Form Center

2. Please complete and sign the application below to begin the permitting or renewal process for an Alcohol Beverage Permit.
4. Applying for:*

   1. New/Original Permit
   2. Renewal of Permit
5. TABC Application:*

   Upload the application to be reviewed and signed by the Town Secretary's Office.

6. List Date TABC License was Renewed and Active with the State:*
8. Permit Type being applied For*

   1. BG & FB - Retailer's Permit with Food and Beverage Certificate (BG must also hold a Food and Beverage Certificate)
   2. BQ - Wine & Malt Beverage Retailer's Off-Premise Permit
   3. MB & FB - Mixed Beverage Restaurant Permit with Food and Beverage Certificate (MB must also hold a Food and Beverage Certificate)
   4. Other
9. List Other*
11. TABC License Number*

    If number not issued, enter N/A.

13. Has Permitting Process for Business Location Been Started with Northlake Development Services?*

    If yes add the date started, if no, enter N/A.

14. Has Certificate of Occupancy been issued - if Yes, provide date*

    If yes add the date issued, if no, enter N/A.

    
    

16. Name of Business*
17. Contact Person/Manager*
19. Business Address*
21. City*
22. State
23. Zip Code
25. Business Phone Number*
26. Business Email Address*
28. Applicant First Name*
29. Applicant Last Name*
31. Applicant Email Address*
32. Applicant Phone Number*
34. Primary Business Type:*

    1. Convenience Store
    2. Hotel/Restaurant
    3. Restaurant/Amusement/Recreation
    4. Other
35. List Other
37. Hours of Operation*
38. Zoning of Business Location*
40. REQUIREMENTS

    This permit is to be renewed annually.  Renewal reminder will be sent, however, it is the responsibility of the permit holder to ensure that the permit is renewed if a notice is not received.   This application must be completed and accompanied by a permit fee.

42. READ
    Alcohol Beverages - Code of Ordinances

    Every permit holder should be familiar with the Code of Ordinances - Alcoholic Beverages. 

44. Acceptance of Agreement & Signature

    I have read and completed this application and know the same to be true and correct and hereby agree to comply with all provisions of Article 5.03, Alcoholic Beverages, of the Northlake Code of Ordinances.

    I further acknowledge that typing my name below will constitute as my signature and will have the same legal impact as signing a printed version of this application. 

46. Date*
    Date
47. Responsible Party Signature (TYPE YOUR NAME)*
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field