New Alcoholic Beverage Retailers Permit Application Page 12
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13LEGAL NOTICE
FORMAT FOR PUBLICATION OF ORIGINAL PERMIT APPLICATION
CHECK APPLICABLE PHRASES
(
)
I, ______________________________________________________________________
(sole owner’s name)
(
)
We, the partners of ______________________________________________________
(partnership name)
(
)
We, the officers of _______________________________________________________
(corporation name)
intend to make application for:
(
)
a Manufacturer Class I, Distiller &/or Rectifier permit
(
)
a Manufacturer Class II, Wine permit
(
)
a Manufacturer Class III, Native Wine permit
(
)
a Package Retailer permit
(
)
an On-premises retailer permit
(
)
an On-premises retailer, Club permit
(
)
an On-premises retailer, Wine only, permit
(
)
a Common Carrier permit
(
)
a Native Wine retailer permit
(
)
a Caterer’s permit, for on-premises retailer permit holders
(
)
a Caterer’s permit
(
)
a Solicitor’s permit
(
)
a Research permit
as provided for by the Local Option Alcoholic Beverage Control Laws, Section 67-
1-1, et seq., of the Mississippi Code of 1972, Annotated. If granted such permit,
(
) I (
) we propose to operate as a
(
)
sole owner
(
)
partnership
(
)
corporation
under the tradename of _______________________________________
located at ______________________________________________ of ____________ .
(street)
(city)
(county)
The name(s), title(s) and address(es) of the owner(s) /partners /corporate officer(s) and/or
majority stockholder(s) of the above named business are
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
This the ______ day of ____________________ , 19 ______ .
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