Town of Elizabeth
Town
of
Liquor
Application Attachment
1)
Name of Business:____________________________________________________________________________
2)
Physical Address of Business:__________________________________________________________________
3)
Mailing Address of Business:__________________________________________________________________
4)
Business Phone:_____________________________________________________________________________
5)
Business Type: ____ Sole
Proprietorship ____ Partnership ____Limited Liability ____Corporation
6)
Name of Applicant:___________________________________________________________________________
7)
List any other persons who have a direct or
indirect financial interest in this business and the percentage of their interest:_______________________________________________________________________________
______________________________________________________________________________________
8)
Describe the nature of the proposed
establishment and the target market. (Restaurant, Tavern, Sports Bar –
Families, College Students, ect.)____________________________________________________________________
_______________________________________________________________________________________
9)
What are the proposed days and hours of
operation:_________________________________________________
_______________________________________________________________________________________
10)
Do
you hold, or have you held a direct or indirect interest in a liquor or beer
license?_____________________
If yes, include name of establishment,
address, type of license, and date:______________________________
_______________________________________________________________________________________
11)
Have you, any member of your family, or any
corporation, company or partnership in which you were involved, ever had a
liquor license suspended, revoked or refused:_____________________________________________
If yes, give name, date, jurisdiction, and
action taken:____________________________________________
_______________________________________________________________________________________
12)
How many individuals will be employed at
this proposed establishment:_________________________________
How
many will be full time verses part time:____________________________________________________
Provide
responsibilities (example: 1-manager, 1-asst manager, and 5-wait staff):_________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
13)
Is there a written management or
partnership agreement:__________________________________________
(Attach copies of all written agreements.
If there are no written agreements or contracts, a statement must be provided
detailing the oral agreement.)
14)
Describe your past training and experience
in the sales/service of alcoholic beverages:______________________
_______________________________________________________________________________________
_______________________________________________________________________________________
15)
Describe your operating manager’s past
training and experience in the sales/service of alcoholic beverages:______
_______________________________________________________________________________________
_______________________________________________________________________________________
16)
What type of training is proposed for employees
in the safe and legal sale/service of alcoholic beverages:________
_______________________________________________________________________________________
_______________________________________________________________________________________
17)
What type of training or operating
procedures that employees will be following in the day-to-day operation:______
_______________________________________________________________________________________
_______________________________________________________________________________________
18)
What methods will be used in checking
identification for proper age of patrons (at the door, at the bar, etc.):_____
_______________________________________________________________________________________
_______________________________________________________________________________________
19)
What types of entertainment will be offered
(music, pool, etc.):_________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
20)
What type of security, if any, will be
provided at this establishment:_____________________________________
_______________________________________________________________________________________
21)
Who will provide such service, and have all applicable licenses
been obtained:____________________________
_______________________________________________________________________________________
22)
What type of alternate beverages and food
will be provided____________________________________________
_______________________________________________________________________________________
23)
What is the estimated ration of food sales
to alcoholic beverages sales at this establishment___________________
_______________________________________________________________________________________
I
declare under penalty of perjury in the second degree that this application and
all attachments are true, correct, and complete to the best of my knowledge.
Signature
of individual completing this application_________________________________________________
Title:_________________________________________________ Date:________________________