1. Persons intending to start a new on-sale or off-sale licensed alcoholic beverage sales business, or..
2. Persons who choose to substantially modify* an existing alcoholic beverage sales business.
Once form is completed, print it out and obtain signature from the owner and submit to RPDPS Fire Division.
*Substantially modifying your business includes:
Please check all that apply:
Electronic Signature
I hereby certify that the statements furnished above, and in the attached exhibits, present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented here are true and correct to the best of my knowledge.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I hereby certify that I am the owner of record of the subject property described on this application and I approve of the action requested by this application.
You may also submit a paper copy to our office.
This field is not part of the form submission.
* indicates a required field