Signature of reviewer: Date: City of Valdosta Alcohol Permit Application Checklist P O Box 1125 Valdosta, Ga. 31603 Business Name: Business Locations: Review this list before turning this application in for review: Yes No □ □ Copy of completed business license for the primary business is attached. □ □ City of Valdosta Alcohol Application fully completed, signed, dated and notarized □ □ Copy of all applicant(s) state driver’s license □ □ Copy of Menu City of Valdosta BUSINESS LICENSE QUESTIONAIRE P O Box 1125 Valdosta, Ga. 31603 Yes No Is there anyone connected with this business that is not a legal resident of the United States and at least twenty □ □ one (21) years of age? (If yes, provide full details on separate sheet) Is there anyone connected with this business that has applied for a malt beverages, wine and/or distilled spirits □ □ License from any City or County in the State of Georgia and been denied? (If yes, provide full details on separate sheet) Have you had an Alcoholic Beverage License revoked for cause, within two (2) years preceding this application? □ □ (If yes, provide full details on separate sheet) Is there anyone connected with this business that holds another alcohol license? (If yes, please provide full □ □ details on separate sheet)
Signature of reviewer: Date: Business Name: Business Locations: Review this list before turning this application in for review: Alcohol Permit Application Checklist City of Valdosta P O Box 1125 Valdosta, Ga. 31603 Yes No □ □ Copy of completed business license for the primary business is attached. □ □ City of Valdosta Alcohol Application fully completed, signed, dated and notarized □ □ Copy of all applicant(s) state driver’s license □ □ Copy of Menu BUSINESS LICENSE QUESTIONAIRE City of Valdosta P O Box 1125 Valdosta, Ga. 31603 Yes No □ □ Is there anyone connected with this business that is not a legal resident of the United States and at least twenty one (21) years of age? (If yes, provide full details on separate sheet) □ □ Is there anyone connected with this business that has applied for a malt beverages, wine and/or distilled spirits License from any City or County in the State of Georgia and been denied? (If yes, provide full details on separate sheet) □ □ Have you had an Alcoholic Beverage License revoked for cause, within two (2) years preceding this application? (If yes, provide full details on separate sheet) □ □ Is there anyone connected with this business that holds another alcohol license? (If yes, please provide full details on separate sheet)