Lic
1300 PERDIDO ST | SUITE 7W03 | NEW ORLEANS | LOUISIANA | 70112 | 504.658.7100
ABO RENEWAL AND UPDATE FORM
AUTHORIZATION TO ACKNOWLEDGMENTS & AFFIDAVIT
All information obtained as a result of your acknowledgement below will be used in all areas of this application
process and any renewals thereof, including the hearings before the Alcoholic Beverage Control Board, or any
appeals therefrom.
The below must be signed by: If the applicant is an Individual, the same Individual; If the
applicant is a Partnership, each Partner; If the applicant is a Corporation, an Officer/Director; If the applicant is an
LLC, an Officer/Director/Member.
STATE OF LOUISIANA, PARISH OF ORLEANS
I do acknowledge and attest:
1.
that I prepared and signed the above and foregoing and all required attachments in support of updating or
renewing an alcoholic beverage permit application made to the City of New Orleans by the business applicant
stated herein;
2.
that the signature appearing herein is my own, of my own, freely and voluntarily, and is for the intent and
purposes herein expressed, and that I swear that the information provided is true and correct.
3.
that the applicant for this license and its members meet all qualifications and conditions of Chapter 10 of the
Code of the City New Orleans;
4.
that the I understand that any change in ownership or membership in the business applied for must be
reported immediately to the City of New Orleans;
5.
that pursuant to Chapter 10 Sections 10 and 115 of the Code the City of New Orleans, any person, agent, or
employee of any person who shall make a false oath to any report or application required by the provisions of
the Code shall be guilty of the crime of false swearing and such an action may constitute a violation of Sec.10-
6(4) “Concealing violations” serving as a basis for revocation of any license or permit obtained pursuant to this
application.
6.
that Chapter 54 Section 401 and 492 of the Code of the City of New Orleans and the International Building
Code, as adopted in Chapter 26 of the Code of the City of New Orleans, restrict the serving of alcoholic
beverages onto the sidewalk and right of ways or in any manner causing the obstruction of the same;
7.
that any temporary change of use including the temporary addition of bars or counters requires separate and
additional approval pursuant to Chapter 10 Section 52 of the Code of the City of New Orleans and Section 21.8
of the New Orleans Comprehensive Zoning Ordinance; and
8.
that any permanent changes to the layout, operating hours, floor space used, security plans, noise production,
or alteration of the business location of a retailer who offers consumption on premises will require that a
revised the Acknowledgement of Bar Use Standards or the Acknowledgement of Restaurant Use Standards
must be submitted to the Department of Safety of Permits for review prior to implementation.
Further, I hereby acknowledge by signature below, that I authorize the Police Department and its agents or employees to
release to the Department of Safety and Permits, Department of Finance, Law Department of the City of New Orleans
and agents or employees thereof, information received as a result of this application, including but not limited to police
reports, arrest records, and any other documentation which makes reference to me. I do further agree to relieve, release,
and indemnify the New Orleans’ Police Department, Department of Safety and Permits, Department of Finance, Law
Department and all agents or employees thereof from any and all liability as a result of the release of this information.
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Print Name of Applicant
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Applicant
Signature Date
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Print Name of Applicant
________________________________________________
Applicant
Signature Date
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Print Name of Applicant
________________________________________________
Applicant
Signature Date
Sworn and subscribed before me this day of 20 .
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Print Name of Notary Public
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Notary Public Signature
My commission is for________________________________________________
