ABC TEMPORARY LICENSE APPLICATION Name of ... - Danville
ABC TEMPORARY LICENSE APPLICATION
City of Danville, Kentucky 445 W. Main St. * P.O. Box 670 Danville, Kentucky 40423 Phone: (859) 936-6840 Fax: (859) 238-1232 Website: www.danvilleky.org Bridgette Lester, ABC Administrator [email protected]
Name of person(s) or company to be licensed: _____________________________________________ Name of Special Event: ______________________________________________________________ Date(s) & Time(s) of Event: ___________________________________________________________ Addresses of premises to be licensed: _____________________________________________________ Mailing Address: ___________________________________________________________________ Contact Person: ____________________________Email Address: ____________________________ Contact Phone No.:_________________________ Fax No.:__________________________________ Check the boxes for the type(s) of license(s) you are applying for: Special Temporary License (KRS 243.260 & 804 KAR 4:250)
$166.66
Special Temporary Auction License-Distilled Spirits & Wine (KRS 243.036)
$100.00
Fee Due:
$___________
Have you attached the following? Payment Payable to City of Danville
Yes
No
State Application
Yes
No
Criminal Background Check
Yes
No
Detailed Compliance Plan
Yes
No
Proof of Server Training
Yes
No
Proof of Insurance
Yes
No
(if event is being held in or on public property a copy is required with each application specific to the location of event)
Date of Application: _____________________ Signature of Applicant: _______________________________________________ Applicant’s Title: __________________________________ Rev. 09/17
City of Danville, Kentucky 445 W. Main St. * P.O. Box 670 Danville, Kentucky 40423 Phone: (859) 936-6840 Fax: (859) 238-1232 Website: www.danvilleky.org Bridgette Lester, ABC Administrator [email protected]
Name of person(s) or company to be licensed: _____________________________________________ Name of Special Event: ______________________________________________________________ Date(s) & Time(s) of Event: ___________________________________________________________ Addresses of premises to be licensed: _____________________________________________________ Mailing Address: ___________________________________________________________________ Contact Person: ____________________________Email Address: ____________________________ Contact Phone No.:_________________________ Fax No.:__________________________________ Check the boxes for the type(s) of license(s) you are applying for: Special Temporary License (KRS 243.260 & 804 KAR 4:250)
$166.66
Special Temporary Auction License-Distilled Spirits & Wine (KRS 243.036)
$100.00
Fee Due:
$___________
Have you attached the following? Payment Payable to City of Danville
Yes
No
State Application
Yes
No
Criminal Background Check
Yes
No
Detailed Compliance Plan
Yes
No
Proof of Server Training
Yes
No
Proof of Insurance
Yes
No
(if event is being held in or on public property a copy is required with each application specific to the location of event)
Date of Application: _____________________ Signature of Applicant: _______________________________________________ Applicant’s Title: __________________________________ Rev. 09/17
