Inspection Request for a Liquor License

Premise Information

* Operation type New construction
Existing

* Business type Food premise
Personal service setting (manicure, hair or barbering, tattoo)
Public pool
Public spa / hot tub

* Premise type Indoor seating
Outdoor patio
Extension
Other

Describe other premise type

* Location setting Commercial
Residential

* Water supply Municipal
Private well / cistern
Regulated small drinking water system

* Proposed opening date Currently operating
Opening date

Opening date

* Business name

Corporate name

* Business address

* Business phone number
xxx-xxx-xxxx

* Business email

Owner Information

* Owner name

* Phone number
xxx-xxx-xxxx

* Email address

Mailing address (if different than business address)