Post on 09-Jul-2020
STATE RETAIL ALCOHOLIC BEVERAGE FLOOR PLAN NORTH DAKOTA OFFICE OF ATTORNEY GENERAL LICENSING SECTION SFN 14985 (03-2020)
License Number
Floor Plan Submitted forNew License Amendment to Existing License
Applicant or Licensee Name (if corporation, limited liability company, etc., enter legal name)
Business Name
Street Address of Business City State ZIP Code County
Use the space below to draw a clear and understandable floor plan of the premises to be licensed. Show all exits, bars, dining areas (if any), beverage coolers and beverage storage areas. Indicate which are solid walls, dividers, and movable partitions. Use a different color to outline the area to be used for the sale and/or dispensing of alcoholic beverages, or the "licensed premises" of the establishment. This should include the areas where alcoholic beverages are served to or paid for by customers. Floor plan can be attached on 8 1/2" x 11" standard size form.
Printed Name of Individual Submitting Floor Plan Official Position
Signature of Individual Date
Mail to: Office of Attorney General Licensing Section 600 E Boulevard Ave Dept. 125 Bismarck ND 58505-0040 Questions please call (701) 328-2329
For Licensing Use Only