Action Center / 19/20-Year-Old Exemption Application / Davenport, Iowa

19/20-Year-Old Exemption Application

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Applicant/Legal Entity*

DBA*

Premises Address*

Business Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Retail Alcohol License #*

The following questions must be answered in detail in order for an exemption from the ordinance to be considered.

What is the proposed duration for the exemption? (Must be within or equal to the effective dates of the active retail alcohol license.)*

What is the primary purpose of the licensed premises/establishment?*

What measures will be taken to ensure persons who are of legal age are easily distinguishable from persons who are not of legal age?*

What measures will be taken to prevent persons who are of legal age from purchasing and/or supplying alcohol to persons who are not of legal age?*

Which safeguards are in place to minimize subversions to the measures taken above?*

Application Fee*

$50.00

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