FOR DLLC USE ONLY
License #:
Arizona Department of Liquor Licenses and Control
800 W Washington 5th Floor
Date:
Phoenix, AZ 85007-2934
Approved by:
(602) 542-5141
CRAFT DISTILLER FAIR/FESTIVAL LICENSE APPLICATION
A.R.S. §4-205.11 Craft Distillery A.R.S. §4-203.02 at Special Event
Fee: $15.00 per Day
A service fee of $25 will be charged for all dishonored checks (A.R.S. 44-6852).
If the fair/festival event will be held at a location without a permanent liquor license or if the event will be on any portion of a location
that is not covered by the existing liquor license, this application must be approved by the local government before submission to the
Department of Liquor Licenses and Control (see Section 7). When the days of the fair/festival are not consecutive, a separate license
for each uninterrupted period is needed.
SECTION 1
Application type:
Craft Distillery Fair
Craft Distillery Festival
1. Applicant’s Name: ______________________________________________ Contact Phone#: _______________________________
2. Business name: __________________________________________________ Liquor license #: ________________________________
Farm Winery or Craft Distillery
3. Email Address: ___________________________________________________________________________________________________
4. Mailing address: __________________________________________________________________________________________________
Street Address
City
State
Zip Code
5. Location of fair/festival: ___________________________________________________________________________________________
Street address
City
County
Zip Code
6. Will this event be held on a currently licensed premise and within the already approved premises?
Yes
No
License # ________________________________________
This Notary to be completed only by the applicant named in section #1.
NOTARY
I,
__________________________________________________________ declare that I am the APPLICANT filing this
(Print Full Name)
application as listed in above. I have read the application and the contents and all statements are true, correct and
complete.
X _____________________________________________________________________ _______________ __________________
(Signature)
Title/ Position
Date
Phone #
State of _______________________County of _______________________
____________ of ______________________ _____________
The foregoing instrument was acknowledged before me this
Day
Month
Year
My commission expires on:
_____________________
___________________________________________________
Signature of NOTARY PUBLIC
8/3/2017
page 1 of 3
Individuals requiring ADA accommodations please call (602)542-9027