Application for Annual Alcohol Permit
2
FOR CITY USE ONLY
Is the property located in an area zoned for the above-requested permit?
Yes No Zoning Designation: ______________________________
Are the appropriate fees included with the application? Yes No
(Check Applicable Fees on attached Fee Schedule)
D
ISTANCE REQUIREMENTS:
Check applicable request
T
HE LEGAL SALE OF BEER AND WINE FOR OFF-PREMISE CONSUMPTION ONLY
The requested permit appears to be located within the following uses:
300 feet of a religious institution Yes No (measured front door to front door)
300 feet of a public hospital: Yes No (measured front door to front door)
300 feet of a public or private school: Yes No (measured property line to property
line)
1,000 feet of a public or private school: Yes No (measured property line to property line)
(For informational purposes only)
If the applicant indicated that the facility would derive more than 75% of its gross revenue from the sale of
beer and/or wine, is the requested permit located within the following:
a) 1,500 feet of another beer & wine package sales establishment that derives more than 75% of their
gross revenue from the sale of beer and/or wine:
Yes No (measured building-to-building or
outer wall of the lease space)
b) 800 feet of a residential district: Yes No (measured building to the
property line of a residential zoning district)
c) 1,500 feet of a city park: Yes No (measured front door of
establishment to property line of a city park)
d) 1,500 feet of a religious institution: Yes No (measured front door of
establishment to property line of a religious
institution)
e) 1,500 feet of a public hospital: Yes No (measured front door of
establishment to property line of a public
hospital)
f) 1,500 feet of a public or private school: Yes No (measured front door of
establishment to property line of a public or
private school)
g) 1,500 feet of a public or private university: Yes No (measured front door of
establishment to property line of this use)
h) 1,500 feet of a rehabilitation center: Yes No (measured front door of
establishment to property line of
rehabilitation center)
