City of Piedmont
Alcoholic Beverages Permit Application
Expires: Same date as the business’s ABLE Commission license
Please check all that apply for your business:
License Category
Initial Fee
Renewal Fee
Brewer
Small Brewer
Distiller
Winemaker
Small Farm Winery
Rectifier
Wine and Spirits Wholesaler
Beer Distributor
Retail Spirits
Retail Wine
Retail Beer
Mixed Beverage
Mixed Beverage/Caterer
Combination
On Premises Beer and Wine
Bottle Club
Caterer
Annual Special Event
Quarterly Special Event
Nonresident, Seller or
Manufacturer
Annual Public Event
One-Time Public Event
$1,250.00
$125.00
$3,125.00
$625.00
$75.00
$3,125.00
$3,000.00
$750.00
$905.00
$1,000.00
$500.00
$1,005.00
$1,250.00
$500.00
$1,000.00
$1,005.00
$55.00
$55.00
$750.00
$1,005.00
$255.00
$1,250.00
$125.00
$3,125.00
$625.00
$75.00
$3,125.00
$3,000.00
$750.00
$905.00
$1,000.00
$500.00
$905.00
$1,250.00
$450.00
$900.00
$905.00
$55.00
$55.00
$750.00
$1,005.00
$255.00
Owner’s Name: ____________________________________________________________________________
Name of Business: __________________________________________________________________________
Business Address: __________________________________________________________________________
Mailing Address: ___________________________________________________________________________
Business Type: _____________________________________________________________________________
Signature: ____________________________________________________ Date: _______________________
********************************** Office Use Only**************************************
Copy of Valid Driver’s License
Tax ID Number
Valid Business License
Valid License from the ABLE Commission
$________________________________________
Receipt Number: __________________________
Check Number: ____________________________
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signature
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