Connecticut > Statewide > Department Of Consumer Protection > Liquor Control Division
Application For Hotel Guest Bar - Connecticut
| Application For Hotel Guest Bar Form. This is a Connecticut form and can be used in Liquor Control Division Department Of Consumer Protection Statewide . |
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FOR OFFICIAL USE ONLY DCPLC-HotelGuestBar Rev 9/09 STATE OF CONNECTICUT Telephone: (860) 713-6210 Email: liquor.control@ct.gov Website: www.ct.gov/dcp DEPARTMENT OF CONSUMER PROTECTION LIQUOR CONTROL DIVISION \ APPLICATION FOR HOTEL GUEST BAR(S) Instructions: Complete this application and submit with a check or money order made payable to "Treasurer, State of Connecticut" for the total number of hotel guest bar(s) for which you are requesting approval at $100.00 each. Î Return the completed application and appropriate fee to: License Services Division Department of Consumer Protection 165 Capitol Avenue Hartford, CT 06106 Permittee Name (First Name, Middle Initial, Last Name) Liquor Permit Number Name of Business(Trade Name) Business Street Address (Location of Business) City State Zip code Business Telephone Number (with area code) Business Fax Number (with area code) Backer's Name Number of Hotel Guest Bar(s) requested @ $100.00 each Bars are lockable from desk? Bars have key/card locking device? Yes Yes No No I UNDERSTAND THAT THESE BARS ARE ONLY TO BE AVAILABLE TO GUESTS FROM: 9:00AM TO 1:00AM MONDAY through THURSDAY 9:00AM TO 2:00AM FRIDAY and SATURDAY 11:00AM TO 1:00AM SUNDAY **NO KEY/CARD WILL BE GIVEN TO A BAR WHERE THE PERSON RENTING IS UNDER 21 YEARS OF AGE.** I do hereby affirm that the information contained in this affidavit is true to the best of my knowledge. Signature of permittee, backer or authorized representative of the backer: X ________________________________________________________________ Date: __________________________ Subscribed and affirmed before me: Signed X__________________________________________________________ Date __________________________ (Commissioner of Superior Court, Notary Public, Justice of Peace) American LegalNet, Inc. www.FormsWorkFlow.com
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