Attendance And Participant Good Faith Estimate Page 22

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ALCOHOL BEVERAGE CATERING PERMIT APPLICATION
License fee: $20.00 per day
Processing Fee: $1.50
Does your event involve the sale, consumption or use of alcoholic beverages?
YES
NO
Liquor Licensee
(corporation, partnership, or individual listed on the state license)
Address
City
County
State
ZIP
Type of License(s)
Liquor License #
Beer License #
Wine License #
Date(s) permit to be used
Hours (From)
Hours (To)
Location (Name, Address, Rooms)
Is there a certificate of occupancy for the premise?
YES
NO
If yes, what is the occupancy load?
Name(s) of organization, group or individuals sponsoring event
Type of event catering for?
Indoor Event
Outdoor Event
Number of Guests
#
Contact Person
Phone
Please include a drawing of the service area and all ingress and egress areas. Indicate the location(s) of alcohol service.
SIGNATURES
The sponsored event will be open to the named organization(s), group(s), or person(s) and guests for a period of ________ days, not to
exceed three (3) consecutive days at a fee of twenty dollars ($20.00) per day. Unless licensee is disqualified, approval of this permit
does certify that the licensee is entitled to hold and use this Idaho liquor catering permit at the above designated premise(s), subject to
provisions of title 23-i.c.
Alcohol Beverage Licensee
Date
City Clerk
Date
Chief of Police
Date
Fire Chief
Date
PERMIT MUST BE DISPLAYED AT EVENT
NOTICE
OFFICE USE ONLY
If the first proposed catering date is less than fourteen (14) days from the date of application,
Permit #__________________________________
the following must be signed.
Date Processed ____________________________
“Waiver of Procedural Rights”
Customer pick-up date _______________________
State License & Signature verified by____________
Acknowledging that I have filed an application with the City Clerk less than fourteen (14)
Date e-mailed to police_______________________
days prior to the first proposed catering date, I hereby agree that if this application is not
Date returned from police_____________________
approved, no action or inaction by the Boise City Clerk, Police or Council shall be appealed
Approved
With Conditions
Denied
or contested, but I agree it shall be final and binding on me, my representatives, associates
Date e-mailed to fire_________________________
and successors in interest.
Boise City Code 5-05-15
Date returned from fire_______________________
Signature of Applicant________________________________________________
Approved
With Conditions
Denied
Date________________________
Updated December 23, 2011
21

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