HomeMy WebLinkAboutGood 2 Go #4385 BEER AND WINEAcc4 iv
�URG�rO r.
"�� qi REXBURG �L'3TO,�IIr,R SUPPORT
' ° SI?ltvlc[is
m� • i America's Famt(p Commmrity
90''aMfQ 4a0A
35 North 1' East (PO Box 280) Phono: 20"59-3020 x2101
Rexburg, tdatm 83440 Fax: 208-35"022
mA w.rexburd oro deboroht@roxburg.org
APPENDIX B - APPLICATION FOR RETAILER'S LICENSE TO SELL:
BEER ONLY
WINE ONLY
BEER AND WINE.
I (or we) the undersigned, make application fora license to sell beer and/or %vine, as a retailer within
the City of Rexburg, Idaho, and for the purpose represent!
The name of the business is: ksigod
s cg�
(Cai�TS
LAC (dW
eirio'? c1b StbIZE #lC4)
Address of husincss: I055 5_1241
vvig t,
l�eXhUrP�
n rZ 3C(gZj
l3usioess to he conducted thereon by the applicant: C1 �S S[KITION
Address of applicant: PO 130,X
Phone:'2CQ'906'00Sr1v E-mail:
I.cogth of residence in the State of Idaho: _
1 am applt•ing for a beer and/or wine license to sell: CD (on premises); M (off prenliscs}
Ordinance 1128.
:�J. (Off premise) n[rrrr for o/r/r(irnnl ar/rlioa frr a !lraure to sex! at ra trlrriler; ruljbrittled a rrruned b;•cr
nid nine, rrnoc rJ'aGidt it ronrnored, or-tr he ronnrnted, on lbePlooire,r nbeir solrl, the license fee
shall he $50.00 for beer and $50.00 for wine per year anti! txrrls jee irrnurndrd �} rrmhrtiar
of the Cannr d..
13. (On premise) where tlxr npj�Graut rr/lrlicsfm• rr lirerrre tn.rell h�er-nud/nrrnine nr.r rrtrrilerJa• rnnsuurptio-tr
au Jrrrtnitec -
I. Dnr(t beer and boll/ed or moved beer only, the aniortrrt of the license fee shall be $200.00
l,er)•edr; or i(
1. lirtded, board or ranged twine only, the ruuonrrt o%the license fee sliall be $200.Oopet3•ent:
Vote: 7 % e lirenre. l can bed%ut Orlober !" rard eralc S'rptrutficr 30'`. 'the fee rri/l be promted to (S0%) for rr be/fj ent
aitb upplirrttiour rr%to ; lanh 31`'.
If applicant is a partnership, narnes, contact information and places of residence of each
partner:
Pull blame: _
Full Name:
Address:
Address: _
City: . _. State:
City:
Zip:
Zip:
Phone: -- _
- phone:
Email;
Liman:
state:
If applicant is a corporation or association, the date and place of incorporation or
organization, the location of its principal place of business in Idaho and the names and
places of residence of its officers, directors or members of its governing board.
Date & Place of Incorporation or organizadot): 91 2b1 20 I'2
Principal Plaec of Business in ldabo: -)-C100 R OI liS
Namesof0fticcrs: , 0610 Will
OIYDi1 Sim pcan
Name and residence of person who manages or will nlanage the business of selling beer at retail:
MUrisso Rwgi eu
Manager Phone: --Alanagerlmiail: MYZ& �F�C�Occa2L�CSiG�lsCLP✓1
This is to certify:
(a) That applicant: U�Lly) 'f e4 j j _ is the bona tide owner of the business
which -Mll he engaged in the sale of beer of retail and with respect to which license is sought;
(h) That the condition of the place or building wherein it is proposed to sell beer at
retail conforms to all laws and regulations of the state of Idaho and to the
ordinances of the county and municipality applicable thereto relating to public health
Mid safcry and to the zoning ordinances of the rrlunicipatiq applicable thereto:
(c) That the individual applicant, or each partner of a partnership applicant, is a
citizen of the 1 sited States; or, with respect to a corporation or associaion, that
is qualified to do btlS311C55 With the sratc of Idaho and that the person who is or will
be rile manager of the corporation's or association's business of selling heel- at
retail is a citizen: further, that such individual applicant, at least one (1) of the
partners of the Partnership applicant, and said manager of the corporation or
associanotl applicant, shall have bccn a bona tide residcnr of the sratc of Idaho for
at ]cast thine (30) days prior to (lie dame of application;
(d) That the applicant, if an individttal, is >ot less than nineteen (19) years of age;
(e) That-%kithin three (3) }years immediately preceding the date of filing the
application, the applicant has not been convicted of the violation of any lacy of the
Starr. of Idaho, any other state, or of the United State, regulating, govertting or,
prohibiting the sale, manufacture, transportation or possession oFalcoholic beverages
or intoxicating liquors, of within said time, suffered the forfeiture of a bond for
failure to appear in answer to charges of any such violation;
(f) That within five (5) years immediately preceding the date of filing the
application, the applicant has not been convicted of any felony or paid any fine or
completed any sentence of confinement therefore within said time;
(g) That within three (3) years next, preceding the date of filing the application,
the applicant has not had any license provided for herein, orally license or permir
issued to the applicant pursuant to the law of this state or any other state, or of
the United States, to sell, manufacture, transport air possess beer, revoker[.
That I will observe all requirements of file City of Rexburg relating to the hours of closing and will
not sell or dispense beer in violation of any such Ordinance.
1 FURT]dLR DLCLAKE that 1. have read the forcAoing application, that I understand the Satre
and agree to all statements therein contained.
Signature:
ornuc tree only
ReSi�*atlon No.--- - _ --
CC Approval Date__ _.
Retnscd: Juric 26, 2024
Date: 101102024
Deborah Lovejoy' City Clerk