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CLASS BEER APPLICATION Ogden City Business License Application Ogden City Customer Service Center 2549 Washington Blvd. Suite 240, Ogden, UT 84401 Business License # State Sales Tax # Event Name Event Location/Address Purpose/Description of Event Single Event 30 Consecutive Days Sale Dates Hours of Sales Beer Only Beer & Wine Beer & Liquor Beer, Wine & Liquor Name of applicant Business/Organization Name Type of organization: Corporation Partnership Proprietorship LLC Incorporated Association Church Non Profit Organization Political Organization Governmental Entity Other Mailing Address City Business/Organization Phone Contact Name Phone If the applicant is a partnership, the applicant shall state the name and address of all co-partners and if a corporation, the names and addresses of its principal officers and directors and the name of the manager on the premises to be licensed. Name Address Phone Number Date of Birth Interest in Business 1. List of employees/volunteers involved in the retail sales of alcohol or located at the ID checking stations. Per UDABC requirements: they must have a current alcohol training certificate. (PLEASE BE SURE TO INCLUDE CERTIFICATES WITH THIS APPLICATION FOR CITY APPROVAL). Name Date of Birth Phone Number License Fees: Base license fee $ 98.00_ Disproportionate fee $ 31.00_ Total due $ 129.00_ ---PAGE BREAK--- 2. Provide scaled 8 ½ x11 site/floor plan highlighting alcohol & food sales, ID stations, security, entrances, exits, vendors, stages, tables & consumption areas. 3. Will the food at the event be catered? Yes No If YES, by 4. Will the food at the event be provided by individual vendors? Yes No 5. Has any brewer, wholesaler of beer, or dealer in beer, directly or indirectly, supplied, given, or paid for, or hereafter supply, give, or pay for any furniture, furnishings or fixtures used or to be used in vending beer; advanced or furnished the money or any part of these of submitted in commencement or conduct of business of vending beer; now either directly or indirectly financially involved in, or will such brewer, wholesaler or dealer become directly or indirectly financially involved in the conduct or operation of the business or retail vending of beer; the beer license for which is applied for in this application? Yes No If YES, please explain - Licensee is to sell beer in the original containers or on draft only upon the licensed premises of a qualified single event. Sales may be made for consumption on or off the designated premises upon which public fairs, stock and other animal shows, celebrations, fiestas, occasional athletic contest and similar events are in preparation or progress. - Licenses may only be issued to a bona fide partnership, corporation, limited liability company, incorporated association, church, political organization, or governmental entity, or to a recognized subordinate lodge, chapter or other local unit thereof that is conducting a convention, civic or community enterprise or event. - Any one license shall not be issued for a period of time exceeding thirty (30) consecutive days. - The sale of beer under a series of permits issued to the same person may not exceed a total of 90 day in any one calendar year. Applicant says that they are the person herein named, or an authorized agent, and that they have read this application and are aware of the contents thereof and that the statements therein are true to the best of their knowledge and belief. Signed Official Use Only: Zone Census Track _________Traffic Planning Community Planning Approved Not approved By: Date Department Approved Not approved By: Date License Officer Approved Not approved By: Date Business License Building Police Fire Health Dept