1 Olde Half Day Road, Lincolnshire, IL 60069
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STAMP HERE
LIQUOR LICENSE RENEWAL
License #:
Individual/Partnership
Liquor License Renewal
License Period Ending:
April 30, 20______
Address applying for liquor license (exact street address):
Name under which business is to be conducted (D.B.A.):
Number of bars to be operated on
premises:
• Have there been any changes to the physical location affecting the layout of the
business?
• Have there been any changes in local management?
Yes No
If you answered yes to any of the above, please indicate changes that occurred.
State Law requires that all sellers, servers and those who check ID’s be BASSET certified or under the
direct supervision of someone who is BASSET certified. Proof of BASSET certification must be available
for inspection by state and/or local liquor authorities at all times. At the business applying for the
liquor license, are all required individuals BASSET certified? Yes No
By the signing of the application, the applicant agrees to and hereby authorizes the Village of
Lincolnshire and its agents to conduct whatever investigation that may be deemed necessary to confirm
the above indicated facts, or otherwise to confirm that the applicant is lawfully permitted to obtain a
liquor license under the liquor control provisions of the Lincolnshire Village Code (as amended from
time to time), or other ordinances of the Village of Lincolnshire and the laws of the State of Illinois.
Any misrepresentation, omission or false statement on this application or in regards to any information
provided during the application process, shall constitute grounds for the termination of any further
consideration of the application or in the rejection of the application. If any such misrepresentation,
omission or false statement, as mentioned above, is discovered after the application for a liquor license
has been authorized, and a liquor license issued by the Mayor and Board of Trustees of the Village of
Lincolnshire, said misrepresentation, omission or false statement shall constitute grounds for the
immediate revocation of said liquor license by the Liquor Control Commissioner.
Approval of application of license/permit shall not be held to permit or be an approval of any violation
of the provisions of the Lincolnshire Village Code.
Any changes in Manager must be reported to the Liquor Control Commissioner with 10 days
after the new appointment.
