Fillable APPLICATION TO SELL LIQUOR IN PARKVILLE, MISSOURI (Parkville (City of Parkville)

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APPLICATION TO SELL LIQUOR IN PARKVILLE, MISSOURI (Parkville (City of Parkville)

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Page 1 of 5 Last revised (Rev. 11/8/13)
CITY OF PARKVILLE ▪ 8880 Clark Avenue ▪ Parkville, MO 64152 ▪ (816) 741-7676 ▪ FAX (816) 741-0013
APPLICATION TO SELL LIQUOR IN PARKVILLE, MISSOURI
(Parkville Municipal Code Chapter 600)
For period June 1, _________ to May 31, _________
Current year Next year
Date of Application: _____________________
SECTION 1.
1. Name of Business: __________________________________________________________________
2. Type of Business: __________________________________________________________________
3. Street address where liquor is to be sold: _______________________________________________
4. Is this location within 300 feet of a church or school?: Yes ________ No ________
See Parkville Municipal Code Section 600.310 Notice and Consent
5. Mailing Address: ___________________________________________________________________
6. Phone No. of Business: ______________________ Fax No. of Business: ______________________
7. Name of Managing Officer (principal applicant): __________________________________________
8. Name(s) of any partner(s) in this business (attach separate sheet if necessary):
_________________________________________________________________________________
_________________________________________________________________________________
9. Name(s) and residence address(es) of any other person(s) having financial interest in this business or
partnership (attach separate sheet if necessary):
_________________________________________________________________________________
_________________________________________________________________________________
10. If corporation, give name of corporation, date of incorporation, state in which incorporated, and
names and addresses of all stockholders who hold ten percent (10%) or more of the capital stock
(attach separate sheet if necessary):
_________________________________________________________________________________
_________________________________________________________________________________
11. Name(s) and residence address(es) of any other person(s) having financial interest in the building to
be used for liquor sales:
_________________________________________________________________________________
_________________________________________________________________________________
APPLICATION TO SELL LIQUOR IN PARKVILLE
Page 2 of 5 Last revised (Rev. 8/18)
NOTE: A separate Section 2 must be completed by each managing officer and each partner, and all
completed Section 2 forms must be filed with this application.
SECTION 2.
1. Name of Applicant: _________________________________________________________________
2. Position in Company: _______________________________________________________________
3. Residence Address: _________________________________________________________________
4. Mailing Address (if different): ________________________________________________________
5. Home Phone: _______________________________ Work Phone: ___________________________
6. Social Security No.: _______ - _____ - ________
7. Date of Birth: ___ /___ /_____
8. Place of Birth: _______________________________________________
9. If Naturalized Citizen, give date and place: ___/___/_____ _______________________________
10. County of Residence: _______________________________________________________________
11. Driver’s License No.: ___________________________
12. Have you ever been convicted of a felony?: _________(If yes, attach sheet giving all details of arrests
and convictions. Include dates and placed of incarceration.)
13. Have you ever held a liquor license in any state?: _______ If yes, where/when?: _________________
_________________________________________________________________________________
14. Has your liquor license ever been revoked?: ______ (If yes, attach sheet giving dates, places and all
details of revocation.)
15. Employment History for last five years (attach separate sheet if necessary):
Dates Employer’s Name & Address Supervisor
___/___/_____ _____________________________________ ___________________
___/___/_____ _____________________________________ ___________________
___/___/_____ _____________________________________ ___________________
I understand that the City of Parkville will conduct a thorough investigation into my character,
background, associates, financial investments and indebtedness, as well as the accuracy of the above
statements. I hereby consent to such investigation.
SIGNATURE OF APPLICANT: _____________________________________ DATE: ___/___/_____
APPLICATION TO SELL LIQUOR IN PARKVILLE
Page 3 of 5 Last revised (Rev. 8/18)
SECTION 3. LICENSE FOR WHICH APPLICATION IS BEING MADE
(Please choose the license for which application is being made.)
