Form - Application for Designation of Category (amended)

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DEPARTMENT OF LIQUOR CONTROL COUNTY OF HAWAII Hilo Lagoon Centre, 101 Aupuni St., Unit 230, Hilo,Hawai`i, 96720 *Phone: (808)961-8218*Fax:(808) 961-8684 E-Mail: cohdlc@hawaiicounty.gov APPLICATION FOR DESIGNATION OF CATEGORY Pursuant to Rule 3-1 of the Rules and Regulations of the Liquor Commission of the County of Hawai'i, a licensee under this class shall be issued a license according to the category of establishment the licensee owns or operates. The categories of establishments shall be as follows: CLASS 2, 5, 6, 9 14, 16 or 18 LIQUOR LICENSE: ❑ Class 2 Restaurant ❑ Class 5 Dispenser ❑ Class 6 Club ❑ Class 9 Tour or Cruise ❑ Class 14 Brewpub ❑ Class 16 Winery ❑ Class 18 Small Craft Producer Pub SELECT CATEGORY/SUBCATEGORY: (Select one.) ❑ Category A A standard bar; a premises in which recorded music is permitted; ❑ Category B A premises in which live entertainment or recorded music is permitted and facilities for dancing by the patrons may be permitted, as provided by Commission rules in the subcategories as listed herein: El 1. A premises in which recorded music and live entertainment are permitted; 0 2. A premises in which recorded music, live entertainment and dancing are permitted. APPLICABLE ONLY TO CLASS 5. DISPENSER LICENSE. (May select one or both categories.) ❑ Category C A premises in which a person performs or entertains in attire restricted to use by entertainers pursuant to Commission rules; and/or ❑Category D A premises in which employees or entertainers are compensated to sit with patrons whether or not the employees or entertainers are consuming nonalcoholic beverages while in the company of such patrons pursuant to Commission rules. Licensee: dba: By: (Signature) Name: Title: Date: Phone No.: Fax: Effective: 11/05/15 E-Mail: Hawai'i County is an Equal Opportunity Provider and Employer