APPLICATION FOR CATERING (K) TO LIQUOR LICENSE NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 LINCOLN, NE 68509-5046 PHONE: (402) 471-2571 FAX: (402) 471-2814 Website: www.lcc.nebraska.gov Office Use Include application fee of $100 check made payable to the Nebraska Liquor Control Commission or you may pay online at www.ne.gov/go/NLCCpayport Copy of this application will be forwarded to your local governing body for recommendation per Neb. Rev. Stat. �53-134(7), after receipt of recommendation there is a 10 day holding period for any citizen protests Processing may take approx. 45-60 days from receipt of application by the Nebraska Liquor Control Commission The holder of a catering license may deliver, sell, or dispense alcoholic liquor, including beer, for consumption at premises designed in a special designed license (SDL) issued pursuant to section �53-124.11 SDL must be applied for and received 10 working days prior to the day of each event A holder of a catering license shall not cater an event unless such licensee receives a SDL SDL application form 108 may be found at this link: http://www.lcc.nebraska.gov/LicensingForms/108%20SDL%206-2013a.pdf Only twelve (12) SDLs will be issued at any specific location that could otherwise hold a liquor license Rules and Regulations Chapter 2-013.06 Renewal fee is $100 payable at time of underlying liquor license Office use only PAYMENT TYPE ___________________ AMOUNT: _________________________ RECEIVED: ______________ RECEIPT#_________________________ BARCODE LABEL FORM 106 REV JUNE 2015 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com LIQUOR LICENSE #__________________________________CLASS TYPE________________________ LICENSEE NAME________________________________________________________________________ TRADE NAME___________________________________________________________________________ PREMISE ADDRESS______________________________________________________________________ CITY____________________________________________________________________________________ CONTACT PERSON______________________________________________________________________ PHONE NUMBER OF CONTACT PERSON__________________________________________________ EMAIL ADDRESS OF CONTACT PERSON__________________________________________________ ________________________________________________ Signature of Licensee State of Nebraska County of _____________________________________ The foregoing instrument was acknowledged before me this __________________________________________ by __________________________________________________ Date name of person acknowledged signing document Affix Seal __________________________________________ Notary Public Signature FORM 106 REV JUNE 2015 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com