Maryland > Statewide > Comptroller > Regulatory And Enforcement Division > Alcohol And Tobacco Tax Bureau
Farmers Market Location Request Form - Maryland
| Farmers Market Location Request Form Form. This is a Maryland form and can be used in Alcohol And Tobacco Tax Bureau Regulatory And Enforcement Division Comptroller Statewide . |
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For Official Use Only STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION Liquor Control Division Telephone: (860) 713-6210 Email: liquor.control@ct.gov Web Site: www.ct.gov/dcp FARMERS' MARKET LOCATION REQUEST FORM LOCATION OF FARMERS' MARKET 1. Permit Number for Farm Winery: 2. Trade Name of Farm Winery being Invited: 3. Name of Farmers' Market 4. Address of Farmers' Market (Street Address) 5. City State Zip Code 6. Telephone Number 7. Fax Number 8. Email Address 9. Days and Hours of Operation: Monday ____________ Tuesday ____________ Wednesday ____________ Thursday ____________ Friday ____________ Saturday ____________ Sunday ____________ APPROVAL/CERTIFICATION OF LOCAL OFFICIALS 10. Farmers' Market Invitation: I certify that as a representative of the Farmers' Market identified above, the above named Farm Winery has been invited to sell wine at the Farmers' Market identified in #3 and during the dates and times allowed by law. Signature of Farmers' Market Representative X _______________________________________________________________________ Print Name _______________________________________________________________________ Title of Official ______________________________________________________________________ Date ______ /______ /________ 11. Zoning Authority Approval: I certify that I am familiar with the zoning ordinances and bylaws of the city/town identified in item #5 of this application and they do not prohibit the sale of alcoholic beverages under the type of liquor permit/establishment identified in this application. Signature of Zoning Official X _______________________________________Print Name ____________________________________ Title of Official ______________________________________________________________________ Date ______ /______ /________ 9. Certification of Town Clerk: The town in which the business identified in item # 4 of this application is to be operated, has no ordinance restricting the hours of sale of alcoholic liquors beyond those set forth in State law except as indicated in the box below. (If none, please enter "NONE") Additional Restrictions: Signature of Town Clerk X_____________________________________________________________ Date ______ /______ /________ American LegalNet, Inc. www.FormsWorkFlow.com
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