HomeMy Public PortalAboutDoc_2010129 chus conv mart (2)LICENSE CLASSIFICATION
FEE
CHECK
Notice: The applicant
for a license shall be a
citizen of the United
Chat a u t nt of
Chathh am Cooun and
t y,
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
v
Retail Beer /Wine Sale by Drink for Consumption on Premises Only
575
Retail Liquor Sale by Package Only, Consumption on Premises Prohibited
850
Home Addresses
Retail Liquor Sale by Drink for Consumption on Premises Only
1,250
250
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Retail Liquor Sale by Package 8( Drink both in One Building under One Ownership
2,000
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Sunday Sales of Alcoholic Beverages
150
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Wholesale Beer
765
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 Iicense) per event
10
Special Event Business Property Beer, Wine, Liquor (no curl err( 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 �44�,
CO,) Vevtie4c< P..COt
Location 725 F:),:-.5-7 St.
Mailing Address P 0, �0)e 26 Poole- 6-4 3 311
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Phone /z 786 51 Lk J Email elj asnie r J P be /I s o 4 7 t4
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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
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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
Jr beverages as indicated below:
Is business incorporated? t
Names of landlord of the business location
What other business is conducted at this location? d )1 I, e ia.1)Za4
Has application been made for required State and Federal Licenses? a.'p,e
Has applicant, any person connected with, or any person having an interest in this b' 'siness:
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?
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
If business is an eating establishment, are SUNDAY sales of alcoholic beverages contemplated? ,v/4 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 Signatu Date
Notary blic
ubscribed before me this
State of Incorporation Date Incorporated e
i 6
3o day of Al0V: OICD
PAULINE Y. KING
tary Public, Chatham County, Georgia
Commission Expires A i a012-
Address 1 4;cty 4 Phone
A3
Approval
Signature Date
City Manager
Zoning
Police
City Council