Liquor License TransferABD Licensing -Transfer Premise
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State of Iowa `~ ~ ~F ~ ~ .
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Help Transfer Premise (BW0092633, Rotary Club of C
-~ Search After completion click on the NEXT link to continue to the next screen, or the BAC
License List The navigation links on the left hand side may also be used to move around the a
'`" Applicant Licenses may be transferred from one locat'san to another, but only within the boa.
Official.The Transfer Application and all supparting documentation shall be apprc
Transfer Premise Iowa Alcoholic Beverages Division before the event takes place. All selling and se
New Premise Location Information or~g~nal licensed location during the period of the transfer. NOTE: if requesting a I
forwarded to the Local Official. If requesting a temporary transfer, a letter of perm
Dram Shop Certification
Name of Applicant: Rotary Club of Dubuque
Local Authority Endorsement Name of Business (D/B/A}: Rotary Club of Dubuque
Address of Premise: 135 W. 8th St.
On-Demand Reporting Address Line 2:
~ License History City: Dubuque County: Dubugi
Reports
New Premise Address: AY McDc~rtald lark
New Premise Address Line 2:
City: C~u#~uc~ue ,~~ State: lo~~a
Preu
Temporary Transfer (24 hours through 7 days)
Beginning Date: 6f13f2007 ~~~
C' Permanent Transfer
Beginning Date: ~~
https://elicensing.iowaabd.com/controller.aspx 05/30/2007
ABD Licensing -Applicant
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Help Applican# (BWO092fi33, Ro#ary Club of Dubuque
Search After completion click on the NEXT link to continue to the next screen, or the BAC
License List The navigation links on the left hand side may also be used to move around the a
Applicant Name of Applicant: Rotary Club cif Dubuque (sofa
Trsnsfer Premise Name of Business
(D/BtA): Rotary Club of Duk~uque
New Premise Location Information
Address o ~ ~~ ~ 8tl~r fit.
Dram Shop Certification Premise:
Local Authority Endorsement Address Line 2:
On-Demand Reporting City: ubuc~~so m. County: l~ubuc~ue
License History ~ Cell t Home"'""`""'"""
Business Phone: (5~3j 58~-224
Phone:
Reports
Mailing Address: P.C. Bcx 81
Mailing
Address Line 2:
City: PloaSe SeloCt ' State: lo'Vjf~
Contact Name: ~lke
Phone: ':'~"`') ~8~-923 Email Address:
F~rev
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https://elicensing.iowaabd.com/controller.aspx 05/30/2007
ABD Licensing -Transfer Premise
~ Home
~ Contact Us
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Help
Search
"' License List
'p Applicant
Transfer Premise
New Premise Location Information
Dram Shop Certification
Local Authority Endorsement
On-Demand Reporting
=' License History
-~° Reports
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New Premise Location Information (BW0092633
Dubuque}
After completion click on the NEXT link to continue to the next screen, or the BAC
The navigation links on the left hand side may also be used to move around the a
2 # of Bathrooms:
~- Number of floors where alcoholic beverages will
Indicate how you have control of premises (Permanent Transfers Only):
t" Own
t" Lease
Submit to the Local Authority a signed copy of the leaselrental agreement for the
or warranty deed.
Submit #o the Local Authority a sketch on 81/2 x 11"white paper of the proposed
alcoholic beverages will be sold, served, consumed and stored. Indicate all entrar
bathrooms. If Applicant has Outdoor Serv[ce Area Privilege, please include in the
premises.
Outdoor Service Area Dates (if From: MMlDDfY
applicablel: ~~~~
Dates shall correspond with requested outdoor service areas.
On-Premise Applicant's Only:
Yes "`-I Is the premise furnished with tables and seats to
-1 time?
Preu
https://elicensing.iowaabd.com/controller.aspx 05/30/2007
ABD Licensing -Applicant Signature
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Contact Us
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Search
'-` License List
z'" Applicant
Transfer Premise
~_ New Premise Location Information
Dram Shop Certification
°~ Local Authority Endorsement
~` On-Demand Reportiny
~° License History
Reports
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Applicant Signature (BW0092633, Rotary Glub a
Complete the information below and click Finish to complete the application.
This applioation must be completed by a person listed in the Ownership Section.
I hereby declare that ail information contained in the Application is true and corrc
misrepresentation of material facts in the Application is a crime and grounds for
under laws law. I further understand that, as a condition of recieving a license, th
inspection during business hours by appropriate local, state and federal officials
NOTE: The Applicant's Name must match one of the owner's names from the Ownership sc
Applicant's Name: AmY weber Date
Tentative effective date. ~y1'1312~1Ci7 MMIDD/YYYY
rnrS
Frey
https://elicensing.iowaabd.com/controller.aspx 05/30/2007