1. Microbrewer: $375
Based on annual production of at least 500 barrels, at a fee of $7.50 per hundred barrels. If, at the end of
the license year, the microbrewery has produced less than 500 barrels, the City shall refund $7.50 for
every hundred barrels under that number. A fraction of one hundred barrels produced shall be counted as
one hundred barrels. It allows production of beer and malt liquor of no more than 10,000 barrels per year
in Zones I-1, I-2 or I-3 only. Holder of this license must also have a resort liquor license (RSMo 311.195)
2. Retailer of malt liquor in the original package: $75
Allows sale of malt liquor in original package for consumption off premises. LIMITED to drug stores,
cigar/ tobacco stores, confectioneries, delicatessens, grocery or general merchandise stores with stock
having at-cost value of at least $1,000. (RSMo 311.200) Limit of one per every 2,000 residents.
3. Retailer of malt liquor by the drink: $52.50
Allows sale of malt liquor/ light wine by drink for consumption on premises, sale of malt liquor/ light wine
in original package for consumption off premises. (RSMo 311.200)
4. Retailer of intoxicating liquor in original package: $150 Sunday Sales: additional $300
Allows sale of intoxicating liquor, malt liquor in original package for consumption off premises. LIMITED
to drug stores, cigar/ tobacco stores, confectioneries, delicatessens, grocery or general merchandise
stores having at-cost value of at least $1,000. (RSMo 311.200, 311.293). Limit two per every 1,000
residents.
5. Resort license (RSMo 311.095): $450 Sunday Sales: additional $300
Allows sale of intoxicating liquor by drink for consumption on premises of a “resort,” sale of intoxicating
liquor in original package for consumption off premises, sale of malt liquor by drink for consumption on
premises, sale of malt liquor in original package for consumption off premises.
5a. Temporary resort license: $93.75 for 3 months/ Sunday sales: additional $75 for 3 months
Allows 3-month resort license, based on projection of sales. For all new restaurants.
6. Malt liquor/ light wine sale-by-drink permit (no more than 7 days): $37.50
Allows sale of light wine and malt liquor for consumption off premises where sold between 10:00 a.m. and
midnight (11:00 a.m. to midnight on Sundays) or requested date(s) of sale. LIMITED to church, school,
civic, service, fraternal, veterans, political, or charitable club or organization for picnic, bazaar, fair,
festival or similar gathering or event. (RSMo 311.482)
7. Boat or Vessel, Intoxicating liquor by drink for consumption: $450
Authorizes sale of intoxicating liquor by the drink at retail for consumption on the premises of any boat or
other vessel licensed by the United States Coast Guard to carry one hundred (100) or more passengers for
hire on navigable waters in or adjacent to this State, which has a regular place or mooring in Parkville,
Missouri. NOTE: Does not include riverboat gambling boats. (RSMo 311.090)
8. Intoxicating liquor by drink for consumption on premises - including Sunday Sales: No fee
Authorizes sale of liquor by drink at retail for consumption on premises. LIMITED to charitable, fraternal,
religious, service or veterans’ organization with 501(c) exemption. (RSMo 311.090)
9. Wholesaler: $375 RSMo 311.180 (9)
10. Caterer: $15 per day; requires separate caterer’s permit.
11. Tasting Permit: $37.50
Authorizes any winery, distiller, manufacturer, wholesaler or brewer or designated employee to provide
distilled spirits, wine, or malt beverage samples off a licensed premises provided no sales transactions
take place or on any temporary licensed retail premises. (RSMo 311.294)
12. Retailer intoxicating liquor by the drink limited to distillers: $375
LIMITED to a distiller whose manufacturing establishment is located within the City and allows for the
sale of intoxicating liquor by the drink at retail for consumption on the premises where sold provided the
licensed premises is in close proximity to the distillery.
