Business
License
1300 PERDIDO ST | SUITE 7W03 | NEW ORLEANS | LOUISIANA | 70112 | 504.658.7100 2
ABO MANAGER APPLICATION SHORT FORM
BUSINESS INFORMATION
Trade Name of Business
________________________________________
Date of Application ________________
Ownership Type:
Individual
Partnership
Corporation
Limited Liability Company (LLC)
Non-Profit
Business Location Street Address _____
__________________________
___, New Orleans, LA
______
(zip code)
INDIVIDUAL INFORMATION
Manager Name
______________________________ Manager Phone(s)
_______________
__
__________
Manager Email
______________________________ Preferred Method of Contact
__
__
______________
Mailing Street Address_______________________________________________
_____________________________
Mailing City _______________________________ Mailing State
___________________ Mailing Zip ___________
AUTHORIZATION TO SIGN/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.
STATE OF LOUISIANA, PARISH OF ORLEANS
Before me, the undersigned Notary Public, personally came and appeared__________________________________, the appeared(s) in
the above and foregoing instrument, who declared under oath to me, Notary,:
that he/she prepared and signs the above and foregoing THIS FORM the required attachments, and that the instrument is along
with a full and completed notarized identical copy of the application made to the Louisiana Office of Alcohol and Tobacco Control
Application inclusive all forms and schedules for same business and location, in lieu of the ABO MANAGER PERMIT LONG FORM
for an alcoholic beverage outlet manager permit made to the City of New Orleans by the business applicant stated herein;
that the signature appearing hereon is his/her own, of his/her own free and voluntary act and is for intent and purposes therein
expressed, and that he/she swears that the information given and all answers therein are true and correct.
that the applicant for this permit meets all qualifications and conditions of Ch. 10 of the City Code of New Orleans;
that pursuant to Chapter 10, Sections 10 and 115 of the City Code of New Orleans any person or any agent or employee of any
person who shall make false oath to any report or application required by the provisions of this chapter shall be guilty of the crime
of false swearing and such an action may constitute a violation of Sec.10-6(4) “Concealing violations” as basis for revocation of
any license or permit obtained pursuant to this application.
that Chapter 54-401 of the City Code & 492 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 on to sidewalk and right of ways and in any manner that causing the
obstruction of the same;
that any temporary change of use including the temporary addition of bars or counters requires separate and additional approval
pursuant to Chapter 10-52 of the City Code of New Orleans and Section 21.8 of the New Orleans Comprehensive Zoning
Ordinance; and
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, the appeared(s) hereby authorize and 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 review, including but not limited to, all police reports,
arrest records, whether municipal, state, or federal and any other documentation which make reference to me. I do further agree to
relieve, release, and indemnify the City of 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.
________________________________________________
Print Name of Applicant
________________________________________________
Applicant Signature
Sworn and subscribed before me this day of 20 .
________________________________________________
Print Name of Notary Public
________________________________________________
Notary Public Signature
My commission is for
______________________________________________
