Special Use Permit Liquor Application

The Special Use Permit shall allow a current licensed retailer the transfer of alcoholic beverages from an existing licensed retail premise to a designated site for a special event.
A State of Illinois Special Use Permit Liquor License will need to be obtained upon the receipt of your local Special Use Permit and prior to your event date.
Application Date*field type date
Date will be captured on form submission
Business Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Business Address*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email*field type email
Location of Event*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Date(s) of Event*field type single line
May not be more than 15 days
Input blocked. Maximum character limit of 4000 characters reached.
Hours of Event*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
AFFIDAVIT
I hereby state that the City of McHenry shall not be held liable for any occurrence, loss, damage, or injury as a result of this event. Person or persons to whom this license has been issued shall hold the City of McHenry harmless in connection with any and all claims arising as a result of the consumption of alcoholic liquor or as a result of the issuance of this license.

The undersigned certifies that they will not violate any of the laws of the City of McHenry, of the State of Illinois, or of the United States of America, in the conduct of this Special Use Permit and that the statements contained in this application are true and correct to the best of his/her knowledge and belief. The undersigned is aware that state liquor licensing approval is required for this license.
Acknowledgement*field type checkbox
AcknowledgementI understand that checking this box constitutes a legal signature and confirms that I have filled out this form to the best of my ability.
Signature*field type signature
Date*field type date