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Cobb County Business License Division P.O. Box 649 Marietta ...

Cobb County Business License Division P.O. Box 649 Marietta ...

Cobb County Business License Division P.O. Box 649 Marietta ...

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<strong>Cobb</strong> <strong>County</strong> <strong>Business</strong> <strong>License</strong> <strong>Division</strong> 5Alcoholic Beverage Establishment Change of <strong>License</strong>e ApplicationRevised 3/10<strong>Cobb</strong> <strong>County</strong><strong>Business</strong> <strong>License</strong> <strong>Division</strong>P.O. <strong>Box</strong> <strong>649</strong><strong>Marietta</strong>, Georgia 30061-0<strong>649</strong>Phone 770-528-8410/ Fax 770-528-8414Date Received: ____________________________________Application Fee Paid $________________Date: __________Attendance to Alcohol Workshop: ( )Yes Date:___________( )NoFinger Print Card Fee Paid $___________________________Copy to Police Department: ___________________________Date Letter Received From PD: ________________________Ads to Run: _______________________________________Consideration Date: _________________________________Disposition: Approved ( ) Denied ( ) Date: _________________________<strong>License</strong> Review Board: Approved ( ) Denied ( ) Date: ________________Board of Commissioners: Approved ( ) Denied ( ) Date: _________________<strong>License</strong> Number: __________________Application for Alcoholic Beverage <strong>License</strong>/ Change of <strong>License</strong>eApplication Date: _________Liquor Beer WinePouring ( ) Pouring ( ) Pouring ( )Package ( ) Package ( ) Package ( )Type of <strong>Business</strong>Bar ( ) Beer Pub ( ) Bottle House ( ) Convenience Store ( ) Farm Winery ( )Grocery ( ) Nightclub ( ) Poolroom ( ) Restaurant ( ) Sunday Sales ( ) Drug Store ( )Wholesaler ( )1. Type of <strong>Business</strong>: _______________________________________________________________2. Name doing business as: ____________________________________Phone: ______________Corporation, Partnership or Company Name _____________________Fax: ________________<strong>Business</strong> Address: ______________________________________________________________City: ____________________________, State: __________________ Zip: ________________

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