[PDF] [PDF] APPLICATION FOR SOCIAL AFFAIR PERMIT [SA] - NJgov

Has organization held a special permit for Social Affair during the past 3 years? Will persons under the legal age to consume alcohol be in attendance? Yes ☐



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APPLICATION FOR

SOCIAL AFFAIR PERMIT [SA]

APPLICATION MUST BE SUBMITTED AT LEAST TWO WEEKS PRIOR TO THE EVENT $100.00 $150.00

NOTICE: ORGANIZATIONS MAKING APPLICATION FOR THE FIRST TIME, MUST SUBMIT PROOF OF NON-PROFIT STATUS IN

NEW JERSEY.

N.J.S.A.

N.J.A.C.

Organization Information

CLUB LICENSE'S ONLY

NOTICE

Premises Information

Describe Specifically)

Event Information

must be consecutive one (SPECIFY OTHER)

Please attach another sheet if necessary.

detailed No permit will be issued if a sketch is not attached.

Event Organizer Information

NO PERMIT WILL BE GRANTED UNLESS WRITTEN APPROVALS FOR BELOW ARE OBTAINED

ORIGINAL SIGNATURES ONLY

I HEREBY CERTIFY THAT THIS

ORGANIZATION HAS NOT EXCEEDED ITS LIMIT OF 12 SPECIAL PERMITS DURING THIS CALENDAR YEAR. I

HEREBY CERTIFY THAT THIS PREMISE HAS NOT EXCEEDED ITS LIMIT OF 25 SPECIAL PERMITS DURING THIS CALENDAR

YEAR. NOTE: THE DIVISION MUST BE NOTIFIED FOR CANCELLATION OR RESCHEDULING PRIOR TO THE DATE OF

THE EVENT.

Issuance of the Special Permit will allow the organization to purchase alcoholic beverages for resale at the affair specified in

the application from any licensed wholesaler or retailer. All advertising, tickets, etc., for the affair which contain reference to

alcoholic beverages must include this Permit Number.quotesdbs_dbs4.pdfusesText_8