Liquor Licence Form 14 Application for commercial public event permit
Liquor Licence Form 14 Application for commercial public event permit
Liquor Licence Form 14 Application for commercial public event permit
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<strong>Form</strong> <strong>14</strong><br />
<strong>Application</strong> <strong>for</strong> <strong>commercial</strong> <strong>public</strong> <strong>event</strong><br />
<strong>permit</strong> (regular)<br />
<strong>Liquor</strong> Act 1992 s. 105 • V4 Jul 2013<br />
Office use only<br />
Reciept no. ...........................<br />
Amount $..............................<br />
Date .....................................<br />
Instructions<br />
Please complete in BLOCK letters. Attach extra<br />
pages if needed. If you need help completing<br />
this <strong>for</strong>m contact the Office of <strong>Liquor</strong> and Gaming<br />
Regulation (OLGR) on 13 QGOV (13 74 68).<br />
Fees<br />
To find out the current application fee go to<br />
www.olgr.qld.gov.au<br />
Warning<br />
False or misleading statements will attract a<br />
maximum penalty of 100 penalty units or six<br />
months imprisonment and may lead to immediate<br />
cancellation of licence.<br />
Section 1<br />
Licensee details<br />
Licensee name .....................................................................................................................................<br />
(as shown on licence document)<br />
Phone ................................................................. Fax ...........................................................................<br />
Mobile ................................................................ Email ........................................................................<br />
Section 2<br />
Premises details<br />
Licensed premises name ......................................................................................................................<br />
Premises address .................................................................................................................................<br />
Locality/suburb...............................................................State<br />
. Postcode<br />
Premises postal address ......................................................................................................................<br />
Locality/suburb...............................................................State<br />
. Postcode<br />
Section 3<br />
<strong>Liquor</strong> licence no.<br />
and type<br />
<strong>Liquor</strong> licence no. .................................................................................................................................<br />
What type of licence does the premises currently hold:<br />
FFSubsidiary on-premises licence<br />
FFCommercial hotel licence<br />
FFSubsidiary off-premises (caterers) licence<br />
FFOther – note: this application cannot be lodged as you are not eligible to apply <strong>for</strong> this<br />
approval. Please contact the OLGR if you require further advice.<br />
Section 4<br />
Permanent catering<br />
away condition<br />
You must have a permanent catering away condition endorsed on your licence be<strong>for</strong>e a <strong>commercial</strong><br />
<strong>public</strong> <strong>event</strong> <strong>permit</strong> can be approved. Do you have a permanent catering away condition?<br />
FFYes – go to Section 5<br />
FFNo – you must lodge an application <strong>for</strong> this endorsement at the same time. Please complete<br />
<strong>Form</strong> 18 ‘<strong>Application</strong> <strong>for</strong> catering endorsement on licence’<br />
Section 5<br />
Event details<br />
Name of the type of <strong>event</strong>/function you will be providing catering services to .......................................<br />
............................................................................................................................................................<br />
Address/location where the permanent area will be held ......................................................................<br />
............................................................................................................................................................<br />
Locality/Suburb...............................................................State<br />
. Postcode<br />
Office of <strong>Liquor</strong> and Gaming Regulation Page 1 of 5
Section 6<br />
Layout & Site plan<br />
You must lodge a 1:100 scale layout and site plan incorporating the following details if applicable:<br />
œœ<br />
The surrounding area<br />
œœ<br />
All entrances and exits<br />
œœ<br />
Emergency access routes<br />
œœ<br />
Paths used by vehicles<br />
œœ<br />
Paths <strong>for</strong> pedestrians only<br />
œœ<br />
Parking<br />
œœ<br />
Stage locations<br />
œœ<br />
Seating arrangements<br />
œœ<br />
Entertainment sites<br />
œœ<br />
Security and police locations<br />
œœ<br />
First aid posts<br />
œ œ ‘Chill-out’ areas (safe, quiet rest areas)<br />
Lost kids/property<br />
Drinking water sites<br />
Food/vendors/stalls<br />
<strong>Liquor</strong> outlets<br />
Approved liquor consumption areas<br />
Non-alcohol (dry) areas<br />
Toilet facilities<br />
Communication centre/command post<br />
Fire extinguishers<br />
Refuse containers<br />
Public telephones<br />
Media points (TV and radio))<br />
A copy of the written agreement between the licensee and the freehold owner of the proposed<br />
catering away <strong>permit</strong>ted area must also be attached to this application.<br />
Section 7<br />
Trading times<br />
What are the proposed trading hours <strong>for</strong> this permanent area?<br />
Day Date Time<br />
Section 8<br />
Risk Assessed<br />
Management Plan<br />
(RAMP)<br />
You must lodge a completed RAMP with this application which must be completed by the <strong>event</strong><br />
promoter and lodged with this application. The guide can be downloaded from www.olgr.qld.gov.au<br />
Is your RAMP attached?<br />
FFNo – do not lodge this application<br />
FFYes – go to Section 9<br />
Section 9<br />
Council<br />
endorsement<br />
