Michigan > Statewide > Liquor Control Commission > General Licensing

Applicant Questionnaire New On Premises Banquet Facility Permit LC 618BF - Michigan

Applicant Questionnaire New On Premises Banquet Facility Permit Form. This is a Michigan form and can be used in General Licensing Liquor Control Commission Statewide .
 Fillable pdf Last Modified 5/16/2016
Get this form for FREE as a print-only pdf

Michigan Department of Licensing and Regulatory Affairs Liquor Control Commission (MLCC) Constitution Hall - 525 W. Allegan, Lansing, MI 48933 Mailing Address: PO Box 30005, Lansing, MI 48909 Toll Free (866) 813-0011 ยท www.michigan.gov/lcc Business ID: Request ID: (For MLCC use only) APPLICANT QUESTIONNAIRE - New On-premises Banquet Facility Permit (Authorized by MCL 436.1522) INSTRUCTIONS: To apply for a new On-premises Banquet Facility Permit complete and return this questionnaire with a $70 inspection fee to the address printed above. _________________________________________________________________________________________ Name of Licensee(s) (Individual, partnership, corporation, limited liability company) _________________________________________________________________________________________ Current Business Address (Street, City, Township, County, Zip Code) Type of License and Number: _________________________________________________________________ Total Gross Receipts of Business:______________________________________________________________ Year Amount Year Amount Total Gross Receipts of Food and Non-alcoholic Beverages: ____________________________________________________________________ Year Amount Year Amount * Please be advised the statute prescribes that you must demonstrate that at least 50% of the gross receipts of your current business is from the sale of food and non-alcoholic beverages prepared for consumption on the premises. _________________________________________________________________________________________ Proposed Address of Banquet Facility (Street, City, Township, County, Zip Code) Do you or Will you have control of this facility? Property document & diagram attached? YES YES NO NO *Please be advised that you must provide a diagram and documentation that demonstrates a preexisting ownership or lease interest in the banquet facility prior to issuance of the permit. WILL BE AVAILABLE Permits Requested for Banquet Facility: ___Dance ___Entertainment ___Outdoor Service ___Sunday Sales ___Topless Activity ____Direct Connection ____Food ____Golf ____ Miscellaneous ________________ List types of scheduled events and functions that will be held at this facility: List the hours of operation at this facility: ________________________________________________________ *Please be advised that a banquet facility shall not have regular meal service and shall not be generally open to the public. _________________________________________________________________________________________ Title Print name of contact person _________________________________________________________________________________________ Telephone Number Mailing address if different from above _________________________________________________________________________________________ Date Signature LC-618BF Rev. 06/14 LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com
Link/Embed this Document

Popular Searches

  1. writ of execution
  3. request for dismissal
  4. Declaration
  5. notice of motion
  6. notice of hearing
  7. interrogatories
  8. satisfaction of judgment
  9. ex parte
  10. civil

Bookmark and Share