Renewals In Connection With The Nys Liquor Authority Page 3
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What is the proximity to nearest school/daycare center? ___________________________________
________________________________________________________________________________
PREMISES:
9. Type of Building and number of floors________________________________________________
10. Floor Plan: total floor area: __________ Sq. ft. No. of floors_________
No. of bars_________
No. of Entrances ___________ No. of Exits__________
11. Any outside area or sidewalk café used for the sale or consumption of alcoholic beverages?
(Includes roof & yard) Yes __________No _________If yes describe and show diagram: _________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
12. Do the premises have a valid Certificate of Occupancy and all appropriate permits?
Yes______ No_______
Copy of Certificate of Occupancy (C of O) or Copy of Certificate of Assembly (C of A)
(Must be attached with application)
13. Do you plan to apply for a Public Assembly permit? Yes_______ No_______
14. Do you plan to apply for a cabaret License Yes _____ No _______
15. Zoning Designation: ________ Maximum number of persons that can legally occupy the
premises__________
16. Number of tables _______________
Number of Seats at tables _______________
17. ALCOHOL TYPE -To be sold under the license (select which applies)
Beer Only (BO)_______ Wine and Beer Only (WB)_______Liquor, Wine and Beer LWB)__________
PROPOSED DAYS AND HOURS OF OPERATIONS
18. Complete all: Circle AM or PM
SUN
MON
TUES
WED
THURS
FRI
SAT
______AM PM
_____AM PM
____ AM PM
_____AM PM _____ AM PM ____AM PM
______AM PM
TO
TO
TO
TO
TO
TO
TO
______AM PM
____AM PM
_____AM PM
____AM PM
_____AM PM _____AM PM
_____AM PM
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