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Application For Temporary Storage Form. This is a New Jersey form and can be use in Division Of Alcoholic Beverage Control Statewide.
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Tags: Application For Temporary Storage, New Jersey Statewide, Division Of Alcoholic Beverage Control
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 TEMPORARY STORAGE PERMIT [TE]
Print or type answers to questions.
Applications must be
accompanied by a CHECK or MONEY ORDER payable to the DIVISION OF
ALCOHOLIC BEVERAGE CONTROL in the amount of $25.00 plus $2.00 per
day for the number of days the Permit is needed.
1.
Name of Licensee____________________________________________
2.
License Number______________________________________________
3.
Address of Licensed Premises________________________________
____________________________________________________________
4.
Contact Person______________________________________________
5.
Contact Telephone Number____________________________________
6.
Location of place where alcoholic beverages will be
temporarily stored: ________________________________________
7.
Dates requested for use of Temporary Storage Permit:
From_______________________
8.
Through_______________________
State reason why temporary additional storage is needed:
____________________________________________________________
____________________________________________________________
Date ___________________
_______________________________________
(Type or Print Name of Licensee)
_______________________________________
(Signature of Licensee)
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NO PERMIT WILL BE GRANTED WITHOUT MUNICIPAL ENDORSEMENTS
This application is to be endorsed by the Chief of Police of the
municipality wherein the place of temporary storage is located.
I certify that there is no objection by the police department to
the granting of a Special Permit to this applicant to
temporarily store alcoholic beverages at the address indicated
on this application.
_______________________________________
(Type or Print Name of Chief of Police)
_______________________________________
(Signature of Chief of Police)
This application is also to be endorsed by the Municipal Clerk
of the municipality wherein the place of temporary storage is
located.
I certify that the municipality has no objection to the issuance
of a Special Permit to the applicant to temporarily store
alcoholic
beverages
at
the
address
indicated
on
this
application.
_______________________________________
(Type or Print Name of Municipal Clerk)
_______________________________________
(Signature of Municipal Clerk)
11/07
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