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Liquor License Renewal Questionnaire

  1. Best Means To Contact You*
  2. Please put number of years

  3. Are you aware that you are prohibited from hiring employees that have been convicted of a crime?*
  4. Do you own or lease the licensed premises?*
  5. Do you lease the active liquor license to another party?*
  6. In addition to serving liquor, do you offer the following?*
  7. Do you have a current food handlers license?*
  8. Are you under contract for pest control services?*
  9. Have the renovated, altered or enlarged your establishment during the last year?*
  10. Please include name, title, address, and telephone number

  11. C.o.d. Or credit basis with your listed distributor(s)? *
  12. Please include name, address, and phone number

  13. Is there off street parking for employees and patrons?
  14. Are there any tenants or occupants in the building other than the ABC licensed business?*
  15. Upload Requested Documents Here

  16. Electronic Signature Agreement*

    I certify that the foregoing statements made by me are true and accurate to the best of my knowledge. I am aware that if any of the foregoing statements made by me are willfully false, it shall affect my liquor license.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  17. Leave This Blank:

  18. This field is not part of the form submission.