Application For Alcohol Renewal Form - 2016

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CITY OF ATLANTA, GEORGIA
Account Number:_________________________
2016
Account Type:
_________________________
Mail Attention:
_________________________
DEPARTMENT OF POLICE
Mailing Address: _________________________
_________________________
APPLICATION FOR ALCOHOL RENEWAL
_________________________
THIS APPLICATION MUST BE TYPED OR LEGIBLY PRINTED USING BLACK INK AND RETURNED BY NOVEMBER 15.
THE 2016 RENEWALS RECEIVED AFTER DECEMBER 31 WILL BE CONSIDERED LATE AND SUBJECT TO FINES.
LIQUOR
BEER
WINE
PART 5
IF THE APPLICATION IS FOR A LICENSE TO
OPERATE A RETAIL PACKAGE LIQUOR STORE, GIVE THE
MANUFACTURER
MANUFACTURER
MANUFACTURER
PART 1
AMOUNT OF THE GROSS SALES AT THE ABOVE LOCATION
WHOLESALER
WHOLESALER
WHOLESALER
FOR THE PREVIOUS TWELVE (12) MONTHS PRIOR TO THE
RETAIL PACKAGE
RETAIL PACKAGE
RETAIL PACKAGE
ESTABLISHMENT
FILING DATES USED IN COMPUTING SAID FIGURES.
FOOD STORE
FOOD STORE
FOOD STORE
TYPE
NIGHT CLUB
NIGHT CLUB
NIGHT CLUB
DATE BEGAN
DATE ENDING
GROSS REVENUE
RESTAURANT
RESTAURANT
RESTAURANT
NOTE: THIS DOES
LOUNGE
LOUNGE
LOUNGE
NOT CHANGE
PRIVATE CLUB
PRIVATE CLUB
PRIVATE CLUB
PART 6
PAYABLE BY:
ORIGINAL
PERFORMING ARTS
PERFORMING ARTS
PERFORMING ARTS
CLASSIFICATION
CUSTOMER DANCING
CUSTOMER DANCING
CUSTOMER DANCING
CASHIER’S CHECK #
MONEY ORDER #
LIVE ENTERTAINMENT
LIVE ENTERTAINMENT
LIVE ENTERTAINMENT
ADULT ENTERTAINMENT
ADULT ENTERTAINMENT
ADULT ENTERTAINMENT
CONVENTION CENTER
CONVENTION CENTER
CONVENTION CENTER
PART 7 GENERAL BUSINESS LICENSE NUMBER
IMPORTERS
IMPORTERS
IMPORTERS
BAR
BAR
BAR
________________________________________________
HOTEL
HOTEL
HOTEL
Please provide an e-mail address for confirmation of
SUITE HOTEL
SUITE HOTEL
SUITE HOTEL
payment:
WINE SPECIALTY SHOP
WINE SPECIALTY SHOP
WINE SPECIALTY SHOP
OTHER_______________
OTHER_______________
OTHER_______________
PART 2
BUSINESS INFORMATION
PART 3
LICENSEE INFORMATION
PART 8
THIS IS TO CERTIFY THAT NO CHANGE HAS TAKEN PLACE
LEGAL NAME OF BUSINESS
FULL NAME OF LICENSEE/AGENT
WITH RESPECT TO THE OPERATION OF THE ABOVE NAMED
BUSINESS AFFECTING THE OWNERSHIP AS STATED IN THE
ORIGINAL APPLICATION. I AM CERTIFYING AND AFFIRMING
OPERATING TRADE NAME OF BUSINESS
COMPLETE RESIDENCE ADDRESS OF LICENSEE/AGENT
THAT THE ANSWER TO ALL QUESTIONS ON MY ORIGINAL
APPLICATION AT THE STATED BUSINESS IS CORRECT AND
REMAINS UNCHANGED, APPLICABLE TO THE CITY AND
LOCATION OF BUSINESS (COMPLETE ADDRESS)
ADDRESS LINE 2
STATE LAWS GOVERNING THE ABOVE BUSINESS.
ADDRESS LINE 2
COUNTY OF RESIDENCE
___________________________________________________
SIGNATURE OF APPLICANT
BUSINESS PHONE
RESIDENCE PHONE
___________________________________________________
PART 4 IF BUSINESS IS A CORPORATION OR PARTNERSHIP, LIST FIVE MAJOR STOCK HOLDERS OR FULL NAME OF EACH
____________________________________________________
PARTNER AND THEIR PERCENTAGE OF OWNERSHIP.
SIGNATURE AND TITLE OF PERSON OTHER THAN
APPLICANT FILLING OUT THE APPLICATION
NAME
PERCENT
NAME
PERCENT
NAME
PERCENT
NAME
PERCENT
SWORN TO AND SUBSCRIBED BEFORE ME THIS THE
__________ DAY OF ___________, 20_____
NAME
PERCENT
LICENSE AND PERMITS USE ONLY
____________________________________________________
NOTARY PUBLIC
REVIEWED BY
DATE APPROVED
AUTHORIZED SIGNATURE

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