Fillable LIQUOR LICENSE RENEWAL APPLICATION 1000 City Parkway Osage (CITY OF OSAGE BEACH)

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LIQUOR LICENSE RENEWAL APPLICATION 1000 City Parkway Osage (CITY OF OSAGE BEACH)

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LIQUOR LICENSE RENEWAL APPLICATION
Date of Application:
Name of Establishment:
Physical Address:
Applicant Name:
As it appears on license. If corporation, name of corporation and managing officer.
Renewal applications submitted must have: Completed application and either have proper background
check information or waiver of background check notarized.
Completed applications must be received by July 31
st
. Applications received after August 1 are subject to the following
late fees: August 1 – August 30 - $100 late fee; Sept. 1 to Sept. 31 - $200 late fee; after October 1 - $300 late fee.
• If applying for a Caterer or a Picnic License, describe the event in detail and provide the name, location, time and
date of the event.
Item
Fee
License Description
City Code
375.00
Manufacture and distribution (not sales) of intoxicating malt liquor not more than
MDBWT
5% alcohol by weight.
150.00
Distribution or wholesale of intoxicating liquors not more than 5% alcohol by weight.
DBLQWT
300.00
Manufacture or distilling of intoxicating liquors in excess of 5% alcohol by weight.
MLQWT
750.00
Distribution or wholesale of intoxicating liquors in excess of 5% alcohol by weight.
DLQWT
75.00
Retail sales of intoxicating liquors not more than 5% alcohol by weight in original
BPR
package to be consumed on premises. (Includes Sunday Sales.)
75.00
Retail sales of intoxicating liquors not more than 5% alcohol by weight in original
BPK
package not to be consumed on premises. (Includes Sunday Sales.)
450.00
Retail sales of intoxicating liquors in excess of 5% alcohol by weight to be consumed on premises.
LDRK1
750.00
Retail sales of intoxicating liquors in excess of 5% alcohol by weight to be consumed on premises
LDRK2
(Includes Sunday Sales.)
150.00
Retail sales of intoxicating liquors in excess of 5% alcohol by weight in original
LPKG1
package not to be consumed or opened on premises.
450.00
Retail sales of intoxicating liquors in excess of 5% alcohol by weight in original
LPKG2
package not to be consumed or opened on premises. (Includes Sunday Sales.)
75.00
Retail sales of malt liquor not more than 5% alcohol by weight /or light wines
BWDRK1
containing in excess of 14% alcohol by weight.
375.00
Retail sales of malt liquor not more than 5% alcohol by weight /or light wines containing in excess of 14%
alcohol by weight. (Includes Sunday Sales)
BWDRK2
300.00
Sunday Liquor Sales
LSUN
15.00
*Caterer per day.
CTLQDY
10.00
*Picnic per day.
PCLQDY
N/C
Change of managing officer.
MGO
N/C
Wine tasting.
WTG
City of Osage Beach
1000 City Parkway
Osage Beach, MO 65065
573-302-2000 Phone
573-302-2039 Fax
www.osagebeach.org
Police Dept:
Sewer Dept:
License #:
Date Rec’d:
Check #:
Section A:
Application of: Owner Co-Owner Managing Officer
(If owner is not Managing Officer of the establishment, please indicate Co-Owner or Managing Officer)
Current Address:
How Long:
Mailing Address:
Phone
Number:
Date of Birth
Place of Birth
Driver’s License #
State of Issue
Convicted within the last year of a felony? YES/NO
If yes – when/where:
If Yes – Please detail
Please list Managers
Name:
Driver’s License #:
Name:
Driver’s License #:
If the applicant so chooses to not submit criminal background records, the City of Osage Beach enacted Ordinance 19.72
which allows for criminal backgrounds to be waived if a notarized waiver and release has been signed.
Notary Information:
State of Missouri }
ss
County of }
I, , hereby authorize the Police Chief or his designee to obtain a criminal record check and
all such other information as may be available through the Missouri MULES system if at any time he/she feels it to be
necessary. Any holder of a liquor license shall report any change of fact in their application within 10 days to the Liquor
Control Board and submit such new waiver and release forms as such change make necessary.
Applicant Signature
Printed Name
Subscribed and sworn to before me on this day of , 20 .
Notary Public
L
iquor Control Board members recommending approval:
Police Chief:
Board of Alderman Representative:
City Collector:
Planning Commission Chair:
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LIQUOR LICENSE RENEWAL APPLICATION 1000 City Parkway Osage (CITY OF OSAGE BEACH)

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Completed 9 February 2021

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