Brusly, LA · West Baton Rouge Parish
Restaurant “R” Permit Application
This application is for a restaurant operator seeking a Town of Brusly “R” permit to sell alcoholic beverages on the described premises during the calendar year.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The application asks for the owner, trade name, and street address, along with answers about prior permit refusals, current beer or liquor permits, and the restaurant’s food service and revenue practices. The applicant swears or affirms that the answers and statements are true. For an original application, the form says to attach an affidavit from the parish health officer showing compliance with applicable health and sanitary requirements.
Who needs it
A restaurant owner or other person executing the oath applies when seeking a Town of Brusly “R” permit to sell alcoholic beverages at the described premises.
How to get this notarized
- 1
Download the Application
Get the Town of Brusly Restaurant “R” Permit Application and review its questions and oath.
- 2
Fill In the Application
Enter the requested business details, answer each question, and attach the health officer affidavit if this is an original application.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the application’s jurat.
- 4
Sign on Video
Sign the oath during the online notarization session when directed by the notary.
- 5
Submit to the Town
Submit the completed application and any required attachment to the Town of Brusly.
Preview the form
The blank PDF straight from Brusly. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Restaurant “R” Permit Application?
- Provide the requested business details, answer each question, and sign the oath before a notary. For an original application, attach the parish health officer affidavit described on the form.
- Do I need to sign this application in front of a notary?
- Yes. The form includes a “SWORN TO before me” jurat and calls for the applicant or other person executing the oath to sign before the notary.
- Can I use a commissioned online notary for this application?
- Louisiana authorizes remote online notarization under La. R.S. 35:621 et seq. Confirm with the parish or municipality if unsure whether it will accept this notarized application.
- What must accompany an original permit application?
- The form says an original application must include a copy of an affidavit from the parish health officer showing compliance with applicable health and sanitary requirements.