PETITION INSTRUCTIONS If your liquor license application is for a premises located outside a municipality, you must file a petition. Instructions vary with the type of area in which your proposed premises are located. PLEASE READ THESE INSTRUCTIONS CAREFULLY. INFORMATION REQUESTED AT THE TOP OF PAGE 1 AND THE BOTTOM OF PAGE 4 MUST BE SUPPLIED. SIGNATURE ON PAGE 4 MUST BE NOTARIZED. CERTIFICATION OF POPULATION The following information must accompany all applications requiring petitions: a. a U.S.G.S. map showing the population within the five (5) mile radius with the proposed premises as center. b. graphic designation on map showing general area where petition signatures were obtained. c. number of like type licenses within the five (5) mile radius noted on the map. d. a narrative and mathematical computation of how population totals were determined. REQUIREMENTS FOR PETITION (AS 04.11.460) 1. A new license or the transfer of location of an existing license may not be approved by the board in an area outside but within 50 miles of the boundaries of a municipality unless a petition asking that the license be issued or transferred within the area containing signatures of a majority (over 50%) of the permanent residents residing within one (1) mile of the proposed premises is filed with the board. 2. A license may not be issued in an area which is 50 miles or more from the boundaries of a municipality unless a petition asking that the license be issued within the area containing the signatures of two-thirds (2/3) of the permanent residents residing within a radius of five (5) miles of the United States Post Office station nearest to the proposed licensed premises is filed with the board. If: 1 American LegalNet, Inc. www.FormsWorkflow.com a. there are two or more United States post office stations in the vicinity of the proposed licensed premises, the nearest to the premises constitutes the point of beginning under this subsection. b. there is no United States post office within a radius of five (5) miles of the proposed licensed premises, the applicant must obtain the signatures of two-thirds (2/3) of the permanent residents residing within a five (5) mile radius of the proposed licensed premises. “Permanent resident” means a person 21 years of age or older who has established a permanent place of abode. AS 04.11.460(c) A new license may not be issued or an existing license relocated if after issuance or relocation there would be more than one restaurant or eating place license for each 1,500 population or fraction of that population, or more than one license of each other type for each 3,000 population or fraction of that population in a radius of five (5) miles of the licensed premises or the location of premises sought to be licensed. AS 04.11.400(1). Signatures must be obtained within 90 days of submission of application. 15 AAC 104.115 American LegalNet, Inc. www.FormsWorkflow.com PETITION This is a petition in support of a ______________________________________________ (type of license) liquor license application. By signing this petition, you are stating that you are in favor of having liquor sold in your community. Each person who has signed this petition states that he or she is a permanent resident in the area indicated below; that he or she is 21 years of age or older; and agrees to the issuance of a __________________________________________________________ (type of license) to sell alcoholic beverages at _____________________________________________ (location of proposed premises) in the State of Alaska, and that the place where he or she lives is: within one (1) mile of proposed premises within five (5) miles of the nearest post office to the proposed premises PRINT NAME, SIGN BELOW PRINTED NAME NAME DO YOU UNDERSTAND THIS PETITION? DATE SIGNED HOUSE # OR DESCRIPTION OF WHERE YOU LIVE 1. 2. 3. 4. 5. American LegalNet, Inc. www.FormsWorkflow.com PRINT NAME, SIGN BELOW PRINTED NAME NAME DO YOU UNDERSTAND THIS PETITION? DATE SIGNED HOUSE # OR DESCRIPTION OF WHERE YOU LIVE 6. 7. 8. 9. 10. 11. 12. 13. 14. American LegalNet, Inc. www.FormsWorkflow.com PRINT NAME, SIGN BELOW PRINTED NAME NAME DO YOU UNDERSTAND THIS PETITION? DATE SIGNED HOUSE # OR DESCRIPTION OF WHERE YOU LIVE 15. 16. 17. 18. 19. 20. 21. 22. 23. American LegalNet, Inc. www.FormsWorkflow.com PRINT NAME, SIGN BELOW PRINTED NAME NAME DO YOU UNDERSTAND THIS PETITION? DATE SIGNED HOUSE # OR DESCRIPTION OF WHERE YOU LIVE 24. 25. 26. I/We____________________________________________________________________ Type or Print Name(s) of Applicant(s) the applicant(s) for a ________________________ liquor license, hereby certify that the number of permanent residents 21 years of age or older who live within _________ of (mile) my/our place of business totals ______________ and this petition totals ______________ (number) (number) signatures, which is ______________% of the permanent residents in the area as required by law. Under penalties of perjury, I declare that I have examined this application, including the accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. Signed _________________________ _______________________________ (Print name & title) Signed _____________________________ ___________________________________ (Print name & title) Subscribed and sworn to before me this _______ day of _______________, 20___ ________________________________ Notary in and for Alaska My commission expires_____________ American LegalNet, Inc. www.FormsWorkflow.com