Town of Elizabeth
RETAIL LIQUOR TASTINGS
PERMIT APPLICATION
Licensee Name:_________________________________________________________________
DBA:_________________________________________________________________________
Address:_______________________________________________________________________
City, State, Zip:_________________________________________________________________
Mailing Address (if different):______________________________________________________
State License Number: ___________________________________________________________
Business Phone Number:_________________________________________________________
At all times during all Tastings, the
Licensee shall post and keep visible to the public in a conspicuous place on
the licensed premises the Tastings Permit issued by the Town Clerk, and a Minor
Warning sign [C.R.S. 12-47-901(5)(h)].
CERTIFICATION OF APPLICANT
I hereby certify that the information
in this application is true, correct, and complete to the best of my knowledge.
I certify that it is my responsibility to be sure that all current and future employees
complete a servers training program and submit to the Town Clerk’s office. I certify that the licensed premises will keep
a log of all tasting dates and times, the log will be kept on the premises for
inspection at any time by the local or state enforcement agencies. I certify that it is my responsibility and the
responsibility of my agents and employees to comply with all applicable laws,
including all applicable provisions of the Town of
Authorized Signature:______________________________________________________
Title:___________________________________________________________________
Date:___________________________________________________________________
TOWN OF
APPROVAL OF LOCAL LICENSING AUTHORITY
(This permit runs concurrent with the
liquor license approved by the State of
_________________________________ ______________________________
Serna
L. Brooks, Town Clerk Date
Local
Licensing Authority