APPLICATION TO SELL LIQUOR IN PARKVILLE
Page 4 of 5 Last revised (Rev. 8/18)
SECTION 4. AFFIDAVIT OF PRINCIPAL APPLICANT
I hereby affirm that I am and shall continue to be actively engaged for the period of the license for which
application is made in the actual control and management of the premises for which liquor license is
sought. I am at least 21 years of age. I am of good moral character. I am qualified to hold an alcoholic
beverage license in the State of Missouri. I have never been convicted, since the ratification of the 21st
Amendment of the Constitution of the United States, of a violation of the provisions of any law applicable
to the manufacturer or sale of alcoholic beverages. I have never had a dealer’s license revoked. I am a
qualified legal voter and taxpaying citizen of the Missouri county, town, city or village of which I am a
resident and will produce a tax receipt and Election Board certification to that effect upon request.
I affirm that I am not in arrears for any back taxes or license fees owned to the City of Parkville. I will not
accept directly or indirectly any loans, equipment, money, credit or property of any kind, except ordinary
commercial credit, as such term is defined in the Rules and Regulations of the Supervisor of Liquor
Control of the State of Missouri.
I am prepared to offer all statements, books, records and papers which the City Clerk determines to be
necessary to describe the true ownership and management of the business or in the respects necessary to
determine my qualifications for this liquor license.
I affirm that the type of business to be conducted on the premises for which application is made is as
shown on this application. If applying for license in category 3 or 5, I state that goods for sale at this
location are valued at-cost in at least the amount of $1,000, and at no time shall the at-cost value of goods
offered for sale at this location be less than $1,000 (exclusive of fixtures and alcoholic beverages.)
I affirm that no distiller, wholesaler, winemaker, brewer, or supplier of coin-operated, commercial manual
or mechanical amusement devices, or any employee, officer or agent thereof has any financial interest in
the retail business of this applicant for the sale of alcoholic beverages or C.O.L., and that I will not accept
from any such persons equipment, money, credit or property of any kind, except ordinary commercial
credit for liquor.
I understand that if I do not begin operation of the business at the address shown within 120 days, then
my license fee is forfeited and the license issued to me shall be considered invalid, null and void, and no
effect, and I may not reapply for a liquor license for a period of one year from the date invalidated license
was issued. I understand that I am to file with the City Clerk a written report of any loan made to me of
money or credit relating to the licensed business within fifteen days of such loan being made.
If any of the facts or information in the foregoing application change during the period for which license
is issued, I shall file with the City Clerk a written report of such change(s) within ten days of such
change(s).
SIGNATURE OF PRINCIPAL APPLICANT: ___________________________ DATE: ___/___/_____
Attach:
Certificate of Occupancy (building permit required if currently undergoing construction or remodel)
License application(s) from partner(s): Section 2 of this form
Check for license fee (see page 3 for fees)
Photo of exterior of premises to be used for liquor sales
Background check through the Missouri State Highway Patrol
Supplemental information as requested
APPLICATION TO SELL LIQUOR IN PARKVILLE
Page 5 of 5 Last revised (Rev. 8/18)
FOR CITY HALL USE ONLY:
License application granted / denied by Board of Aldermen on: __________________________
Applicant(s) were / were not present at the meeting. If present, list name(s) of attendee(s):
_____________________________________________________________________________________
Tax record, vehicle license record and sewer bills checked? Yes ________ No ________
Delinquencies (circle one): were / were not found.
Signed Certificate of Occupancy: Yes ________ No ________
Building Permit: Yes ________ No ________
(Required only if undergoing construction or remodeling at time of application)
Background check completed by the Missouri State Highway Patrol: Approved Denied
Signature of Police Chief: __________________________________________ Date: ______________
Signature of City Clerk: __________________________________________ Date: ______________
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APPLICATION TO SELL LIQUOR IN PARKVILLE, MISSOURI (Parkville (City of Parkville)

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Completed 19 January 2021

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