INTENT TO PARTICIPATE IN
Form
386
AN OFF-SITE EVENT FORM
No later than the 20th day of the month preceding the off-site event, the holder of a Winery Off-Site permit shall notify the Office of
the Comptroller of it’s intention to attend an off-site event.
EVENT TYPE
Farmer’s Market
Montgomery County Agricultural Fair
Wine Festival
Other Off Site Event
North Beach Friday Night Farmer’s Market
Name of Winery ______________________________________________________________________________________
Winery off-site Permit Number _________________________________________________________________________
Event Name ________________________________________________________________________________________
Event Venue Name ___________________________________________________________________________________
Event Venue Address, include county ____________________________________________________________________
__________________________________________________________________________________________________
Date/s of Event _____________________________________________________________________________________
Hours of Operation ___________________________________________________________________________________
Name of non-profit (Wine Festival Permits) _______________________________________________________________
Wine Festival Permit Number ___________________________________________________________________________
Event Organizer’s Name ______________________________________________________________________________
Full description of Event - give details ____________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
This section must be completed by the owner of the premises where the event will take place.
Statement of owner of premises required in connection with alcoholic beverages law of Maryland: I/we hereby certify that I
am/we are the owner(s) of the property known as ___________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
named as the foregoing application made to the Comptroller of Maryland under the Alcoholic Beverages Law of Maryland; that
I/we assent to the granting of the permit applied for, and that I/we hereby authorize the Comptroller of Maryland, his duly
authorized deputies, inspectors and clerks, the Board of License Commissioners of the jurisdiction in which the place of business
is located, its duly authorized agents and employees, and any peace officer of such jurisdiction to inspect and search, without
warrant, the premises upon which the business is to be conducted, and any and all parts of the building in which said business is
to be conducted, at any and all hours.
COM/RAD-386
13-49
Revised 06/12