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CITY OF EAGLE Application for Beer, Wine, and/or Liquor license P.O. Box 1520/ 660 E. Civic Ln. Eagle, ID 83616 (208) 939-6813 Page 1 of 2 Please provide the City of Eagle with the following documents/items: 1. Copy of current year State of Idaho beer, wine and/or liquor license. 2. Copy of current year Ada County beer, wine and/or liquor license. 3. Copy of your premise diagram/floor plan approved by the State of Idaho showing areas in which alcohol will be served. 4. Copy of any lease agreement if premises to be used are not owned by the applicant(s), partners or members. 5. Copy of Zoning Permit for Home Occupation if business is located on residentially zone property. 6. Articles of incorporation and bylaws. 7. Appropriate fees. ON Premises OFF Premises ON/OFF Premises Check type of license(s) being applied for: BEER WINE LIQUOR Name of applicant(s): Include partnership or association members, board members or stockholders: Address of applicant(s), partners or association members and contact phone number(s): Physical address of license location: Detailed description of premises for which the license is to be issued: Age of Applicant: Citizenship: Applicant(s), partners or associations members length of residence in the State of Idaho: List any convictions of any laws of the State of Idaho, United States, or licensing city within three years immediately preceding the date of filing the application, regulating governing or prohibiting the sale of alcoholic beverages. Within said time has the applicant(s) partners or members suffered the forfeiture of a bond for failure to appear in answer to charges of any such violation? List any convictions of any felony, or withheld judgment granted following adjudication of guilty of a felony, or fines paid or sentence completed thereof, within five years from the date of this application: ---PAGE BREAK--- CITY OF EAGLE Application for Beer, Wine, and/or Liquor license P.O. Box 1520/ 660 E. Civic Ln. Eagle, ID 83616 (208) 939-6813 Page 2 of 2 List any conviction of any crime or misdemeanor opposed to decency or morality: Zoning of premises for which license is to be used: REVIEW BY THE PLANNING & ZONING DEPARTMENT IS REQUIRED TO CONFIRM THE USE IS ALLOWED IN THE PREMISES ZONE. Date: . Signature of Eagle City Planner confirming allowed use State of Idaho) ss: County of Ada) being first duly sworn, deposes and says that HE, SHE, THEY is/are the owner(s) of the business making the above and foregoing application, and makes the statements therein contained for the purpose of securing a license to sell BEER - WINE - AND/OR ALCOHOL within the corporate limits of the City of Eagle, and that HE, SHE, THEY have read the above foregoing application, knows the contents and the facts therein stated are true, and HE, SHE, THEY have read and is familiar with the ordinances of the City of Eagle related to the sale of beer, wine, and/or alcohol within the City of Eagle. . Signature of applicant SUBSCRIBED AND SWORN TO BEFORE ME this day of , 20 . NOTARY PUBLIC in and for the State of Idaho Notary Signature: . Residing: , Expiration date: (((Seal) ANNUAL LICENSE FEES: BEER: To be consumed OFF the premises only: $50.00 BEER: To be consumed OFF the premises with validly issued catering permit: $200.00 BEER: To be consumed ON the premises only: $200.00 BEER: To be consumed ON/OFF the premises: $250.00 WINE: To be consumed OFF the premises only: $125.00 WINE: To be consumed OFF the premises with validly issued catering permit: $200.00 WINE: To be consumed ON the premises only: $200.00 WINE: To be consumed ON/OFF the premises: $325.00 LIQUOR: To be consumed ON the premises only: $562.50 TO BE COMPLETED BY CITY OFFICIAL: Date received: . Fees Collected: . Receipt Number: .