Organization holding event: ___________________________________________________________ Name & Address of Responsible Party: _____________________________________________________ _____________________________________________________ Contact Number & e‐mail ___________________________________________________________ Location of Event: __________________________________________________________ Type of Event:
Is the event being catered? Yes No Name of Caterer _______________________________________________________________________ Date & Time of Event: ______ ___________________________________________________________
Non Profit Organization
Other Than Non Profit
Wine & Malt All Alcohol Wine & Malt ALCOHOL MUST BE PURCHASED BY THE LICENSEE FROM A WHOLESALER Has permission been received from the property owner to hold this event? _______________ Who is serving the alcohol? ______________________________________________________ Does the server have liquor liability insurance? ______________________________________ Have servers had training in alcohol service? ________________________________________ I, the undersigned, understand and agree to the restriction and responsibilities of holding a One Day Alcohol License and certify that I am not prohibited from holding such license. I agree that the Town of North Andover is in no way responsible for the actions of the applicant. _______________________________________________ Applicant’s Signature Date
Massachusetts General Laws, Chapter 138, s 14
Rules for Special One Day Liquor License
Section 14 Special Events Local licensing authorities may issue special licenses for the sale of wine and/or malt beverages to a responsible manager of any indoor or outdoor activity or enterprise (for profit or non‐profit). Special licenses for the sale of all alcoholic beverages may be issued to non‐profit organizations only. No person may be granted special licenses for more than a total of 30 days per calendar year and no special license will be granted to any person while his application for an annual license under Section 12 is pending before the licensing authorities. No more than one license can be issued for premises at one time. Therefore, a Section 14 special license cannot be issued for use in licensed premises. Regulations for Section 14 are found in 204 CMR 7.00. Persons holding a special license must purchase alcoholic beverages from a licensed wholesaler/importer, manufacturer, farmer‐winery, farmer brewery or special permit holder. A person holding a Section 14 license cannot purchase alcoholic beverages from a package store. The applicant named on the One Day application shall, at all times during which alcoholic beverages are being sold shall be available to the licensing authorities during all such times unless some other person similarly qualified, authorized and satisfactory to the licensing authorities and whose authority to act in place of such applicant shall first have been certified to the licensing authorities in the manner aforesaid, is present in the premises and is acting in the place of such applicant. The full name, residential address, business and home telephone numbers of said applicant must appear on the One Day Application, as well as proof that they are certified to hold such a license. Licensees are responsible for ensuring that minors are not served alcoholic beverages and are not drinking alcoholic beverages on the licensed premises, whether served to them by an employee or handed to them by any other patron. All servers must be at least 18 years of age to serve. All applicants must be of good moral character to obtain a One Day Liquor License hereunder.
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