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HomeMy Public PortalAbout090_010_Brew Fest MAY©R CITY MANAGER Jason Buelterman Diane Schleicher CLERK OF COUNCIL CITY COUNCIL 'Wanda Doyle,Mayor Pro Tern LeViner n Barry Brow ‘� Jan Fox , CITY ATTORNEY Bill Garbett "� CLE � Edward M.Hughes Tom Groover 414N4 cx �y' Paul Wolff 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: June 13, 2013 Item: Alcohol License-Special Event-Beer and Wine Explanation: Friends of Tybee Theater Dates of Event: Friday, August 23 —Saturday, August 24,2013 - Brew Fest Pier and Pavilion Budget Line Item Number(if applicable): Paper Work: X Attached* AudioNideo Presentation** * Electronic submissions are requested but not required. Please email to ilevinercity oftybee.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 Shaver Phone/Email: 472-5072 /sshaver eitvoftybee.org Comments: Date given to Clerk of Council May 21, 2013 .0.Box 2749—403 Butler Avenue,Tybee Island,Georgia 31328-2749 (866)786-4573—FAX(866) 786-5832 www.cityoftybee.org CITY OF TYBEE ISLAND 0014- ALCOHOL LICENSE APPLICATIO AV Application is hereby made for a license to do business within the City of Tybee Island as a dealer in akohoic beverages as indicated below- LICENSE CLASSIFICATION FEE 1 CHECK Notice: The applicant Retail Beer/Wine–Package Sales Only,Consumption on Premises Prohr'bited $ 350 for license shall be a Retal Beer/Wine–Sale by Drink for Consumption on Premises Only 5 citizea n of the United il Liquor–Sale by Package(lily,Consu ion on Premises Pre/hided 850 States, a resident D: Retail Y .�. ._—.. Chatham County, and Retal Liquor-Sale by Drink for Consumption on Premises Only a� 1,750 owner of the bussiess Retail Liquor–Sale by Package&Drink both ii One Hulking under One Ownership 2,000 or if a corporation, Sunday Sales–Sale by Drink for Consumption on Premises Only 150 --- partnership or other Sunda_y Sales–P-ackage Sales Only Wholesale Beer ! _._ .__ —.. 7S — legal entity r, a su is bstantial Wholesale Liquor 1,500 and major stockholder Wholesale Wine 154 or the applicant may be ©isdller, Br ewer,or Manufacturer of Alcoholic Beverages 3010 , / the manager of the Special Event–Publk or Private Property-Beer,Wine(no current license)per event 50 business charged wrkh Special Event–Public cr Private Pro Beer Wine no current license 3 days _._100 the regular operation of Special Event–Public or Private Property-Beer,Wine(holding current icense)per event , 10 i said business on the '-dal Event–Business Pr... –Beer Wine '.uor no current license i• event 50 ; premises for which the Special Event–Business Property–Beer,Wine,Liquor(no current icerrse)3 days 100 license is issued- Special Event–Business Property–Beer,Wine,Liquor(iroldirg current fiicense)per event 10 r - --- -- — Business Name �N � a L !` k/C Local' e" 15C/7-'~-15 rrJ,/ I-- )59.0/L/r1 Mailing Address c T S �-,;. _e f 5 c'4 /3? p Email { Phone/](7 – 6161 '3 - /e) [ 9 1,‘ bee.l7oS�- a e .on, [ Names and Home Addresses of Owners, Partners or Corporate Officers with Ten ercent(iO%•t)interest in Business Naps(attach addrtional pages If necessary) De te zt Birth Home.addresses Ow State,Z Sc:-, Sect::. Le":),.1,t--5 z 6/1 3/7e2 If special event,date(s)of event f d r Z ■> _did r G.). ----/ a 4i eb i 3 Is business incorporated? `-fc 5- State of Incorporation 6e4 Date Incorporate dL i E ¢6-I Names of landlord of the business location, A. f Address _Phone What other business is conducted at this location? `'� Has application been made for required State and Federal Licenses? Y f_ Has applicant, any person connected with, or any person having an interest in this business: c ever been convicted of any violation of law other than for a traffic violation? /tom ever served time in prison or other correctional institution?_–, D, - 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 ,a))/4- If business is an eating establishment,are SUNDAY sales of alcoholic beverages contemplated? __ If yes,submit adcltionai affidavit. ALL OF THE FOREGOING INFORMATION HEREBY GIVEN AND ALL OF THE FOREGOING STATEMENTS ARE HEREBY MADE ON OATH WIL.J.FUIIY, KNOWINGLY,AND ABSOLUT LY,AN r! r ANTE IS AND ARE HE •:'f WORN TO ME TO BE TRUE UNDER PENALTY OF LAW. Applicant 9rgnature AU .gi Date i 4 Ai ifr°"'aI _. Signature _. __fie .w._ City Manager Sw." to and subscribed before me this / day of c20/5 zorirr? Pori+ City Council Not. ' blic 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 COUVCI THE CITY OF TYBEE ISLAND,REGARDING AN ALCOHOL BEVERAGE LICENSE APPLICATION) t / RACE f ATE(JF BIRTH FU NAME(PRINT) .D xGz9. =� S SOQAL SE >< UMBER 1-1QE 6_56-0,49 64 313Z? SPA 'f DA E CITY,STATE, The ACKNOWLEDGEMENT is required for all LIQUOR BY THE DRINK alcohol license applications. ACKNOWLEDGEMENT I declare knowledge and u unicipal Code Section S8-80• - e is levied an excise tax on the sale of distilled spirits by the drink in the amount o - : = t • -- arge to the public for the beverage. 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 AFFIDAVIT I, do hereby make this affid- •• be part of my application for an alcohol bever- license in the City of Tybee Island to sell distilled • rits, malt beverages and/or wine for the consumption on ' .remises in my eating establishment : Sunday. Said establishment is located at Tybee Is.-•, Georgia. I am the • e estab`= ment known as I hereby further state that at least f •-rcen 0%) of the total annual gross food and beverage sales are derived from the sale of prepared m.• s or food. SIGNATURE DATE itaproved Dewed _ Ci/efofPoke