COM/FED-RLS 385 Rev. 09/19
Date _____________________________ , 2 ______
To the Comptroller of Maryland,
Application is made by the undersigned under the provisions of the Annotated Code of Maryland,
Alcoholic Beverages Article for the permit indicated above. This application shall be led with the
Oce of the Comptroller not less than 15 days prior to any event.
1. License name and trade name: ________________________________________________
2. Mailing address: ____________________________________________________________
_________________________________________________________________________
Business Phone Number: _____________________________________________________
License Number:
M
Federal Identication Number:
3. Is the event being held on the premises of the brewery? ........................................
Yes No
4. Description of Event ______________________________________________________________________________________
______________________________________________________________________________________________________
5. Do the applicants agree to conform to all laws, rules, and regulations of the State of Maryland relating to the
business in which they propose to engage under this permit? .................................... Yes No
6. The permit for which this application is made is to be for the following day(s) ________________________________________
The applicant tenders herewith the sum of $25.00 in payment. A new application and payment must be submitted for each
special event.
7. Must be signed by a brewery licensee.
Adavit
I/we do solemnly declare and arm under penalties of perjury that the contents of the foregoing document are true and correct
to the best of my knowledge, information and belief.
Signature of Brewery Licensee Type or Print Name
8. This section must be completed by the owner of the premises where the event will take place.
Statement of owner of premises required in connection with the Annotated Code of Maryland, Alcoholic Beverages Article: (I/we)
hereby certify that (I am/we are) the owner(s) of the property known as ___________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
named as the foregoing application made to the Comptroller of Maryland under the Annotated Code of Maryland, Alcoholic
Beverages Article; that (I/we) assent to the granting of the permit applied for, and that (I/we) hereby authorize the Comptroller of
Maryland, his duly authorized deputies, inspectors and clerks, the Board of License Commissioners of the jurisdiction in which the
place of business is located, its duly authorized agents and employees, and any peace ocer of such jurisdiction to inspect and
search, without warrant, the premises upon which the business is to be conducted, and any and all parts of the building in which
said business is to be conducted, at any and all hours.
Oce Use Only
Permit Number __________
Permit Year _____________
Stub Number ___________
Approved ______________
Date __________________
Check Number __________
Check Amount $ ________
Deposit Date____________
__ - _____________
____ - _________________
MARYLAND
FORM
385
APPLICATION FOR A
BREWERY SPECIAL
EVENT PERMIT
