APPLICATION FOR LICENSE TO SELL ALCOHOLIC LIQUORS
WITHIN THE CORPORATE LIMITS
OF THE CITY OF JOHNSTON CITY, ILLINOIS
Application is hereby made by ______________________ for a ____________________ license to sell alcoholic liquors at _______________________________ in the City of Johnston City, Illinois.
1. Fill in (a) (b) or (c) below as it applies to the applicants).
(a) Individual
Name _____________________________________________________
Age _____________________________________________________
Address _____________________________________________________
(b) Co-Partnership
Name and age of each profit sharing partner _______________________________________
Address of each profit sharing partner ____________________________________________
(c) Corporation, Club or Association
Date of Incorporation (if any) _____________________________________________________
Type of Organization or Association _______________________________________________
Names and addresses of Officers and Trustees or Directors:
____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________________
If one person or his nominees owns a majority interest of stock in the corporation, state such person’s name and address ______________________________________________________
2. Individual and Partnership applicants fill in the following.
(a) Applicant’s Citizenship _____________________________________________________
(b) Applicant’s Place of Birth __________________________________________________
(c) If naturalized citizen the time and place of naturalization ___________________________
___________________________________________________________________________________ ____________________________________________________________________________________
3. State character of applicant’s business _______________________________________________
______________________________________________________________________________________
If a corporation, state objects for which it was formed ________________________________________
_____________________________________________________________________________________
4. State length of time applicant has been engaged in business of that character ______________
____________________________________________________________________________________
5. State the location and description of the premises or place of business which is to be operated under the license for which application is made ______________________________________________
____________________________________________________________________________________
6. Has this applicant ever made application for a license to sell alcoholic liquors within the corporate limits of the City of Johnston City, Illinois on premises other than those described above and if so, what disposition was made of such application? _________________________________________
7. Has this applicant, whether individual or partners, and in case of a corporation, club or association, any of its officers, trustees or directors, ever been convicted of a felony? ______________
if so, state such person’s name and the crime of which he was convicted _________________________
8. Has the State or subdivision thereof or the federal government ever revoked a liquor license held by the applicant? _____________________________________________________________________
If so, state the reason therefor ___________________________________________________________
9. Applicant states he, she or they will not violate any of the laws of the State of Illinois, of the United States, or any ordinance of the City of Johnston City, Illinois in the conduct of the place of business for which license is hereby applied.
10. Applicant states he, she or they has not received or borrowed money or anything else of value and that he will not receive or borrow money, or anything else of value (other than merchandising credit in the ordinary course of business for a period not to exceed ninety (90) days, as permitted under the laws of the State of Illinois pertaining thereto) directly or indirectly from any manufacturer or distributor, representative or any such manufacturer or distributor.
11. Consent is hereby given to the Local Liquor Commissioner and any person designated by him and all police officers of said City to enter into, inspect and examine the premises for which said license is issued, in the event of issuance, at any time after the issuance of the license.
(If this application is made in behalf of a partnership, firm, association, club or corporation, then it shall be signed and sworn to by at least two members of such partnership, or the President and Secretary of such corporation.)
____________________________________________________
Name (and Title, if any)
____________________________________________________
Name (and Title, if any)
Subscribed and sworn to before me this ________ day of ___________________, _______.
________________________________________
Notary Public
(Approved) by me this __________ day of ______________________, _______.
________________________________________
Liquor Control Commissioner
MAYOR:
Your Petitioner, ___________________________________, a citizen of the United States, born in _________________________ if a naturalized citizen time and place of his or her naturalization _____
_________________________________ and has never been convicted of a felony, respectfully petition you to grant him or her permission to sell alcoholic liquors by retail at _________________________ in the City of Johnston City, Illinois and in the County of Williamson.
Your Petitioner is ready and willing and does hereby agree to operate the aforesaid place of business in accordance with the police regulations and ordinances of the City of Johnston City in force and any other that may be enacted during the duration of this license.
In pursuance of the ordinances now in force and effect, your petitioner respectfully submits the hereunto attached bond, signed by your petitioner as principal and by ___________________________
___________ and ________________________________ as sureties, all of the City of Johnston City and State of Illinois and conditioned upon the faithful observance of the conditions herein contained.
Dated: ___________________________ __________________________________________
Applicant
BOND
KNOW ALL MEN BY THESE PRESENT, That we ____________________________________
___________________ as principal and __________________________________ and _____________
___________________ as sureties, both being property holders in the City of Johnston City, Illinois, County of Williamson, and State of Illinois, are held and firmly bound unto the City of Johnston City, Illinois in the penal sum of Two Thousand Dollars ($2,000.00) lawful money of the United States, for the payment of which well and truly to be made, we do bind ourselves, and money of the United States, for the payment of which well and truly to be made, we do bind ourselves, and each of us, our heirs, executors and administrators and each of them jointly and severally firmly by these presence. The condition of this obligation is such, that if the above bounded __________________________________
__________________ who has filed his or her petition with the City Clerk wherein the said bounded as petitioned to sell alcoholic liquors and does sell alcoholic liquors in accordance with the police regulations and ordinances now in force and effect or which hereafter may be enacted that respect this obligation shall be void; otherwise to remain in full force and effect.
WITNESS our hands and seals this ____________ day of _________________, ______.
___________________________(SEAL)
___________________________(SEAL)
___________________________( SEAL)
STATE OF ILLINOIS )
COUNTY OF WILLIAMSON ) ss.
I, ____________________________, a Notary Public in and for the said County and State do hereby certify that ___________________________________________ as principal and ___________________ and ______________________________ as sureties, personally known to me to be the same persons whose names are subscribed to the foregoing statement appeared before me in person and acknowledged that they signed and sealed said instrument as their free and voluntary act, for the uses and purposes set forth.
Given under my hand and notarial seal this ______________ day of _________________, _____.
__________________________________________
Notary Public
(SEAL)
(2010 Code, Ch. 21, Application)