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APPLICATION FOR LIQUOR LICENSE <br /> RETAIL <br /> NEBRASKA LIQUOR CONTROL COMMISSION <br /> 301 CENTENNIAL MALL SOUTH <br /> PO BOX 95046 <br /> LINCOLN,NE 68509-5046 <br /> PHONE:(402)471-2571 <br /> FAX:(4012)471-2814 <br /> Webslte:www.la.nebnsktgav/ <br /> RETAIL LICENSE(S) Atinlication Fee$400(nonrefundable) <br /> A BEER,ON SALE ONLY <br /> B BEER,OFF SALE ONLY <br /> _ C BEER,WINE,DISTILLED SPIRTS,ON AND OFF SALE <br /> _ D BEER,WINE,DISTILLED SPIRITS,OFF SALE ONLY <br /> I BEER,WINE,DISTII.I.FD SPIRITS,ON SALE ONLY <br /> AB BEER,ON AND OFF SALE <br /> _ AD BEER ON SALE ONLY,BEER,WINE,DISTILLED SPIRITS OFF SALE <br /> 1B BEER,WINE,DISTILLED SPIRITS ON SALE,BEER OFF SALE ONLY <br /> Class K Catering license(requires catering application form 106) $100.00 <br /> Additional fees will be assessed at city/village or county level when license is issued <br /> Class C license term runs from November 1—October 31 <br /> All other licenses run from May 1—April 30 <br /> Catering license(K)expires same as underlying retail license <br /> SieltirliatOnatalin leita <br /> Individual License(requires insert form 1) <br /> Partnership License(requires insert form 2) <br /> Corporate License(requires insert form 3a&3c) <br /> Limited Liability Company(LLC)(requires form 3b&3c) <br /> r <br /> Name Phone number: <br /> Firm Name <br /> FORM 100 <br /> REV MAY 2015 <br /> PAGE 3 <br />