Application For Alcoholic Beverages License Form - Board Of License Commissioners, Anne Arundel County Maryland

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BOARD OF LICENSE COMMISSIONERS
FOR ANNE ARUNDEL COUNTY, MARYLAND
APPLICATION FOR ALCOHOLIC BEVERAGES LICENSE CLASS _____________________
Outdoor Dining
If transfer, formerly trading as: ___________________
For the use of: (Check one)
Individual
Partnership
LLC
Corporation
Unincorporated Association
To the Board of License Commissioners
Anne Arundel County, _______________________________________________ Date ____________________
Application is made by the undersigned under the provisions of Article 2B of the Annotated Code of Maryland, as
amended, title Alcoholic Beverages, for the above license, and the applicant (s) submit (s) and certify (ies) to the following
information required by the Article:
1.
Applicant (s)
(1) Name___________________________________ Residence ________________________________________
Date of Birth _____________________________ Period of Residence ____Period of Residence in A. A. Co.__
Place of Birth ____________________________ Naturalized at ____________ Year ____________________
Telephone Number ________________________ Sex _____________________________________________
(2) Name___________________________________ Residence ________________________________________
Date of Birth _____________________________ Period of Residence ____Period of Residence in A. A. Co.__
Place of Birth ____________________________ Naturalized at ____________ Year ____________________
Telephone Number ________________________ Sex _____________________________________________
(3) Name___________________________________ Residence ________________________________________
Date of Birth _____________________________ Period of Residence ____Period of Residence in A. A. Co.__
Place of Birth ____________________________ Naturalized at ____________ Year ____________________
Telephone Number ________________________ Sex _____________________________________________
2. The applicant(s) (is, are) citizen(s) of the United States, and (if the application is for an individual or partnership), (has,
have) been for two years next preceding the filing of this application a resident of Anne Arundel County. The applicant
(s) applicant(s) (if applying as a qualifying individual for a corporation, unincorporated association, or LLC) is and has
been a registered voter and taxpayer in Anne Arundel County for two years next preceding the filing of this application.
The applicant (s) thus qualified (is, are): 1 ( ) 2 ( ) 3 ( ) (Insert number to correspond with name (s) listed above)
3. Corporate name if applicable:________________________________________________________________________
4. The trade name of the applicant (s) is:_________________________________________________________________
and the location and address where license is desired is:___________________________________________________
5. Describe premises:
Lot size:_______________________________________________________________________
Size and type of construction and building or area applied for:______________________________________________
6. The name of the owner of the premises described above:___________________________________________________
7. The applicant (s) (has, have) never been convicted of a felony.
True
False
8. The applicant (s) (has, have) never been adjudged guilty of violating the laws governing the sale of alcoholic beverages
or for the prevention of gambling in the State of Maryland as follows.
True
False
If false, give names, dates and offenses:________________________________________________________________
9. (Has, have) the applicant (s) ever held a license for the sale of alcoholic beverages.
Yes
No
(If yes, in what state, and at what location)______________________________________________________________
10. The applicant (s) (has, have) not had a license for the sale of alcoholic beverages revoked.
True
False
11. The applicant (s) (has, have) a pecuniary interest in the business to be conducted under said license.
True
False
12. The applicant (s) (is, are) not pecuniarily interested in any other place of business in the county, counties or Baltimore
City where, or for which, a license has been applied for, granted or issued under Article 2B.
True
False
13. No person except the applicant (s) is in any way pecuniarily interested in the license applied for or in the business to be
conducted there under during the continuance of the license, if issued.
True
False
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