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Form 14 Page 1 11/8/2019 UNION COUNTY ALCOHOL LICENSING 65 Courthouse Street Blairsville, GA 30512 Phone ([PHONE REDACTED] ~ Fax (706) 439-6004 Temporary Special Event Alcohol License Application Date of Application Date of Event Non-Profit Civic Organization Special Event Other Special Event or Festival There are two types of Temporary Event Licenses: One for non-profit organizations and one for other special events and festivals. All special events must comply with the times and days allowed for selling alcoholic beverages for consumption on the premises. Requirements Pertaining to both types of Special Events: • Department of Revenue Permit • No more than six permits for a maximum of two days at a time in any one calendar year. • The event must receive approval from Union County Sheriff’s office on crowd control, parking and security measures. • The location of the event must be approved in writing by owner of the property. • All servers at the event must have a valid servers permit issued by Union County, Georgia. • As a condition of the issuance of a temporary special event license, the licensee shall indemnify and hold the county harmless from any claims, demands or causes of action which may arise from activities associated with the special event. • The requirements of an eating establishment, number of seats, and percentage of sales shall not apply to a temporary special events license, however some food must be served at the event. • The Special Event must comply with the distance requirements from a church, school, and alcohol treatment facility Additional Requirements Pertaining to Non-Profit Special Events: • Verification of organization’s current non-profit status (a bona fide non-profit civic organization is one which is exempt from federal income tax, pursuant to the provisions subsections or of 26 U.S. C. Section 501.) (applies to non-profit only) • All events must be associated with and benefit the cause of the non-profit. 1. Name of Group, Individual, Company or Non-Profit Civic Organization Sponsoring Event 2. If a Non-Profit Organization, how long has this organization been established in Union County? 3. Location Name of Special Event ---PAGE BREAK--- Form 14 Page 2 11/8/2019 4. Address of Special Event 6. Applicant (Person responsible for the permit) Name Address Phone # 7. Contact Person (if different from applicant) Name Address Phone # NOTE: Before signing this statement, check all answers and explanations to see that you have answered all questions fully and correctly. This statement is to be executed under oath and subject to the penalties of false swearing, and it includes all attached sheets submitted herewith. STATE OF GEORGIA, UNION COUNTY I, , DO SOLEMNLY SWEAR, SUBJECT TO THE PENALTIES OF FALSE SWEARING, THAT THE STATEMENTS AND ANSWERS MADE BY ME AS THE APPLICANT IN THE FOREGOING PERSONAL STATEMENT ARE TRUE AND CORRECT. Applicant’s Signature Sworn to and subscribed before me, THIS DAY OF ,20 . Notary Public My Commission Expires FOR OFFICIAL USE ONLY: DATE APPLICATION AND FEE RECEIVED: ALCOHOL BOARD APPROVAL: Signature Date BUILDING INSPECTION APPROVAL: The above event location is Signature Date Approved by Building Inspection Dept. SHERIFF DEPARTMENT APPROVAL: Applicant has met all requirements on crowd control, Signature Date Security, and traffic control measures for the event.