Has the applicant’s liquor license ever been revoked? ___ Yes ___ No

If yes, explain all circumstances and include the dates it was revoked and reinstated.

Describe the applicant’s liquor-related business operations.

What is the breakdown of the applicant’s annual receipts?

What are the applicant’s standard hours of operation? (show a.m. or p.m. after time)

What is the establishment’s capacity?

How many employees can serve alcoholic beverages during peak periods? _____

How many employees who serve are ____ Bartenders _____ Owners _____ Waiters/waitresses

How many security personnel are on site during peak periods (include bouncers)? _____

Does the applicant provide servers with training or guidance in how to handle minors or intoxicated customers?

Does a professional training organization certify this training? ___ Yes ___ No

If yes, attach a copy of the certificate.

Are all employees who serve alcoholic beverages required to take such training? ___ Yes ___ No

If no, what percentage of servers have received such training? ______%

Describe the applicant’s policy on serving intoxicated customers.

Are customers ever served alcoholic beverages before they produce age-documenting identification?

What amusement devices and how many are located on the applicant’s premises?

What entertainment does the applicant provide?

Does the applicant permit dancing? ___ Yes ___ No

Does the applicant offer special alcoholic consumption promotions? ___ Yes ___ No

Does the applicant dispense or provide alcoholic beverages for off-premises events? ___ Yes ___ No

Has the applicant or its owners ever been fined or cited for violation(s) of a law or ordinance related to selling alcoholic beverages? ___ Yes ___ No

Has the applicant or its owners incurred any claim for liquor liability in the past five years? ___ Yes ___ No

Have fights between patrons occurred within the applicant’s establishment or in its parking area in the last five years? ___ Yes ___ No