CITY CLERK’S OFFICE
#1 GARY K. ANDERSON PLAZA
DECATUR, ILLINOIS 62523
PH. 217-424-2708 Fax 217-450-2297
WINERY SPECIAL USE PERMIT LICENSE APPLICATION
NAME OF VINTNER REQUESTING TEMPORARY LICENSE:
VINTNERS BUSINESS ADDRESS:
VINTER’S PHONE NUMBER:
CONTACT NAME:
CONTACTS EMAIL ADDRESS:
NAME OF EVENT:
EVENT SPONSOR’S NAME:
EVENT ADDRESS/LOCATION:
EVENT DATE(S):
EVENT TIME:
HOURS OF CONSUMPTION OF ALCOHOL: _
COPY OF STATE OF ILLINOIS WINEMAKING PREMISES LICENSE OR STATE OF ILLINOIS
SPECIAL USE PERMIT LICENSE AND A CERTIFICATE OF INSURANCE FOR SAID EVENT
MUST ACCOMPANY SAID APPLICATION.
THE UNDERSIGNED, BEING FIRST DULY SWORN ON OATH DEPOSES AND SAYS:
1) The facts asserted in the foregoing application for a winery special use permit license are true, on
information and belief.
2) I am duly authorized to and does sign this winery special use permit license application on behalf
of said winery.
3) The corporation is duly organized and in good standing with, and eligible to do business in the
State of Illinois.
4) The corporation is not indebted to said State of Illinois or the City of Decatur, Illinois.
5) Each officer, manager, director, agent and stockholder owning in aggregate more than 5% of the
stock thereof has not been convicted of any offense or violation which would render such person
ineligible to receive a license under the provisions of the Illinois Liquor Control Act of 1934, as
amended, and is otherwise eligible under said provision to receive a license.
6) No law enforcing public official, Mayor or member of the City Council is interested in any way
directly in the corporation or the business to be licensed.
7) I am qualified, as required by law and ordinance, for issuance of a liquor license.
IN ACCORDANCE WITH CHAPTER 52 of the City Code of Decatur, Illinois:
SECTION 7. LICENSE FEE. Payment of a fee shall accompany the request for a temporary
permit, in accordance with the following schedule:
1st permit / year - $100.00 per day
2nd permit / year - $150.00 per day
3rd permit / year - $200.00 per day
4th permit / year - $250.00 per day
5th permit / year - $250.00 per day
6th permit / year - $250.00 per day
In the event a license does not issue responsive to an application, the payment of the annual fee
accompanying the same shall be refunded, otherwise, there shall be no rebate or prorate of a fee once paid.
Chapter 52, Section 8. B. WINERY SPECIAL USE PERMIT. The Local Liquor Control
Commissioner may issue a winery special use permit for the sale of wine sold in the original containers
which bear the vintner’s label and which are corked, capped or otherwise securely sealed at the place of
vintning at a market-type, special or festival event. Such license shall be issued to a winery licensed by the
State of Illinois with a winemaking premises license or a special use permit license, and shall be for a
period of not more than three days. The maximum number of winery special use permits issued to the
same winery in one calendar year shall not exceed six (6) and not more than one winery special use permit
shall be granted to any one winery in any one period of thirty (30) days. (Amended, Ordinance No. 2016-
09, February 16, 2016) (Amended, Ordinance No. 2003-16, April 7, 2003)
PRINT NAME: ___________________________________
SIGNATURE
(Signature must be notarized before returning form to the City Clerk’s office.)
TITLE
___________________________________
DATE
STATE OF ILLINOIS )
)SS
COUNTY OF MACON)
SUBSCRIBED AND SWORN TO BEFORE ME THIS ____ DAY OF _______________, ________
(SEAL) __________________________________
NOTARY PUBLIC
MARK THE BOX BELOW TO INDICATE HOW YOU WILL OBTAIN THE APPROVED
TEMPORARY LIQUOR LICENSE:
WILL PICK UP THE LIQUOR LICENSE AT THE CITY CLERK’S OFFICE AFTER NOTIFIED
THE LICENSE IS READY.
MAIL THE LIQUOR LICENSE TO THE ESTABLISHMENT BY U.S. MAIL.
DATE APPROVED:
LOCAL LIQUOR CONTROL COMMISSIONER