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HomeMy Public PortalAboutDoc_2010129 dolphin reefLICENSE CLASSIFICATION FEE CHECK Retail Beer /Wine Package Sales Only, Consumption on Premises Prohibited 350 Zoning Retail Beer /Wine Sale by Drink for Consumption on Premises Only 575 Date of Birth Retail Liquor Sale by Package Only, Consumption on Premises Prohibited 850 r1 Retail Liquor Sale by Drink for Consumption on Premises Only 1,250 ir Retail Liquor Sale by Package Drink both in One Building under One Ownership 2,000 i-rar ceS P i Sunday Sales of Alcoholic Beverages 150 \d' Wholesale Beer 765 T,, bee .ZS. CAA 3 f3. 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 City Manager Location /L 51 -r d /AV e n ue T bee XSI'af)d 6-4 313 ,Q& Mailing Address to, O, 60 K Lf L/ h e S 1 ca d 6, ,--1 3 J Phone cc 1 a g G 7 7 1 7 1 Zoning 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 Police r1 /A ®A 0 City Council i-rar ceS P i PO tIox t/I i y bee XS, (aA Business Name a 0L'e ce, _za-- o1pk1n 9 ee4 e s ov-/- 1i v Zn Location /L 51 -r d /AV e n ue T bee XSI'af)d 6-4 313 ,Q& Mailing Address to, O, 60 K Lf L/ h e S 1 ca d 6, ,--1 3 J Phone cc 1 a g G 7 7 1 7 1 Email e 6 1 n vi I C. e L Lea el p 1 zet G ©,g-1 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 jj 0 r ry 6, S o i r ,d es I I P, 0,60x' d1yo r beefs CA313a. i-rar ceS P i PO tIox t/I i y bee XS, (aA 3- at a e i cc. G Sn'i r-i d e s i P, 0 6 o X 75' T,, bee .ZS. CAA 3 f3. CITY OF TYBEE ISLAND ALCOHOL LICENSE APPLICATION ,,placation is hereby made for a license to do business within the City of Tybee Island as a dealer in alcoholic Jeverages as indicated below: Is business incorporated? Y Names of landlord of the business location 1 Address Phone AI A What other business is conducted at this location? 14 0-Fe 1 Has application been made for required State and Federal Licenses? Ai C 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? o ever served time in prison or other correctional institution? 0 o ever had an alcohol beverage license suspended or revoked at any time in any location? jkj U (if answer is yes, give details) If this application is for RENEWAL of an existing license, enter License Number of existing license 0 (1 c.3 3 If business is an eating establishment, are SUNDAY sales of alcoholic beverages contemplated? Ye 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 ABSOLUTELY, AND THE SAME IS AND ARE HEREBY SWORN TO ME TO BE TRUE UNDER PENALTY OF LAW. Applicant Signature d subscribed bc;; State of Incorporation 6 Date Incorporated 147 r/51� day of A/0 Y ,Z0/0 blic EORG`B.6ARG� N Notary Pu'olic, Chatham Coun CA 2 11 My Commission Expires July 5, 1 /5. A%70 Approval Signature Notice: The applicant for a license shall be a citizen of the United States, a resident of Chatham County, and 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. Date