STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY DIVISION OF ALCOHOLIC BEVERAGE CONTROL P.O. BOX 087, 140 EAST FRONT STREET TRENTON, NJ 08625-0087 APPLICATION FOR CATERING PERMIT [CT] PLENARY RETAIL CONSUMPTION LICENSEE TO SERVE OFF THE LICENSED PREMISES APPLICATION MUST BE SUBMITTED AT LEAST TWO WEEKS PRIOR TO THE EVENT Application must be accompanied by a fee of $100.00 for each 24-hour period, in the form of a check or money order payable to the Division of Alcoholic Beverage Control. Pursuant to N.J.S.A. 33:1-74, undersigned makes application for a Special Permit to sell, dispense and serve alcoholic beverages off the licensed premises. 1. Name of Licensee______________________________________________________________________________ 2. License Number________________________________________________________________________________ 3. Address of Licensed Premises__________________________________________________________________ ______________________________________________________________________________________________ 4. Contact Person________________________________________________________________________________ 5. Contact Telephone Number_____________________________________________________________ 6. For what type of event is this Permit sought?________________________________________ ______________________________________________________________________________________________ 7. Location of premises where affair will be held: Name_________________________________________________________________________________________ Address______________________________________________________________________________________ Is affair to be held indoors or outdoors?____________________________________________________ SUBMIT A DETAILED SKETCH OF THE LOCATION WHERE ALCOHOLIC BEVERAGES ARE TO BE DISPENSED. PLEASE INCLUDE THE BAR AREA AND LOCATION OF PERSON/PERSONS CHECKING ID’S FOR ANYONE UNDER THE LEGAL AGE. 8. State date affair will be held and between what hours alcoholic beverages will be dispensed: ___________________________________, 20_______ from____________________ to____________________ (Date) (Time) (Time) Rain Date:____________________________________ 9. Will a charge be assessed by ticket, contribution or otherwise? 10. Will there be a cash bar? 11. Are the premises where the affair is to be held owned by a municipality, county or the State? Yes( ) No( ) Yes( ) No( Yes( ) No( ) ) If yes, state the name of owner______________________________________________________________ For what purpose is premises normally used?__________________________________________________ 12. Is affair to be held on church property? Yes( ) No( Are the premises where affair is to be held licensed? ) Yes( ) No( ) If yes, state the license number_____________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com 13. Check the types of alcoholic beverages to be dispensed if Permit is granted: Wine( ) Distilled Spirits( ) Malt Alcoholic Beverages( ) The applicant represents that if a Special Permit is issued, the permittee will fully abide by all provisions of the New Jersey Alcoholic Beverage Law, State Rules and Regulations, and Municipal Ordinances and Regulations, the same as if the sale and service were occurring upon the applicant’s licensed premises. _________________________________________________ Print Name of Authorized Signator _________________________________________________ Signature The following consent is to be signed by the person so authorized at the premises where the affair is to be held, including property under the control of a unit of government, municipality, county or State; a church; or a premises under license or other privately owned facility. I certify that I am the person authorized to permit the sale and service of alcoholic beverages on the premises described in the application form, and I certify that there is no objection to the sale and service of alcoholic beverages as herein specified. _______________________________ Date ____________________________________ Print Name and Title of Signator ___________________________________ Signature NO PERMIT WILL BE GRANTED UNLESS WRITTEN MUNICIPAL APPROVALS PROVIDED FOR BELOW ARE FIRST OBTAINED. This is to certify that there are no objections to the issuance of the Permit applied for herein and that NOT MORE THAN 25 SPECIAL PERMITS HAVE BEEN AUTHORIZED FOR THESE PREMISES DURING THIS CALENDAR YEAR. _____________________________________ Police Chief (Name) __________________________________ Municipal Clerk (Name) _____________________________________ Signature __________________________________ Signature ______________________________________ Name of Municipality __________________________________ Name of Municipality ______________________________________ Date __________________________________ Date MUNICIPAL SEAL TYPE OR PRINT NAME AND ADDRESS OF PERSON TO WHOM PERMIT IS TO BE MAILED: NAME______________________________________________________________ ADDRESS___________________________________________________________ ___________________________________________________________ TELEPHONE NO. ( )_______________________________________________ American LegalNet, Inc. www.FormsWorkflow.com STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY DIVISION OF ALCOHOLIC BEVERAGE CONTROL P.O. BOX 087, 140 EAST FRONT STREET TRENTON, NJ 08625-0087 FAX 609-292-0621 THIS FORM MUST BE COMPLETED WHEN APPLYING FOR A SOCIAL AFFAIR, CATERING OR EXTENSION OF PREMISES PERMIT ALL APPLICATIONS MUST BE SUBMITTED AT LEAST TWO WEEKS PRIOR TO THE DATE OF THE EVENT APPLICATIONS WITHOUT THE APPROPRIATE SIGNATURES OF MUNICIPAL OFFICIALS WILL NOT BE PROCESSED 1. Name of Organization________________________________________________ 2. Date of Event_______________________________________________________ 3. Contact Name____________________________ Phone Number_______________ 4. How many people are expected to attend the event?___________________ 5. What is the approximate age group of the attendees?_________________ 6. Explain in detail the security plans for the event. The plan should include the number of people checking for ID’s, plans to prevent pass-offs to minors, the type of security at the event and any other relevant information pertaining to the event. Please use reverse side if necessary.__________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 7. What types of alcoholic beverages will be served at the event? Please include cup size and limits._________________________________ ____________________________________________________________________ ____________________________________________________________________ 8. Please attach a detailed sketch of the area to be licensed. The sketch should include entrances and exits, ID checking area(s), location of where alcoholic beverages will be dispensed and any other relevant information pertaining to the event. NOTE: A catering or social affair permit will premises where other mercantile business N.J.S.A. 33:1-12. not be issued to a is being conducted. 02/09 American LegalNet, Inc. www.FormsWorkflow.com