2. 
4. Application for Special Event Permit to Sell Alcoholic Beverages at a Designated Premise
6. The permit fee is $25.00 for each permit. One permit may be used up to 14 days for a reoccuring event at one location within the identified premises. Multiple events with varying locations at the same facility each require an individual permit.

   A late fee of $25.00 will be applied to applications submitted 7 days or less prior to the event.

8. Applicant Information:
10. Applicant Name and Title:
11. City of Bismarck Liquor License Number:
13. Legal Business Name:*
14. Doing Business As (DBA) Name, if Applicable:*
16. Mailing Address:*
17. Phone Number:*
19. City:*
20. State:*
21. Zip Code:*
23. Email Address: (Permits are emailed once approved)*
25. Event Information:
27. Name of Building Where Event Will Be Held:*
28. Address of Premises Where Event is Being Held: *
30. Date(s) of Special Event:*
31. Start Time:*
32. End Time:*
34. Fully Describe Event:*
36. Does the building meet all state and local sanitation and safety requirements?*

    1. Yes
    2. No
38. Description of Premises:
40. Upload a clear and understandable floor plan of the premises. Show all exits, bars, dining areas (if any), beverage coolers and beverage storage areas. Indicate which are solid walls, half walls, dividers and movable partitions. If any area is enclosed by fences or the like, explain type and height.
42. Notice: If you are planning to construct a tent for the special event, you will need a permit from City Building Inspections Call (701) 355-1465
44. Signature of Applicant:*
46. By checking this box I acknowledge that I am electronically signing this application to sell alcoholic beverages at a special event designated premises.*

    1. Electronic Signature
47. Date:*
    Date:
51. Payment Options:
    -- Select One --Check By MailCredit Card Authorization FormCredit Card Payment Over The Phone
53. Credit Card:
    Credit Card Authorization Form
54. Upload Credit Card Authorization Form:
56. Mail Payments To:
    City of Bismarck Administration, 221 North 5th Street, Bismarck, ND 58501
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit Submit and Print

* indicates a required field