Statham, GA · Barrow County
Restaurant Distance Waiver Permit Renewal Application
Restaurant operators use this application to request renewal of a distance waiver permit when renewing an alcoholic beverage license in Statham.
What this form is
This application requests renewal of a restaurant distance waiver permit, which waives certain distance requirements for an establishment seeking an alcoholic beverage license. The document says the renewal application must be submitted with the alcoholic beverage license renewal application. It asks for business and contact details, requires a posted public notice, and explains that the applicant must provide proof of the notice at a hearing.
Who needs it
A restaurant operator applying to renew an alcoholic beverage license and its associated distance waiver permit for a Statham business location needs this application.
How to submit it
Submit this application simultaneously with an application to renew the alcoholic beverage license. The document does not provide a submission address or department.
About notarization
This document has no notary block; the applicant signs and dates it and solemnly swears the application information is true and correct.
How to submit this form
- 1
Download the Application
Download the restaurant distance waiver permit renewal application PDF.
- 2
Complete the Application
Enter the business and contact details, then sign and date the application.
- 3
Post the Required Notice
Post the notice described on the form conspicuously on the property; the sign must be at least 18 by 24 inches.
- 4
Submit With the License Renewal
Submit the waiver renewal application simultaneously with the alcoholic beverage license renewal application.
Frequently asked questions
- Do I need a notary for the restaurant distance waiver renewal application?
- No. The form has no notary block. The applicant signs and dates it and solemnly swears the information is true and correct.
- How do I submit the renewal application?
- Submit it simultaneously with an application to renew the alcoholic beverage license. The document does not give a submission address or department.
- What information does the application request?
- It asks for business, location, mailing, and contact details, the opening date at the business location, and whether there are problems posting the required notice.
- What notice is required for the renewal?
- The applicant must post the notice described on the form on the property and provide the Mayor and Council proof of publication and posting at the hearing.
Need something notarized?
This Restaurant Distance Waiver Permit Renewal Application doesn’t need a notary — but if you have another Statham form that does, a commissioned online notary can help.