Board of License Commissioners for Anne Arundel County

BOARD OF LICENSE COMMISSIONERS

FOR ANNEARUNDELCOUNTY

APPLICATION FOR

SPECIAL GROWLERS LICENSE

We, the undersigned Licensees, request permission to sell refillable containers of draft beer for off premises consumption.

Check the appropriate box below:

⁯The Applicant License allows the sale of alcohol for off premises consumption.

⁯ The Applicant License does not allow the sale of alcohol to be taken off the premises.

AFFIDAVIT BY LICENSEES

The undersigned do solemnly affirm under the penalties of perjury and upon personal knowledge that the contents of the following paper are true:

1.I/We are over the age of 18 and competent to testify to the matters stated below.

2.I/We are the Licensees for a Class ______License “License”on behalf of ______, located at ______(the "Premises"), and certify that the following:

In conjunction with the issuance of the Growlers Special License, the following terms of Md. Ann. Code, Art. 2B, § 8-202(a) & (b) shall be complied with:

a.The refillable container used by the Licensee(s)shall:

i.have a capacity of not less than 32 ounces and not more than 128 ounces

ii.be sealable;

iii.be branded on the container with an identifying mark of the Licensee(s) (a copy of which is attached);

iv.bear the federal health warning statement required for containers of alcoholic beverages which is printed on the container (no stickers);

v.display instructions for cleaning the container which is printed on the container (no stickers);

vi.bear a label,which is printed on the container (no stickers),stating that cleaning the container is the responsibility of the consumer and the contents of the container are perishable and should be refrigerated immediately and consumed within 48 hours after purchase; and

vii.A picture of the proposed growler(s) to be used showing compliance of the aforesaid, with the size of the container marked, is attached.

The hours of sale for a refillable container begin at the same time as those for the currentLicense but sales must end at midnight.

Until further notice, only the Licensee’s refillable container shall be refilled by Licensee(s).

4.The following documents currently on file with the Board of License Commissioners of Anne Arundel County remain true and accurate. (PLEASE CHECK THE APPROPRIATE BOXES.)

⁯Financial Information Sheet(s) for Licensee(s)

⁯Location Map showing location of the Premises within the County

⁯Metes and Bounds description of the Premises

⁯Site Plan depicting the location, height, floor area and square footage of all buildings or structures, parking, number of parking spaces and any other physical features located on the Premises

⁯Certified survey showing distance from nearest church, school and County/public recreational facilities

⁯Floor Plans detailing interior of Premises

⁯Articles of Incorporation and Bylaws, and any amendments filed; Minutes of Stockholders meetings; Stock Certificates; List of all Stockholders if a corporation (Please provide any subsequent amendments or minutes)

⁯Articles of Organization and Operating Agreement and amendments; all minutes and authorizations if a limited liability company (Please provide any subsequent amendments and/or minutes

⁯Partnership Agreements and any amendments thereto if a partnership; (Please provide any subsequent amendments)

⁯Proof of residency and taxpayer; voters registration card for Resident Qualifier

⁯Alcohol Awareness Certificate; Certificate of Use; Occupancy Permit; Retail Sales License; Health Department License, and Federal Special Occupational Tax Stamp