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City of Burley Alcohol Beverage Catering Permit Complete this permit and present to the Cassia County Sheriff and City of Burley Fire Chief for their approval, before remitting with PAYMENT to the City Clerk’s Office, 1401 Overland Ave, Burley, ID 83318. Submit application at least 7 working days prior to the event. PLEASE PRINT THE INFORMATION BELOW Alcohol Licensee Holder (Business name as listed on Idaho State Alcohol License) Address City_ County_ Idaho State Alcohol License No _ Expires (If applicant does not hold an alcohol beverage license with the City of Burley, a copy of their Idaho State Alcohol Beverage License must be provided with the application.) Permit to be used: Month_ Day Year Hours Location Beer Wine Liquor (includes all alcoholic beverages) (Premises, Rooms, Suites, Address) Catering for _ (Type of Event: Private Party, Convention, Wedding Reception, Festival, etc.) Name of party or convention sponsoring the event Expected attendance at the event Alcohol Inside (dispensed and consumed inside a building) Alcohol Outside (dispensed and consumed outside a building) Attach a detailed site plan of the area to be used in relation to adjacent properties, show location of dispensing area (beer garden) Responsible Licensee Signature _ Official Title _ Date Email Address Contact Phone Number This sponsored event will be open to the name organization(s), group(s), or person(s) and guest for a period of days, not to exceed five consecutive days at a fee of twenty dollars ($20.00) per day. Unless licensee is disqualified, approval of this permit does certify that the licensee is entitled to hold and use this Idaho Liquor Catering Permit at the above-designated premises, subject to provisions of Title 23. Approved Denied Cassia County Sheriff Date Approved Denied City of Burley Fire Chief Date Approved Denied City of Burley City Clerk Date Fee Paid Receipt No Date _ SIGN ---PAGE BREAK--- City of Burley Alcohol Beverage Catering Permit Instructions Complete application fully Attach a copy of current State Liquor License if not licensed with the City of Burley Attach a detailed site plan of the area alcohol will be served Obtain the approvals and signatures of the Cassia County Sheriff, City of Burley Fire Chief, and the City of Burley Clerk Pay the fee at the clerk’s office If you have any questions contact the City Clerk, Ellen Maier. City of Burley City Hall 1401 Overland Ave Burley, ID 83318 (208) 878-2224 City of Burley Fire Station 1235 Miller Ave Burley, ID 83318 (208) 878-7371 Cassia County Sheriff’s Office 129 E 14th St Burley, ID 83318 (208) 878-2251