2. (Maximum 5 Consecutive Days)
4. Name of Event:*
6. Date(s) of Event:*
7. Hours of Event:*
9. Hours of Liquor Service:*
10. Location of Event:*
12. Pursuant to provisions of Chapter 6, Sections 6-81 and 6-83.5, of the Wheaton City Code, 1996 as amended, regulating the sale of Alcoholic Liquors in the City of Wheaton, County of DuPage, State of Illinois, and all amendments thereto now in force and effect, the undersigned hereby makes application for an Outdoor Special Event Liquor License.
    
    A cashier's check representing a non-refundable application fee of fifty dollars ($50.00) is enclosed.
14. 1.  Applicant's Name:*
16. Mailing Address:*
18. Telephone Number:*
19. Email Address:*
21. 2.  President/Chairman's Name:
23. Mailing Address:
25. Telephone Number:
26. Email Address:
28. Secretary's Name:
30. Mailing Address:
32. Telephone Number:
33. Email Address:
35. 3.  Date Wheaton-based non-profit organization was organized:*
37. 4.  Statement of the objects for which the Wheaton-based non-profit organization was organized:*
39. 5.  Names, address and telephone numbers of all officers and directors: (up to a maximum of 8)
41. Name, Address & Telephone Number:
    Officer and Director - Line 1
    *
43.  

    If you need to add another officer or director check the box below.

    1. Yes
45. Name, Address & Telephone Number:
    Officer and Director - Line 2
47.  

    If you need to add another officer or director check the box below.

    1. Yes
49. Name, Address & Telephone Number:
    Officer and Director - Line 3
51.  

    If you need to add another officer or director check the box below.

    1. Yes
53. Name & Address & Telephone Number:
    Officer and Director - Line 4
55.  

    If you need to add another officer or director check the box below.

    1. Yes
57. Name, Address & Telephone Number:
    Officer and Director - Line 5
59.  

    If you need to add another officer or director check the box below.

    1. Yes
61. Name, Address & Telephone Number:
    Officer and Director - Line 6
63.  

    If you need to add another officer or director check the box below.

    1. Yes
65. Name, Address & Telephone Number:
    Officer and Director - Line 7
67.  

    If you need to add another officer or director check the box below.

    1. Yes
69. Name, Address & Telephone Number:
    Officer and Director - Line 8
71. 6.  Names, dates of birth, addresses and telephone numbers of all persons (up to a maximum of 10 persons) who are members of the Wheaton-based non-profit organization and who will transfer, exchange or barter alcoholic beverages for the non-profit organization at its outdoor special event following the granting of the license:
73. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 1
    *
75.  

    If you need to add another person check the box below.

    1. Yes
77. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 2
79.  

    If you need to add another person check the box below.

    1. Yes
81. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 3
83.  

    If you need to add another person check the box below.

    1. Yes
85. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 4
87.  

    If you need to add another person check the box below.

    1. Yes
89. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 5
91.  

    If you need to add another person check the box below.

    1. Yes
93. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 6
95.  

    If you need to add another person check the box below.

    1. Yes
97. Name, Address, Telephone Number & D.O.B.
    Alcoholic Server - Line 7
99.  

    If you need to add another person check the box below.

    1. Yes
101. Name, Address, Telephone Number & D.O.B.
     Alcoholic Server - Line 8
103.  

     If you need to add another person check the box below.

     1. Yes
105. Name, Address, Telephone Number & D.O.B.
     Alcoholic Server - Line 9
107.  

     If you need to add another person check the box below.

     1. Yes
109. Name, Address, Telephone Number & D.O.B.
     Alcoholic Server - Line 10
111. 7.  A site plan (attach or upload a copy using the "Upload Site Plan" field below) and description of the location of the outdoor special event along with a diagram or drawing illustrating the premises where the alcoholic beverages will be transferred, exchanged, or bartered:
113. Upload Site Plan:
115. Upload Diagram or Drawing:
117. 8.  Have applications for similar licenses been made? If so, state disposition of such applications.*
119. 9.  By attachment of his/her signature to this application, the president or head of the board of directors of the Wheaton-based non-profit organization affirms that none of the individuals identified in Question 6 hereof has ever been convicted of a felony or a Class A misdemeanor and are not disqualified to receive a license by reason of any matter of thing contained in the laws of the State of Illinois or any provision of the Wheaton City Code.
121. 10.  Has a previous license been issued by any state or subdivision thereof, or by the federal government, to Wheaton-based non-profit organization and if so, where and when. If any license has been revoked, state the reason(s) therefore:*
123. 11.  By attachment of his/her signature to this application, the president or head of the board of directors of the Wheaton-based non-profit organization affirms that the applicant and all individuals identified in Question 6 hereof have not in the past and will not in the future violate any of the laws of the State of Illinois or the United States, or any ordinance of the City controlling the retail sale of alcoholic liquor in the conduct of the exchange, transfer, or barter of the alcoholic liquor pursuant to the Outdoor Special Event Liquor License.
125. 12.  State whether the president or head of the board of directors of the Wheaton-based non-profit organization is a public official, and if so, the particulars thereof.*
127. 13.  By attachment of his/her signature to this application, the president or head of the board of directors of the Wheaton-based non-profit organization affirms that no individual person in the non-profit organization will stand to gain any pecuniary benefit from the transfer, exchange, or barter of alcoholic beverages transferred, exchanged, or bartered pursuant to the Outdoor Special Event Liquor License.
129. 14.  By attachment of his/her signature to this application, the president or head of the board of directors of the Wheaton-based non-profit organization affirms that none of the individuals required to be identified in the application have sold, delivered or given away alcoholic liquor in violation of any state law, or city ordinance, to a person under the minimum age required to purchase or possess liquor.
131. President or Head of Board of Directors Signature
     President or Head of Board of Directors
133. Secretary Signature
     Secretary
135. Verify Signatures*

     1. I understand that checking this box constitutes the legal signatures confirming the statements above.
137. Today's Date:*

139. Reminders

     –Application for an Outdoor Special Event Liquor License shall be made at least 90 days prior to the scheduled event.

     –Applicant shall obtain a City of Wheaton Special Event Permit prior to the City Council approving an Outdoor Special Event Liquor License and issuance thereof by the local liquor commissioner.

     –All persons who transfer, exchange, or barter alcoholic beverages for an Outdoor Special Event Liquor License shall attend and complete the Wheaton Police Department’s alcohol sales training program. The applicant is responsible for ascertaining from the Police Department the dates that have been scheduled to conduct such training.

     –Applicant shall contract with the City Police Department for City services by having at least two off-duty officers present at the outdoor special event at all times during the hours of operation.

     –Applicant shall submit a certificate of dram shop insurance (liquor liability) as required by Section 6-93 of the City Code. The certificate of insurance shall name the City as an additional insured and shall cover the entire time for which the outdoor special event license is issued. The commercial general liability insurance policy shall include, at a minimum, an amount not less than $2,000,000 for bodily injury and $2,000,000 for property damage.

     –Outdoor Special Event License fee: $200 per day.

     –Outdoor Special Event Hours of Operation: Monday-Saturday/11:00 a.m.-11:00 p.m.; Sunday/ 12:00 Noon-9:00 p.m.

Leave This Blank:


143. 1. Receive an email copy of this form.
144. Email address

     This field is not part of the form submission.

145. Submit Submit and Print

* indicates a required field