I .......................................................................... of.............................................................................<br />
received this application on / /<br />
FFobject – please send a written report outlining your reasons<br />
FFdo not object to this application <strong>for</strong> a <strong>commercial</strong> <strong>public</strong> regular <strong>event</strong> <strong>permit</strong><br />
Name .................................................................. Position....................................................................<br />
Signature............................................................. Date / /<br />
Section 10<br />
Police endorsement<br />
You must take this<br />
application to the local<br />
police station.<br />
I, ......................................................................... of ................................................................ station<br />
received this application on / /<br />
FFobject – please send a written report outlining your reasons<br />
FFdo not object to this application <strong>for</strong> a <strong>commercial</strong> <strong>public</strong> regular <strong>event</strong> <strong>permit</strong><br />
Name .................................................................. Position....................................................................<br />
Signature.........................................................................................Date / /<br />
Office of <strong>Liquor</strong> and Gaming Regulation Page 2 of 5
Section 11<br />
Owners consent<br />
To be completed by the<br />
freehold owner of the<br />
proposed Commercial<br />
<strong>public</strong> <strong>event</strong> regular<br />
<strong>permit</strong>.<br />
I/we, ................................................................................................................................................,<br />
being owner/s of the premises as described in Section 5, hereby consent to this application <strong>for</strong> a<br />
<strong>commercial</strong> <strong>public</strong> <strong>event</strong> regular <strong>permit</strong>.<br />
Name ...................................................................................................................................................<br />
Signature.........................................................................................Date / /<br />
Name ...................................................................................................................................................<br />
Signature.........................................................................................Date / /<br />
Name ...................................................................................................................................................<br />
/ /<br />
Signature.........................................................................................Date<br />
Section 12<br />
Licensee signature<br />
I acknowledge that:<br />
1. All questions have been answered<br />
2. All attachments have been included<br />
3. The lodgement of this application is not a guarantee the application will be successful<br />
4. Should this application be approved, trading in the area of the licensed premises to which this<br />
application relates must not commence prior to all Local, State and Commonwealth approvals<br />
necessary <strong>for</strong> the conduct of the business being obtained. This includes but is not limited to<br />
approvals under the Sustainable Planning Act 2009, Food Act 2006, Fire and Rescue Service Act<br />
1990 and the Building Fire Safety Regulations 2008.<br />
Name....................................................................................................................................................<br />
Signature.........................................................................................Date / /<br />
Office of <strong>Liquor</strong> and Gaming Regulation Page 3 of 5
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Office of <strong>Liquor</strong> and Gaming Regulation Page 4 of 5
Section 13<br />
Lodgement details<br />
Please lodge the completed application, any supporting documentation and fees at OLGR at the<br />
address below or any OLGR office at Gold Coast (Southport), Sunshine Coast (Maroochydore),<br />
Toowoomba, Wide Bay, Rockhampton, Mackay, Mount Isa, Townsville or Cairns. Call 13 QGOV<br />
(13 74 68) <strong>for</strong> addresses or visit our website www.olgr.qld.gov.au<br />
By mail:<br />
Office of <strong>Liquor</strong> and Gaming Regulation<br />
Locked Bag 180<br />
CITY EAST QLD 4002<br />
In person:<br />
Office of <strong>Liquor</strong> and Gaming Regulation<br />
Upper Plaza, 33 Charlotte Street<br />
BRISBANE QLD 4000<br />
Payment type:<br />
FFMoney order<br />
FFCheque — make cheque payable to Office of <strong>Liquor</strong> and Gaming Regulation<br />
FFCredit card — charge my: Mastercard VISA<br />
Credit card no.<br />
Cardholder’s name ...............................................................................................................................<br />
Amount authorised $........................................... Expiry date / /<br />
Signature .............................................................................................................................................<br />
A receipt will not be issued unless specifically requested<br />
0370LG 2013<br />
OLGR is collecting this in<strong>for</strong>mation to assess your <strong>commercial</strong> <strong>public</strong> <strong>event</strong> <strong>permit</strong> as authorised by s. 105 of the <strong>Liquor</strong> Act 1992 and will only be accessed by authorised<br />
OLGR employees. Business in<strong>for</strong>mation is placed on a register that may be inspected by the <strong>public</strong>, authorised by section 43 of the <strong>Liquor</strong> Act 1992. Your in<strong>for</strong>mation will not<br />
be disclosed to any other parties unless authorised or required by law.<br />
Office of <strong>Liquor</strong> and Gaming Regulation Page 5 of 5
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