Revised and approved 09/2017
CITY OF EL MONTE
PARKS, RECREATION AND
COMMUNITY SERVICES DEPARTMENT
PRIVATE USE
ALCOHOLIC BEVERAGE REQUEST FOR ONE TIME USE ONLY EVENTS
To be submitted at _______________________council meeting for approval
Name: _____________________________________________________________________
Purpose of Event: ___________________________ Facility: ___________________________
Open to Public: Yes No No of Guests: ________________
Date of Event: ______________________________ Hours of Event: ___________________
Alcohol Service Time: ______________________
Have you ever applied for a permit before? Yes No
Type of beverage to be served: _______________________________________________
Beer, wine and champagne may be served in conjunction with a meal. The service of
alcohol may not exceed a 5 ½ hour period.
ALCOHOLIC BEVERAGES MAY NOT BE SOLD.
It is requested that permission be given to the above individual to serve alcoholic beverages at
the above-mentioned event based on the information contained herein.
I understand this is an adult party and that this request is contingent upon
City Council approval pertaining to the serving of alcoholic beverages, and
hereby agree to abide by such rules.
Name of Applicant – Please Print Phone Number
Address City Zip
Date Signature of Applicant
FOR OFFICE USE ONLY
Date Received: _____________
Approved and Scheduled By: __________
Date Forwarded to Dept Secretary: ____________
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