California > Statewide > Department Of Alcoholic Beverage Control
Application-Permit For Private Warehouse ABC-241 - California
| Application-Permit For Private Warehouse Form. This is a California form and can be used in Department Of Alcoholic Beverage Control Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Department of Alcoholic Beverage Control APPLICATION/PERMIT FOR PRIVATE WAREHOUSE Instructions: This form is required for storing alcoholic beverages (other than state tax-paid beer and wine) in a private warehouse. (State tax-paid beer and wine may be stored any place in the state, and no additional license is needed by the licensee or the person furnishing or providing the storage space.) (Section 23106 ABC Act and Rule 76, California Code of Regulations.) Complete items 1-8 and submit this form with the $50 fee to your ABC District Office. This application is approved and the private warehouse permit granted when bearing the signature of a supervisor. The approved copy shall be posted at all times at a convenient place inside and near the entrance to the warehouse. If you no longer require the permit, send written notification to the District Office with the original Form ABC-241 attached. 1. LICENSEE NAME State of California Edmund G. Brown Jr., Governor LICENSE NUMBER RECEIPT NUMBER FEE PAID $50.00 2. LICENSED PREMISES ADDRESS 3. ADDRESS OF PRIVATE WAREHOUSE 4. PRIVATE WAREHOUSE IS MAINTAINED BY (Name) 5. 6. DATE LEASE EXPIRES I own the private warehouse premises 7. STORAGE SPACE IS IN I lease the private warehouse premises House Other: TITLE DATE SIGNED Basement 8. LICENSEE SIGNATURE Garage FOR DEPARTMENT USE ONLY The above-described premises was inspected on satisfactory. RECOMMENDATION INVESTIGATOR SIGNATURE and found to be DATE SIGNED Approved Denied SUPERVISOR SIGNATURE DATE SIGNED Approved Denied Distribution: Original - Licensee; Copy - District file; Copy - Private Warehouse Permits file/binder; Copy - Headquarters - Cashier ABC-241 (rev. 01-11) American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
