MISSOURI DEPARTMENT OF PUBLIC SAFETY DIVISION OF ALCOH - PDF document

MISSOURI DEPARTMENT OF PUBLIC SAFETY DIVISION OF ALCOHOL AND TOBACCO CONTROL APPLICATION FOR TEMPORARY CATERER'S PERMIT TYPE OR USE ONLY BLACK INK TO COMPLETE THIS APPLICATION LEGAL NAME OF ENTITY PRHMARY LHCENSE NUMBER PHYSICAL LOCATION ADDRESS OR LOCATION OF ENTITY'S PRINCIPAL OFFICE (STREET ADDRESS)CITY, STATE, ZIP CODEBUSINESS TELEPHONE NUMBERThe undersigned (individual) (partnership) (corporation) (limited liability company) hereby makes application to the Said premises are feet from the nearest school, church or other building regularly used as a place of religious worship. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATESIGNATURE OF PARTNERDATESIGNATURE OF PARTNERDATESIGNATURE OF PARTNERDATE FOR OFFICE USE ONLY - DO NOT WRITE IN AREA BELOW (month, day, year) (month, day, year) (starting time) (ending time) ApplicaPion for Temporary CaPerer PermiP Revised send applicatio to the applicable Alcoholand TobaccoControl office listed on the checklist ��Missouri Department of Public SafetyDivision of Alcohol and Tobacco ControlCHECKLIST OF REQUIREMENTS FOR TEMPORARYCATERER PERMIT MO 829A0023 Revised: Page 1 of 2 WHOLESALERS ARE PROHIBITED FROM PROVID ING CUSTOMARY STORAGE, COOLING AND/OR DISPENSING EQUIPMENT EXCEPT AS PERMITTED UNDER SECTION 311.0 70, RSMO. FOR ALREADY LICENSED RETAIL BY DRINK ESTABLISHMENTS – REQUESTS PERMISSION FOR A SINGLE OFFSITE EVENTALLOW 10 – 21 DAYS FOR PROCESSINGAPPLICATION FOR TEMPORARY CATERER PERMIT – Completed and signed. LICENSE FEE – Cashier’s check or money order made payable to Missouri Director ofRevenue. Fee is $10.00 per calendar date. A single application can be submitted for upto seven (7) consecutive days at a single location, with a maximum fee of $70.00. PROPERTY OWNER PERMISSION – Written notice from the property owner giving theapplicantpermission to sell/serve alcohol at a specific location on a specific date(s). MULTIPLE STANDS – If there will be multiple stands/booths at the temporary event,EACH STAND MUST HAVE A SEPARATE LICENSE (a separate application, fee, andproperty owner permission letter is required for each stand).REMINDER: LICENSEARE REQUIRED TO OBTAIN CITY AND COUNTY LICENSES, WHERE APPLICABLE ��Missouri Department of Public SafetyDivision of Alcohol and Tobacco ControlCHECKLIST OF REQUIREMENTS FOR TEMPORARYCATERER PERMIT MO 829A0023 Revised: Page 2 of 2 RETURN DOCUMENTS TO: DistrictKansasityDivisioncoholTobacco Control8800 E.Street,te.Raytown,(816)743tchison, Bates, Benton,aldwell,Carroll,linton,Daviess, Kalb,entry,arrison,Henry, olt, Jackson, Johnson, ivingston, Mercer, Nodaway, Pettis,Platte,Ray, Saline, Vernon, DistrictJeffersonityDivisioncoholTobacco Control1738 E.lm StLowerLevelJeffersonity,(573)526Servicing:Adair,udrainBoone, Callaway, CamdenChariton, Clark, Cole, Cooper, Crawford, Franklin,Gasconade, Howard, Knox,ewis,Linn,Macon, Maries, Marion, Miller,oniteau,onroe,Montgomery, Morgan, Pike,alls,Schuyler, ullivan, Warren,shington District III – St. Louis Diviion of Alcohol & Tobacco Control7545 S. Lindbergh Blvd., Ste. 150St. Louis, MO 63125 (314)416 Servicing:Bollinger, Butler, Cape Girardeau, Dunklin, Jefferson,Lincoln,Madison, Mississippi, New Madrid, Pemiscot, Perry, Scott, St. Charles, St. Francois, St. Louis City, St. Louis Co., Ste. Genevieve, Stoddard, Wayne DistrictSpringfieldDivisioncoholTobacco Controlastalnut(Lowerevel)Springfield,895Carter, Cedar,Christian,de, llas,DouglasGreene,Hickory, Howell, asper, Lawrence, McDonald, Newton, Oelps, Paski,Clair, Reynolds,pley, tone,Taney, Texas,