Forms



Application for Liquor License

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VILLAGE OF CRETE
524 WEST EXCHANGE STREET ∙ P.O. BOX 337 ∙ CRETE, ILLINOIS 60417
(708) 672-5431 ∙ FAX: (708) 672-3920
www.villageofcrete.org


*NOTE* Required fields must be filled out before you print or submit form.

**THERE IS A $100.00 NON-REFUNDABLE APPLICATION FEE**


VILLAGE OF CRETE, WILL COUNTY, ILLINOIS




The undersigned hereby make(s) application for the issuance of a liquor license, as hereinafter indicated, and hereby certify (certifies) to the following facts:



A- APPLICANT INFORMATION

*NOTE: Applicant must answer each question in full. Failure to make full and complete disclosures to pertinent questions in this application will subject a subsequently granted licensee to suspension or revocation of the liquor license if supplemental substantive facts or contrary facts are learned after the license is issued. The applicant is reminded that this application constitutes a sworn statement.

If the applicant is a partnership, all partners shall sign the application. If the applicant is a corporation or club, all officers shall sign the application and indicate their official position and title. The information recited in the application form shall be verified upon the oath of affirmation of each person signing the application.














Attach a list of governmental entities to which the applicant(s) has submitted an application for a Liquor License, the date of such application, the disposition of such application and the dates, reason and length of suspension or revocation of such license, if any.

Attach a list of convictions for any non-traffic convictions of any city ordinance or state or federal statute indicating the name of the offense and date(s) of conviction. In the case of a corporation, such information must be supplied of all officers, directors, shareholders owning more than five (5) percent of the stock and the manager. In the case of a partnership, such information must be supplied by all partners.

Attach an explanation of what other business licenses are held by the applicant and whether a previous license by any state or subdivision thereof or by the federal government has been revoked, and the reasons therefore.




3. If this is a partnership association, give names and addresses all partners whether active or inactive in business.

Name:
Address:
(Add supplemental memorandum if necessary)


4. If this is a corporation, give names and addresses of all officers, directors, and shareholders.

Officers
1. President
2. Vice President
3. Secretary
4. Treasurer
Name:
Address:

Corporate Directors
Name:
Address:

Shareholders
Name:
Address:
*NOTE: If shareholders number more than five, name the five principal shareholders only. (Add supplemental memorandum if necessary)








If answer is "Yes", the following questions must be answered by such manager/agent.












B- PLACE OF BUSINESS INFORMATION







4. Attach a Plat of Survey of the premises and all premises within 150 feet and their type of use and ownership.


5. Attach a current exterior photograph of the premises.


6. Attach an interior layout plan of the proposed premises including the number of seats and/or the maximum number of occupants allowed by code and provide a common description of its location by floor, room, etc.




8. Provide a parking lot layout showing compliance to current code requirements.


9. Provide a current Will County Health Department inspection report.




11. Indicate the percentage of the applicant's gross revenues for alcoholic liquor as compared with the percentage of revenue from other sources within the proposed licensed premises.




AFFIDAVIT

The undersigned, being first duly sworn, on oath deposes and says that he/she has executed this application, knows the contents thereof and the the facts and information herein contained are true and further warrants that he/she will not knowingly violate any of the ordinances of the Village of Crete or of the laws of the United States of America.




Rev.: 01/08/09


Please return application to:

Village of Crete
524 W. Exchange Street
Crete, IL 60417
 
* indicates required fields.