City of Cape Girardeau, Missouri

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

Temporary Caterer's Liquor License Application
(Note: Must hold current City liquor license)

City of Cape Girardeau Seal
$______________ License Fee ($10.00 per day or fraction of day)
Name of Applicant: __________________________________________________________
D/B/A _______________________________________________ Phone _______________
Current City License Number ___________________
Name and address of location of function where license will be used:
________________________________________________________________________
License Requested for Period ___________ to  ___________
(note: 120 consecutive hours maximum)
Function or event for which license is requested:_____________________________________

I, the undersigned, understand and agree that if any of the above answers or statements are untrue and the license herein applied for is granted, such license may be suspended or revoked by the City Manager. I further understand agree that if I, or any of my employees, shall violate the provisions of any ordinances of the City of Cape Girardeau, Missouri, or allow others to do so upon the license premises, the City Manager may revoke this temporary caterer’s license. I further understand that this is a temporary permit and is good only for the period covered above.

______________________________
Applicant Signature		 __________________________
Title		 ______________
Date

Note: Corporation Managing Officer/Proprietor/All Partners must be the same as on original license application

APPROVED: _______________ DISAPPROVED: _______________
_______________________________________
City Manager		 ______________
Date