Harriman Beer Permit Application

What type of Beer Permit are you applying for?*

A beer permit to sell/store/manufacture beer.A beer permit for a special event.

I hereby make application for a permit to sell/store/manufacture* beer.

Name:*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Last previous address:*

Age:*

Driver's License Number:*

Social Security Number:*

Married or Single:*

How long have you been a resident of Roane County:*

Under what name will you operate:*

Description of location where permit will be used, including highway & names of adjoining property owners:*

How many buildings or structures on property:*

Do you have separate rest room facilities:*

Distance from nearest Church, and name of Church:*

Distance from nearest school, and name of school:*

Home address and occupation of property owner:

Will the business be solely owned by you:*

Name and address of all partners:*

Will you operate the business in person:*

Have either you/or the owner of the property, or any of your employees been convicted of any violation of the Liquor laws or any crime within the last ten years?*

What type of business will you operate:*

Former names under which establishment operated during past 2 yrs:*

Name and address of last operator of place:*

Will he/she have any connection with the operation of your place:*

Is he/she related to you in any degree:*

Give details concerning your previous record in the beer business including places where you have worked during the past 2 years:*

Give two references and their occupations and addresses, not related to you, that have known you for the last ten years who will be willing to appear before the Beer Board:*

Have you ever had a beer permit revoked? If so, give date place and cause of revocation:*

If granted a permit will you strictly comply with the law regarding the sale storage and manufacture of beer and so operate your business as not to interfere with public health safety and morals:*

Applicant hereby solemnly swears that each and every statement in the above application is true and correct and agrees that if any statement herein is false, the permit issued pursuant therein is false, the permit issued pursuant thereto may be revoked by the Beer Board upon notice and hearing, in which event the burden shall be on the permittee to prove the correctness of all the statements in this application.

NO APPLICATION WILL BE CONSIDERED UNLESS COMPLETE IN EVERY DETAIL. APPLICATION MUST BE SUBMITTED AT LEAST 30 DAYS BEFORE BEER BOARD MEETING.

This day* day of month & year*

Signature of Applicant*

Application for SPECIAL EVENT Beer Permit

Information and Checklist

This application must be completely filled out before it is turned in with permit application fees (non- refundable) and the requirements listed. By making this application, the applicant assumes personal responsibility for all information provided. It is the applicant's responsibility to see that the application is complete and correct. The Beer Board can deny an application for any incorrect, inaccurate or false information provided; at the least, the Board may delay action on an application for any information it finds unacceptable. Copies of licenses and documents must be submitted with the completed beer permit application to the City of Harriman, 408 North Roane Street, Harriman, Tennessee 37748. Please contact this office at (865) 882-9414 with any questions about the application process or refer to City of Harriman Ordinance 0824-01 or T.C.A. 57-5-103.

Each application must be signed and notarized. The applicant must go to the City of Harriman for records checks. The Beer Board will NOT consider applications without records checks on ALL applicants. The applicant may not have been convicted of any crime involving moral turpitude or violation of any alcoholic beverage law within the ten (10) years prior to applying for permit.

If approved, the initial application for a special event beer permit will be valid for one calendar year. The special event beer permit holder will be required to submit a special event application, a $25.00 event fee, and obtain Harriman Beer Board approval for each requested event within the calendar year. The special event beer permit may be renewed annually for a fee of $100 and Harriman Beer Board approval.

Information & Checklist

The Harriman Beer Board meets monthly at Harriman City Hall (408 N. Roane Street; Harriman, Tn.; 37748). The following items must be completed and copies provided (if applicable) before the meeting to ensure consideration of the application.

Remember, the completed application MUST BE SUBMITTED to the City of Harriman by the FIRST DAY OF THE MONTH in order to appear on that month's agenda.

**Representative or Manager MUST be present at the meeting for consideration of permit.**

1. Permit application fee paid (all fees non-refundable).

2. Initial Fee/Background Check….$250.00 (cash or cashiers check)

3. Event Fee……$25.00 per event.

4. Copy of Tennessee Driver License

5. Plan for Server Compliance

BEER BOARD WILL NOT CONSIDER APPLICATIONS WITHOUT COMPLETED RECORDS CHECKS ON ALL APPLICANTS

(It is the applicant's responsibility to provide complete and accurate information. The Beer Board could delay action on the application if any information is not accurate.)

I / we name/names* hereby make an application for a permit to sell or distribute beer or other beverages authorized to be sold, stored or distributed under the provisions of the City of Harriman alcoholic beverages ordinance Chapter 2 and base my application upon the answers to the following questions.

