Form Abl-901 - Application For Beer, Wine, And/or Liquor Page 5

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Address of the location for which you are seeking a license or permit: Must be exact, and must include street and
city. Must match address in newspaper notice and on retail sales tax license. Do not list a post office box as the
business address:
Street Address
City
State
ZIP Code
County
(1) Mailing Address if different from above.
Street Address
City
State
ZIP Code
County
(2) Is this location within the city limits?
Yes
No
(3) Is there a building onsite?
Yes
No
If no, are you requesting a conditional site approval?
Yes
No
(4) Who owns the land and/or building?
Landlord's Name
Telephone Number
(5) Attach copy of lease agreement, deed or other ownership documentation for this location.
C. TELEPHONE NUMBER (including area code) for your place of business:
D. Give a description of the nature of your business. (List the primary business activity. Examples: Convenience store,
bar, grocery store, motel, night club, restaurant or tavern)
E. How many parking spaces will you have at your business location?
F. What will be your days and hours of operation?
G. What is the approximate maximum number of people you expect to have in your business at any one time?
H. Is there currently a beer, wine, or liquor license at the location for which you are seeking a license or permit?
Yes
No. If yes, give the name of the business holding the license or permit, and the license or permit number.
What is the retail sales tax number for the place of business?
To whom is that license issued?
I.
(Must be in the same name as the applicant for this license or permit).
(Your permit/license cannot be issued before you get your retail license.)
J. Do you plan to sell beer, wine, or alcoholic liquors on a drive-thru or curb service basis? (S.C. law prohibits this)
Yes
No
K. Does your business location have a functioning restroom available for use by customers
Yes
No
Applicants for on-premises licenses or permits must have functioning restrooms before the license or permit can be
issued.
L. Is there interior access between your place of business and any living quarters?
Yes
No.
If yes, give details in Schedule A.
(5)

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Parent category: Financial