Full Text
City of Star P.O. Box 130 Star, Idaho 83669 P: [PHONE REDACTED] F: [PHONE REDACTED] Alcoholic Catering Application Form #202 Rev 12-2017 ALCOHOLIC BEVERAGE CATERING PERMIT Applicant’s Name Address County Phone number State of Idaho Liquor License No. All applicants are required to submit the following: Applicant Description Staff Completed and signed Alcoholic Beverage Catering Permit Application Fee Copy of your State Liquor License Copy of Liability Insurance naming the City of Star as additionally insured. Driver’s License of each individual selling or serving alcohol (copy of picture will be used for identification) If the location of event is not owned by the applicant, written proof the owner consent to the service and sale of alcoholic beverages on such premises must be submitted Signed Star Police Department Background permission form for each individual Permit to serve and sell: Liquor by the drink Beer □ bottle □ glass Wine □ bottle □ glass Permit to be used Hours Month Date From To at Event address, including room number(s) catering for Organization(s), group(s) or person(s) sponsoring the event The sponsored event will be open to the named organization(s), group(s), or person(s) and guests for a period of not to exceed three consecutive days at a fee of twenty dollars ($20.00) per day. Signature of Licensee Date Unless permittee is disqualified, approval of this permit certifies that the permittee is entitled to hold and use this City of Star Alcoholic Beverage Catering Permit at the above-designated premises, not to exceed designated dates, subject to provisions of Idaho Code 23-934(A)(B). APPROVED DENIED BY CITY OF STAR ---PAGE BREAK--- City of Star P.O. Box 130 Star, Idaho 83669 P: [PHONE REDACTED] F: [PHONE REDACTED] Alcoholic Catering Application Form #202 Rev 12-2017 CONSENT TO SEARCH RECORD I, AKA ADDRESS CITY STATE ZIP HEREBY GIVE MY PERMISSION TO THE CITY OF STAR TO HAVE A POLICE RECORD SEARCH CONDUCTED IN REFERENCE TO MY APPLICATION FOR AN ALCOHOLIC BEVERAGE CATERING PERMIT. This form expires 15 months after the date signed below. SIGNATURE DATE ● A copy of a valid drivers license or identification card must be attached. STAR CITY POLICE DEPARTMENT VERIFICATION: DATE OFFICER NUMBER ***MUST BE COMPLETED AND SIGNED BY POLICE DEPARTMENT***