Affidavit For Growler License Form - Anne Arundel County Page 2

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4.
The following documents currently on file with the Board of License Commissioners of
Anne Arundel County remain true and accurate. (PLEASE CHECK THE APPROPRIATE BOXES.)
Financial Information Sheet(s) for Licensee(s)
Location Map showing location of the Premises within the County
Metes and Bounds description of the Premises
Site Plan depicting the location, height, floor area and square footage of all
buildings or structures, parking, number of parking spaces and any other physical
features located on the Premises
Certified survey showing distance from nearest church, school and County/public
recreational facilities
Floor Plans detailing interior of Premises
Articles of Incorporation and Bylaws, and any amendments filed; Minutes of
Stockholders meetings; Stock Certificates; List of all Stockholders if a corporation
(Please provide any subsequent amendments or minutes)
Articles of Organization and Operating Agreement and amendments; all minutes
and authorizations if a limited liability company (Please provide any subsequent
amendments and/or minutes
Partnership Agreements and any amendments thereto if a partnership; (Please
provide any subsequent amendments)
Proof of residency and taxpayer; voters registration card for Resident Qualifier
Alcohol Awareness Certificate; Certificate of Use; Occupancy Permit; Retail
Sales License; Health Department License, and Federal Special Occupational
Tax Stamp
INDIVIDUAL LICENSEE(S)
1. _______________________ (Signature)
DATE: ________________
______________________ (Print name)
2. _______________________ (Signature)
DATE: _________________
______________________ (Print name)
3. _______________________ (Signature)
DATE: _________________
______________________ (Print name)
4. PRESIDENT/MANAGING MEMBER
_______________________ (Signature)
DATE: ________________
______________________ (Print name)
2

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