(6fic
T 4 313 Z�
CITY OF TYBEE ISLAND
ALCOHOL LICENSE APPLICATION
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:
Is business incorporated? State of Incorporation 6 Date Incorporated Fe 6 d
Names of landlord of the business location )�i G�< �'I�}>dress Phone
What other business is conducted at this location? IVO n E.'
Has application been made for required State and Federal Licenses?
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 for a traffic violation? 0
o ever served time in prison or other correctional institution? pit)
t)
o ever had an alcohol beverage license suspended or revoked at any time in any location?
(if answer is yes, give details)
If this application is for RENEWAL of an existing license, enter License Number of existing license Z_
If business is an eating establishment, are SUNDAY sales of alcoholic beverages contemplated? `j If yes, submit additional affidavit.
ALL OF THE FOREGOI FO
WILLFULLY, KNOWINGL
Applicant Signature
TION IS HE BY GIVEN AND ALL OF THE FOREGOING STATEMENTS ARE HEREBY MADE ON OATH
U ELY, ND E SAME IS AND ARE HEREBY SWORN TO ME TO BE TRUE UNDER PENALTY OF LAW.
Sworn to and subscribed before me this ail- day of r Zo((7
MARELLA EATON
Notary Public ary
My Commission Expires January 27, 2014
Approval
Signature
Date
City Manager
Zoning
Police
City Council