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Temporary Liquor License
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Assumption Parish Police Jury
TO WHOM IT MAY CONCERN:
This form will be approved or denied by the Assumption Parish Police Jury at the next available Jury meeting.
If approved and signed, the members of the alcoholic permit committee, appointed by the Police Jury of Assumption Parish, Louisiana, to supervise the issuance of parish licenses for alcoholic beverages, have no objection to the issuance of a license for the sale of alcohol.
Approved Application must be submitted to:
Assumption Parish Sheriff Office, P.O. Box 69 Napoleonville, LA 70390
Date Start Date
Date End Date
Enter the date you are requesting the permit for. If applying for a one day permit, put the date in both fields.
Enter your first name
Enter your last name
Enter your address
Enter your city
Enter your zip code
Enter your email address
Enter your phone number
Enter what organization you are 'Doing Business As'
Location of Event
Enter address where alcohol will be sold
Enter city where alcohol will be sold
Enter the ward alcohol will be sold in
Internal Use Only. Enter the name of the juryman whom approved this license.
Internal Use Only. Enter the ward alcohol will be sold in
Internal Use Only. Enter any notes pertaining to this permit.
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