Liquor License Renewal Application - City of Cape Girardeau, Missouri

City of Cape Girardeau, Missouri

401 INDEPENDENCE
P.O. BOX 617
CAPE GIRARDEAU, MO 63702
Phone: 573-334-1332 Fax: 573-335-7946

Liquor License Renewal Application

City of Cape Girardeau Seal

Application for: (check one or more)

____	3.2% non-intoxicating beer by drink (E)
____	5% beer by drink (F)
____	Retail liquor by the drink (H)
____	Original package 3.2% Beer (G)
____	Original, package 5% beer (G)
____	Original package liquor (L)
____	Wholesalers of malt liquor not in excess of 5%(C)
____	Wholesalers of intoxicating liquor - under 22% (D1)
____	Wholesalers of intoxicating liquor - all kinds (D2)
____	Permit to allow consumption of liquor - restaurants (J)
____	Manufacturers of beer (A)
____	Distillers and manufacturers of liquor (B)
____	Wine tasting (M)

Name of applicant __________________________________________________________

D/B/A ___________________________________________________________________

Mailing address of applicant ___________________________________________________

Phone number of applicant: Business ___________________ Home ___________________

Address of premises which license applied for would cover: ___________________________
________________________________________________________________________

1. Provide the following information pertaining to the managing officer of the corporation, each partner of a partnership, or the owner of a sole proprietorship:

Full name (and maiden name if applicable) _________________________________________

Current residence ___________________________________________________________

Length of residency at current address____________________________________________

Previous residence __________________________________________________________

Date of birth _____________ Is the managing officer a U.S. citizen? ____________________

Place of birth ______________________________________________________________

Social Security Number__________________

Current Driver's License: State ___________ Number ____________________

All Former Driver's Licenses: (List state and number) ________________________________
_________________________________________________________________________

All Former Names and times when used:
Full Name	From	To

_________________________________________________________________________

2. Has the owner, managing officer, corporation, any stockholder owning 10% or more of issued stock, or any partner, or any member of owner's, managing officer's, or any partner's household or immediate family had any license issued by the supervisor of Liquor Control of the State of Missouri or by the licensing authority of any other state or by any city, suspended or revoked within the last 12 months?______ If so, give details:___________________________________
_________________________________________________________________________

3. Is there now employed or do you expect to employ in the business hereunder any person who has been convicted of any crime?_______ If so, give details: ____________________________
_________________________________________________________________________

For Partners, Sole Proprietors, or Corporations

STATE OF MISSOURI

COUNTY OF CAPE GIRARDEAU

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________________________________________, of lawful age being first duly sworn upon (his, her) oath, deposes and says that (he, she) has read this application and the original application and the instructions with reference to therein and that (he, she) knows the contents of the application and the original application and that the statements contained therein are true and correct according to (his, her) best knowledge, information and belief.

	_______________________________________ _______________________________________ _______________________________________
Subscribed and sworn to me before this ______ day of __________.

	_______________________________________ _______________________________________ Notary Public
My Commission Expires: _____________________

LIQUOR LICENSE APPLICATION CHECKLIST

Is the application completed? Are all questions answered?
Is the managing officer name and the signature in the back the same person?
Is the application notarized?
Has the request for criminal record check been sent to the State?
Is it a new application or a renewal? New applications with no liquor license at that location in the last six months and renewal applications with an upgrade from previous liquor license must obtain a sign from the Finance Department. (Signs must be posted 10 days prior to council meeting)
Applications must be turned in at least 14 days prior to a Council Meeting to allow sufficient time for processing. (City Council meets every first and third Monday of each month)
Contact Fire Department for inspection: 334-3211
Contact Health Department for inspection: 335-7846
Contact County Collector for county license: 243-4476
Contact Division of Liquor Control for state license: 335-5805
Contact Finance Department in advance of any changes in application (owner, managing officer, location)

For Questions, Please Contact the Finance Department at 334-1332