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Form 5 - Montana Alcoholic Beverage - Gambling Operator Combined License Application Page 11

E. On an 8-1/2” x 11” sheet of paper, submit a floor plan showing the area to be licensed, using approximate

dimensional measurements, including external dimensions and general layout. This floor plan must contain

the name of the establishment, physical address and the alcoholic beverage license number (if applicable)

and number of tables and chairs indicated. Floor must plan must indicate seating for at least 12 at a bar, table

or booth independent of gaming machines.

If you are applying for a restaurant beer and wine license, be sure the floor plan has the service bar area clearly

designated.

Section VI

Restaurant Beer and Wine License

1. Do you agree to serve beer and wine only between the hours of 11:00 a.m. and 11:00 p.m. and be open at least 4 nights a

week for at least 2 hours a night between 5 pm and 11 pm?

 Yes

 No

 NA

2. Do you agree to serve beer and wine only to a patron who orders food?

     Yes  No  NA

3. Do you understand that alcohol purchases must be stated on the food bill?

      Yes

 No

 NA

4. Do you understand that beer and wine may not be sold for off-premises consumption?

 Yes

 No

 NA

5. Do you understand and acknowledge that issuance of a restaurant beer and wine license prohibits issuance of a license

to conduct any gambling activity on the licensed premises?

 Yes

 No

 NA

6. Do you understand and agree to maintain a service bar? A service bar means an area where alcoholic beverages are stored

and prepared for table service delivery to patrons for on-premises consumption. Consumption of alcoholic beverages

by patrons or any other person is not permitted at the service bar.

 Yes

 No

Wine Amendment for On-Premises Beer License

1. Do you operate a restaurant or prepared food business?

 Yes

 No

 N/A

If Yes, explain and send a menu.

2. Do you have a minimum of 12 seats at tables and/or booths?

 Yes

 No

 N/A

If No, explain present arrangement.

Catering Endorsement

1. Do you wish to add a catering endorsement to the All-Beverages License?

 Yes

 No

 Existing

 NA

2. Do you wish to add a catering endorsement to an On-Premises Consumption Beer and Wine License?

Yes

 No

 Existing

 NA

Form 5 - Montana Alcoholic Beverage - Gambling Operator Combined License Application Page 11

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