Application For Sunday Sales License Form - License Division - City Of Independence (Page 2 of 2) in pdf

Application For Sunday Sales License Form - License Division - City Of Independence Page 2

LICENSE DIVISION - CITY OF INDEPENDENCE

111 East Maple, Independence, Missouri 64050

(816) 325-7079

Date

APPLICATION FOR SUNDAY SALES LICENSE

[ ] RETAILER OF INTOXICATING LIQUOR BY THE DRINK - RESTAURANT/BAR

[ ] RETAILER OF MALT LIQUOR AND LIGHT WINE BY THE DRINK

[ ] RETAILER OF MALT LIQUOR AND LIGHT WINE IN THE ORIGINAL PACKAGE

[ ] RETAILER OF INTOXICATING LIQUOR IN THE ORIGINAL PACKAGE

[ ] RETAILER OF INTOXICATING LIQUOR BY THE DRINK - BAR (as defined in Section 2.01.008 of City Code)

The undersigned (individual owner) (partnership) (corporation) hereby makes application for the retail sale of

alcoholic beverages on Sunday from 9:00 A.M (11:00 A.M. if Sunday Bar License) to midnight.

Name of Licensed Establishment

Address

Applicant's Name

Applicant's Address

If corporation, corporate name and address

If partnership, names and addresses of partners

If applying for a Liquor by the Drink Bar license, the name of the licensed Charitable Organization

City Liquor License Number

I, or we, (please print)

being of lawful age, and duly sworn upon my (our) oath, swear that the answers and information given in this application are

true and complete to the best of my (our) knowledge and belief.

Subscribed and sworn to before me this

day of

. 20

My Commission expires:

Notary Public

OFFICE USE ONLY

DATE APPLICATION RECEIVED

FEE PAID $

Liquor License Officer

Application For Sunday Sales License Form - License Division - City Of Independence Page 2