Michigan Department of Licensing and Regulatory Affairs Liquor Control Commission (MLCC) Constitution Hall - 525 W. Allegan, Lansing, MI 48933 Mailing Address: PO Box 30005, Lansing, MI 48909 Toll Free (866) 813-0011 • www.michigan.gov/lcc Business ID: Request ID: (For MLCC use only) QUESTIONNAIRE: NEW ON PREMISES RESORT LICENSES _________________________________________________________________________________________________ Instructions: 1. Applicant is: To apply for a new On-Premises Resort License, complete and return this questionnaire along with the enclosed application form. Individual Partnership Corporation Limited Liability Company 2. Applicant Name: 3. Proposed Business Address: (include, Township & County) 4. Do you or will you operate a full service restaurant that prepares food on the premises, that serves full course meals, that is open to the public a minimum of 5 hours per day, 5 days per week and that has seating for dining for at least 100 persons unless exempted under section 531 of the Michigan Liquor Control Code of 1998, being MCL 436.1531(3)? Yes No 5. Do you or will you provide lodging? Yes* No * number of rooms *If yes, please be advised that you must have a minimum of 25 bedrooms or meeting or conference rooms capable of accommodating not less than 200 persons or convention facilities capable of accommodating not less than 200 persons. You must have a minimum of 50 bedrooms if you will be located in a local governmental unit with a population of 175,000 or more. 6. Is the proposed licensed establishment a sports/entertainment venue? Yes* No *A sports/entertainment venue is a facility that has a seating capacity of 4,500 or more, which is primarily used for sporting events or other entertainment, and is not located on the campus of a 2- or 4-year college or university. 7. Is the proposed licensed establishment located on a golf course which is open to the public and that has not less than 18 holes that, in total, measure not less than 5,000 yards? Yes No 8. Enter proposed number of full time employees Proposed number of part-time employees 9. What is the estimated total investment in the premises to be licensed? ___________________________________ American LegalNet, Inc. www.FormsWorkFlow.com NOTICE [Authorized by MCL 436.1531(13), (14), (18)] MCL 436.1531(13) requires any person signing this application for an on-premises resort or resort economic development license to verify that he or she attempted to purchase any of the on-premises licenses that are in escrow that do not have a pending transfer on file with the MLCC within the county in which the applicant for the on-premises resort or resort economic development license proposes to operate. These provisions do not apply to an applicant whose proposed licensed business will be located in a city of over 190,000 and less than 300,000 people. Do not apply for an on premises resort or resort economic development license if there is an available quota license in the local governmental unit in which the proposed licensed business will be located. I verify that I have attempted to purchase all of the on premises escrowed licenses in this county that do not have pending transfers on file with the MLCC and: I have included copies of letters from persons whose licenses are in escrow that do not want to sell their licenses. I have included copies of letters from persons whose licenses are in escrow that I believe have priced their licenses too high. I have included at least one (1) of the following to support this position: Documentation relative to the fair market value of on premises escrowed licenses in the area. Documentation that reflects the size and scope of the proposed operation and demonstrates why the on premises escrowed license is priced too high for this project. There are no on-premises licenses in escrow in the county of this application. There are no quota on-premises licenses available in the governmental unit of this application. This application is in a city of over 190,000 and less than 300,000 people. Print name of contact person and title Mailing address if different from proposed business address: Telephone number Signature LC-618 (Rev. 10/14) Authority: MCL 436.1531(2)(3)(4) Completion: Mandatory Penalty: No License Date LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com