Statham, GA · Barrow County

No notary required

Distance Waiver Permit for Restaurant

This application is for a restaurant seeking a distance waiver connected to an alcoholic beverage license in Statham.

What this form is

The application asks the business applicant for contact and location details, opening date, and information about advertising and posting the required notice. It is for a restaurant seeking a waiver of distance requirements related to schools, churches, or certain nearby residential property. The form describes notice and hearing steps, possible permit conditions, and the requirement to apply for renewal with the alcoholic beverage license.

Who needs it

A restaurant applicant seeking a distance waiver for an alcoholic beverage license at a specific business location in Statham needs this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form states that applicable fees must be paid in full before the permit is issued.

About notarization

This document has no notary block and is signed without a notary; the applicant solemnly swears the information is true and correct, then signs and dates the application.

How to submit this form

  1. 1

    Download The Application

    Download the Restaurant Distance Waiver Permit application PDF.

  2. 2

    Complete The Application

    Fill in the business, location, contact, and opening-date information and answer the question about posting the required notice and sign.

  3. 3

    Prepare For The Hearing

    Follow the form's notice and sign instructions and be ready to provide proof at the hearing.

  4. 4

    Submit To The City

    Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Statham Restaurant Distance Waiver Permit application?
It is an application for a restaurant seeking a distance waiver connected to an alcoholic beverage license at a specific Statham business location.
What information does the application ask for?
It asks for business and contact details, the business location and opening date, and whether the applicant has problems advertising and posting the required notice and sign.
Do I need a notary for the Restaurant Distance Waiver Permit application?
No. The form has no notary block. The applicant solemnly swears the information is true and correct, then signs and dates the application.
How do I submit the Restaurant Distance Waiver Permit application?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details. Applicable fees must be paid in full before issuance.

Need something notarized?

This Distance Waiver Permit for Restaurant doesn’t need a notary — but if you have another Statham form that does, a commissioned online notary can help.