Applicant Name*

First NameLast Name

Applicant Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Driver's License Number:*

Social Security Number:*

Name of Special Event:*

Date(s) of Event:*

Purpose of Special Event:*

Event Location:*

Event Manager Name/Phone Number:*

Have you ever been convicted of any violation of liquor and or beer laws, felonies, or any crime involving moral turpitude, within the last ten years, or do you have any charges currently pending?*

YesNo

If yes, give particulars of each charge, including city, county, state: court and date:*

Have you ever had a beer permit revoked, suspended, or denied?*

YesNo

If yes, explain:*

Have you ever been convicted of any misdemeanors (Speeding, DUI, Simple Assault, etc.) within the last ten (10) years or have any charges currently pending?*

YesNo

If yes, give particulars of each charge, including city, county, state: court and date:*

Do you understand both the state laws and the local laws regulating the sale and distribution of beer in the City of Harriman?*

YesNo

Do you understand that allowing illegal gambling on the premises will subject the permit to revocation?*

YesNo

CITY OF HARRIMAN

Application for SPECIAL EVENT Beer Permit

AFFIDAVIT

1. I/we hereby solemnly swear or affirm that each statement in this application is true and correct and understand that if any statement contained herein is false, the permit issued is automatically forfeited and voided. Furthermore, in the event of forfeiture I/we shall not be eligible to receive another permit for a period of ten (10) years pursuant to Tennessee Code Annotated §57-5-105(d).

2. I/we understand that all applicants are charged with the responsibility of knowing the local and state beer laws. I/we are aware that the penalty for violating state or local beer laws can include revocation or suspension of the permit and/or the imposition of civil penalties up to ONE THOUSAND FIVE HUNDRED 00/100 DOLLARS ($1,500.00) PER OFFENSE.

3. I/we understand that if the business allows illegal gambling on the premises that the beer permit will be subject to revocation.

4. I/we understand that by submitting this application, a background investigation shall be conducted on the Applicant. It is further understood that any and all documents related to that investigation shall become public record open for public inspection and reproduction pursuant to Tennessee Code Annotated § 10-7-503.

5. I/we hereby release, absolve and hold harmless, the City of Harriman, the Harriman Beer Board, the Harriman Police Department, its employees, agents and representatives from any and all liability of whatever type for any damages, causes of actions, personal property injuries which may result as a consequence of my application for a beer permit, background investigation, release of documents or any other matters related to my application. I/we hereby waive all possible liability of the City of Harriman, Harriman Beer Board, Harriman Police Department, its employees, agents and representative as stated above.

6. I/we agree that the use of any server who has been convicted within the past ten (10) years of any law relating to the sale, possession, manufacture or transportation of intoxicating beverages, including beer, as defined by City of Harriman Code Section 8-5 or the use of any server who has been convicted of any felony or crime involving moral turpitude within the past ten (10) years will be cause for possible revocation of the beer permit.

7. I/we understand if any information given in the application subsequently changes, I/we will immediately notify the City of Harriman Beer Board c/o Harriman City Hall.

9. I/we assume full responsibility for the permit and will be accountable for full compliance with the laws of Harriman and the State of Tennessee in the sale of beer.

10. I/we have read the foregoing release.

11. I/we fully understand its provisions, and voluntarily consent to abide by its requirements.

12. I/we acknowledge and understand that the fees paid for the beer permit application process are non-refundable.

13. The undersigned is the applicant or the bona fide and qualified agent/representative of the corporate applicant.

Guidelines for Server Compliance Plans

Your Server Compliance Plan is an important piece of your application. A detailed Server Compliance Plan gives members of your Beer Board insight on how you plan to eliminate underage alcohol sales and prevent over serving customers. As you are writing your Server Compliance Plan, be sure to consider the type of business you are and the environment you will be serving. If you are serving in an area with a lot of underage traffic, you should consider providing more specific detail on how you will prevent service to minors. Additional detail may be needed if you are serving off premises or on premises, as well as if you are a special event. It’s important to address any potential concerns that could be unique to your business, environment, or special event in your Server Compliance Plan. Ultimately, your Server Compliance Plan should describe how you intend to prevent sales or service of alcohol to people who are underage or impaired. There are different types of beer permits, so depending on the type of permit, Server Compliance Plans may contain different elements.

Elements of your plan may include, but are not limited to, the following:

Compliance training for servers/clerks/management/new hires;
Signage visible to customers and staff that communicate laws and policies on drinking;
Policy & procedure for checking IDs;
Daily process for servers going over proper sale procedures;
Frequency of checking IDs;
Procedure for catching fake IDs;
Procedure for preventing over serving alcohol;
Use of wristbands or other indicators for age 21 and over customers;
Number of alcoholic beverages that may be served at one time to a customer;

Applicant Signature or Agent/Representative *

CITY OF HARRIMAN APPLICATION FOR BEER PERMIT