Alcohol Use Application23
Please Note: Alcohol Use Applications are required for any event in the City of Pismo Beach where alcohol will be served or sold to a
group of 100 people or more or if required by the County Alcoholic Beverage Commission.
APPLICANT INFORMATION
Date of Application:
Name of Applicant:
Name of Organization:
(Must be Non-profit)
Name of Contact Person:
Contact Address:
Contact Phone 1: Contact Phone 2:
EVENT INFORMATION
Name of Event:
Dates(s) of Event:
Time(s) of Event:
Location of Event:
On Public Property or On Private Property
Request to Sell (check all that apply): Beer Wine Spirits Other:
Will alcohol be sold on premises?: Yes No
Will alcohol be served free of charge?: Yes* No *(if “Yes” indicate type of alcohol served below)
Request to Serve (check all that apply): Beer Wine Spirits Other:
Number of People Attending (approx.):
Number of Security Guards (1 per 100):
Name of Security Company hired:
(Attach contract or Guard Card to application)
Will event host the following activities?: Dancing Live Entertainment
If live entertainment, name of provider:
Is event being catered?: Yes No
If catered, name of catering service:
CITY APPROVAL GRANTED, SUBJECT TO THE FOLLOWING CONDITIONS:
1. Beverage containers shall be non-breakable and disposable.
2. All alcoholic beverages are to remain in the designated area. Individuals found in areas of public access with alcohol will be
subject to citations for violation of Municipal Code 9.44.010.
3. All sales of alcoholic beverages shall stop 30 minutes prior to close of event.
4. Additional conditions:____________________________________________________
APPROVAL/SIGNATURE FROM THE CHIEF OF POLICE REQUIRED ON ALL APPLICATIONS: APPROVED DENIED
_________________________________________________ _______________________
Chief of Police Date PBPD FORM # 4
Pismo Beach Police Depart
1000 Bello Street Phone: (805) 773-7029
Pismo Beach, CA 93449 Fax: (805) 773-7023 ALCOHOL USE APPLICATION