Utah > Statewide > Department Of Alcoholic Beverage Control
Club Liquor License Application - Utah
| Club Liquor License Application Form. This is a Utah form and can be used in Department Of Alcoholic Beverage Control Statewide . |
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UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1625 South 900 West · PO Box 30408 · Salt Lake City, UT 84130-0408 · (801) 977-6800 · Fax (801) 977-6889 www.abc.utah.gov "CLUB LIQUOR LICENSE" APPLICATION CHECKLIST The items below must be completed and submitted by the 10th of the month or earlier, so that your application can be processed in a timely manner. Because there are a limited number of club licenses available, you will be notified of the next monthly Utah Alcoholic Beverage Control Commission meeting when your application will be considered. We request that a representative attend the meeting to make a brief presentation. 1.____Completed Application form (enclosed). 2.____Ownership entity organizational papers for business: a) if a corporation, submit a copy of the articles of incorporation; b) if a partnership, submit a copy of the written agreement; c) if a limited liability company, submit a copy of the articles of organization 3.____Copy of club's bylaws and/or house rules (Equity and Fraternal Clubs only). 4.____Criminal history background check fingerprints, consent forms, and fees. See #19 on application. 5.____Evidence of proximity to schools, churches, libraries, playgrounds and/or parks. See #17 on application. 6.____Written consent from the local authority; city, town, or county, whichever is applicable (form enclosed). 7.____Copy of current local business license. 8.____$10,000 cash or corporate surety bond. (form enclosed) 9.____Certificate of insurance for public liability and liquor liability "dram shop" coverage (minimum coverage is $500,000 per occurrence/$1,000,000 in the aggregate). Effective July 1, 2010 the minimum limits for liquor liability coverage is $1,000,000 per occurrence/$2,000,000 in the aggregate. 10.____Scaled floor plan (8-1/2" x 11") highlighting area(s) for sale, storage and consumption of alcohol. 11.____$300 application fee (non-refundable). 12.____$2,750 initial license fee (make checks payable to UDABC). 13.____Club Classification (check only one): [ ] Equity Club [ ] Fraternal Club [ ] Dining Club (at least 60% food sales) [ ] Social Club 14.____Evidence that the private club meets the requirements for the above classification. 15.____ Projected profit and loss statement. See page 43. 16.____Copy of any food menu and posted price list for alcoholic beverages. Enclosed are copies of Utah law and commission rules pertaining to clubs, and a list of factors considered in the evaluation of license applications. If you have questions concerning these forms or the application process, please contact our Licensing and Compliance Division at (801)-977-6800. Effective 7.1.11 v11.10.11 page 1 of 47 American LegalNet, Inc. www.FormsWorkFlow.com UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL APPLICATION FOR CLUB LIQUOR LICENSE Club Classification (check only one): [ ] Fraternal Club [ ] Dining Club (at least 60% food sales) [ ] Equity Club 1. 2. 3. 4. 5. 6. 7. 8. 9. [ ] Social Club Name of entity applying for licensing: (see #18) __________________________________________ Business name (dba): Location: __________________________________________________________________________ Street Street P.O. Box City City State State Zip Zip Mailing address: ____________________________________________________________________ Business phone: _________________ Other phone: ______________ Fax: _____________________ Manager: _______________ DOB ______________ SS# ______________ DL# ________________ Contact person: _____________________ E-mail _______________________________________ Owner of real property and building: ____________________________________________________ List other alcoholic beverage licenses previously and/or currently held by applicant/principals: 10. 11. 12. 13. 14. 15. Date club opened for business: ________________(or projection): ___________________________ Days and hours of operation: _________________________________________________________ Total seating capacity: _____________ Number of parking stalls: ___________________________ Square footage of facility: ___________________________________________________________ Projected monthly revenue: Food Sales $ _______________ Alcohol Sales $ _________________ Describe type of entertainment, if any: ________________________________________________ Will the club have sexually oriented adult entertainment (operate as a sexually oriented business)? ______ 16. 17. List name of previous business at location: _______________________________________________ List any private or public schools, churches, public libraries, public playgrounds or parks located within 600' of your premises. See Utah Code Sections 32B-1-202 as to how proximity is determined and measured and for an explanation on variances. (http://le.utah.gov/~code/TITLE32B/htm/32B01_020200.htm) Property Address Measured Distance ____________________________________________________________________________________ ____________________________________________________________________________________ Effective 7.1.11 v11.10.11 page 2 of 47 American LegalNet, Inc. www.FormsWorkFlow.com 18. Ownership: Check appropriate box and provide the requested information in the spaces below. ( add additional sheets if necessary ) [] Applicant is an individual: List below information for: (a) Individual (b) All Managers [] Applicant is a partnership: List below information for: (a) All Partners (b) All Managers Applicant is a corporation: List below information for: (a) Any Stockholders owning at least 20% of the corporation (b) All Corporate Officers and Directors (c) All Managers [] [] Applicant is a limited liability company (LLC): List below information for: (a) Any members owning at least 20% of the company (b) All Managers TITLE__________NAME___________________________HOME ADDRESS__________________________________ HOME PHONE #___________________DR LIC #___________DOB___________SS#____________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE__________NAME___________________________HOME ADDRESS__________________________________ HOME PHONE #___________________DR LIC #___________DOB___________SS#____________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE__________NAME___________________________HOME ADDRESS__________________________________ HOME PHONE #___________________DR LIC #___________DOB___________SS#____________%OWNED_____ Are you a
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