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On Premise Banquet License Application - Utah
| On Premise Banquet 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 977-6888 Website: www.abc.utah.gov "ON-PREMISE BANQUET 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 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._____ Criminal history background check fingerprints, consent forms, and fees. See #14 on application. 4._____Written consent from either city/town council or county commission whichever is applicable (form enclosed). 5._____Evidence of proximity to schools, churches, libraries, playgrounds and/or parks (600'). See #12 on application. 6._____Copy of current local business license. 7._____$10,000 on premise banquet cash or corporate surety bond. (form enclosed). 8._____Certificate of insurance for public liability and liquor liability "dram shop" coverage (liquor liability minimum coverage is $1,000,000 per occurrence/$2,000,000 in the aggregate). 9._____Description or scaled floor plan (8-1/2" x 11") and boundary map of the banquet premises, highlighting areas for storage, sale, service and consumption of alcoholic beverages. Hotels: Floor plan of a typical guest room level. 10.____$300 application fee (non-refundable). 11.____$750 initial license fee through Oct. 31st of each year (make checks payable to UDABC). Enclosed are copies of Utah law and commission rules pertaining to on-premise banquet licensees, and a list of factors considered in the evaluation of license applications. If you have any questions concerning these forms or the application process, please contact our DABC Licensing and Compliance Division at (801) 977-6800. Effective 7.1.11 v10.21 page 1 of 43 American LegalNet, Inc. www.FormsWorkFlow.com UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL APPLICATION FOR ON-PREMISE BANQUET LICENSE Type of Facility: must meet minimum requirements listed in Rule R81-4D. See page 17. [ ] Hotel [ ] Resort Facility [ ] Sports Center [ ] Convention Center 1. 2. 3. Business name: _______________________________________________________________ Applicant/owner of business: ______________________________________________________ Location: _____________________________________________________________________ Street City State Zip Mailing address: ________________________________________________________________ Street or PO Box City State Zip Business phone: _____________ Other phone: _________________ Fax: _________________ Manager: ___________________DOB __________ SS# ________________ DL#__________ Contact Person: __________________________ e-mail: ____________________________ 4. 5. 6. 7. 8. 9. Owner of real property & building: _________________________________________________ List any other alcoholic beverage licenses previously and/or currently held by applicant/principals: ______________________________________________________________________________ ______________________________________________________________________________ Planned opening date (if applicable):_______________________________________________ Square footage of banquet function space: ______________ Total banquet seating capacity: _____________________ Projected monthly gross food and beverage banquet sales: _____________________ Hotels and/or resorts with hotels: number of sleeping rooms: ________________ Sports centers: fixed seating capacity: _______________ Convention centers: total square footage of entire facility: __________________ 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) 10. 11. 12. Property Address Measured Distance ______________________________________________________________________________ ______________________________________________________________________________ Effective 7.1.11 v10.21 page 2 of 43 American LegalNet, Inc. www.FormsWorkFlow.com 13. 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#________________DRLIC #______________DOB___________SS#_______________%OWNED_____ Are you a United States Citizen? ____________ If no, must attach 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 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 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 copy of residency status. 13a. Does the applicant have an
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