APPENDIX A: APPLICATION FOR INTOXICATING LIQUOR LICENSE
APPLICATION FOR ISSUANCE OF HAVELOCK
INTOXICATING LIQUORS (BEER AND WINE) LICENSE
   The undersigned, in application for Havelock Intoxicating Liquors License for the year May 1, 20__, through April 30, 20__, and after being duly sworn, says:
   1.   The name and address of the applicant and the length of his or her residence within the State of North Carolina is
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
   2.   The particular place for which the license is desired, designating the same by a street and number, if practicable; if not, by such other apt description as definitely locates it, is _______________________________
_________________________________________________________________________________.
   3.   The name of the owner of the premises upon which the licensed business is to be carried on is ______
_________________________________________________________________________________.
   4.   The applicant intends to carry on the business authorized by the license for himself or herself or under his or her immediate supervision and direction.
   5.   The applicant is a citizen and resident of North Carolina and has been for the past year and is not less than twenty-one (21) years of age; further, he or she has not been convicted of, or entered a plea of guilty or nolo contendere to, a felony or other crime involving moral turpitude within the past three years or a violation of the liquor laws, either State or Federal, within the past two years.
   6.   Prior to this application, applicant has secured from the State Board of Alcoholic Control a Beer and/or Wine Permit for the twelve (12) months for which this license is sought and for the retail establishment listed in this application.
   This the ________ day of _________, 20__.
   _______________________________________
   Applicant
Sworn to and subscribed before me, this ________ day of _________, 20__.
__________________________________________
   Notary Public
My Commission expires:
 
 
(1989 Code, § 8-14) (Ord. 15-O-02, passed 7-27- 2015)