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Special Event Permit Application

  1. Products to Be Served

  2. Starting

  3. Ending

  4. Organization

  5. Copies of licenses required

  6. Copy of driver's license required

  7. Note

    All laws and regulations relating to the sale of alcoholic beverages must be complied with. It is understood that the person named herein is in charge and responsible for the event, and that the organization may be held liable and responsible for any violation of law or regulation. Georgia Sales Tax must be remitted to the state on all sales at this event. If the organization does not hold a Georgia Sales Tax number, the organization must file a miscellaneous sales tax return.

  8. Signature Section

    I declare under penalty of false swearing, that this application that has been examined by me, and to the best of my knowledge and belief, is true, correct, and complete. I also declare that I have received and examined a copy of the City of Jackson Alcoholic Beverage Ordinance.

  9. City of Jackson

    Section 6-157(3) Permit

  10. Licensed Alcoholic Beverage Caterer

  11. The City of Jackson, Georgia, pursuant to the powers granted under Section 6-517(3) of the Code of Ordinances of the city does hereby grant unto the above named applicant a permit to allow a "Authorized Catered Function" to occur at the above location and does hereby authorize the applicant, pursuant to Section 6-157(3) of the City Code to dispense or provide free of charge to persons present at the Authorized Catered Function alcoholic beverages by the drink.

    This permit is valid from _____ until _____ unless otherwise terminated by the City of Jackson. This permit is issued by the City of Jackson pursuant to proper application wherein the applicant agrees to comply with all rules and regulations of the City of Jackson as same may pertain to the dispensing or pouring of alcoholic beverages and the City of Jackson reserves the right to terminate this permit at any time should the City of Jackson have probable cause to believe that the applicant is failing to comply with any such rule or regulation of the city.

    In particular, applicant shall not allow anyone under 18 years of age to serve or pour alcoholic beverages and applicant shall strictly follow the allowable hours and days for the sale or distribution of alcoholic beverages as stated in the City of Jackson Ordinance.

    Fees have been paid in full.

    So granted, this the _____ day of __________.

    City of Jackson,

    By ___________
    (Authorized Official)

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