DCPLC – PATIO-EXT OF USEL INST Rev 3/17
APPLICATION INSTRUCTIONS AND DOCUMENTS REQUIRED FOR A
PATIO, EXTENSION OF USE AND/OR ADDITIONAL CONSUMER BAR
APPLICATION TO BE ACCEPTED
1. PATIO or EXTENSION OF USE and/or ADDITIONAL CONSUMER BAR APPLICATION
Begin by checking the applicable box at the top of the application. It is possible to check the Additional
Consumer Bar box together with the Patio or Extension of Use box. Be sure to clearly identify the number of
additional consumer bars you are requesting and submit the applicable fee at the time of application. Complete
both pages of the application. Every question must be answered, and all necessary approvals obtained (zoning,
fire marshal, town clerk) If left blank, the application will not be accepted and returned for correction.
Completing the Application
Section A: Business Information
Items #1 through #8 - Complete this section with your current business information and active
permit number. If you would like an approval confirmation by email, please complete #8.
Item #9 – Please check one of the two boxes. Permanent requests (once approved) are intended
to remain unchanged indefinitely for the duration of the liquor permit. If you select the
Temporary request, the department will require that you list specific dates of events or length of
use. All requests MUST HAVE original local official certification and approval before they can
be approved by the Liquor Commission.
Section B: Approval/Certification of Local Officials
Item #10 through #12 – This section needs to be signed and completed by your local public
officials. No applications will be accepted without these signatures. If you are applying for a
patio request, we will also require a local health official certification and approval.
Section C: Certification of Permittee Applicant and Backer or Authorized Representative
Items #13 - The backer-owner or its authorized representative listed in #4 of this application
must sign and date this section.
On a separate piece of paper, submit a diagram, sketch, plan or blueprint of the layout of the premises,
including patios, extension of use areas, must be 8 ½” x 11” in size. Please include a general sketch of the
currently approved premises in relation to the proposed patio or extension of use area. If there is an
additional consumer bar, please clearly identify them on your sketch.
A diagram, sketch, plan or blueprint larger than 8 ½” x 11” will not be accepted. If needed, you may
submit additional 8 ½” x 11” pages.
2. FEE AND FORM OF PAYMENT:
There are no filing fees for Patio and Extension of Use requests. However, if you are applying for an
Additional Consumer Bar, please include $190.00 for each bar requested. Checks may be made payable to
“Treasurer State of Connecticut.”