New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 69A - APPLICATIONS
Subchapter 5 - FORMS
Section 13:69A-5.16 - Casino Hotel Alcoholic Beverage License Application

1. Any official or trade name used by the applicant;

2. The permanent address and telephone number of the applicant;

3. The Atlantic City address and telephone number of the applicant;

4. The name, address and telephone number of a person to be contacted in reference to the application;

5. The name, address and telephone number of the attorney of record;

6. The Federal Employer Identification Number;

7. The date of an application for the issuance of a CHAB Enterprise or, prior to February 2011, of a non-gaming related casino service industry license was filed;

8. A description of the primary and additional uses, hours of operation, and type of CHAB authorization for each location within the facility where alcoholic beverages are to be served;

9. The address of any off-premises facility that will be used for the storage of alcoholic beverages and a copy of the license for the facility issued by the New Jersey Division of Alcoholic Beverage Control, or a copy of the application for such license if a license has not been issued;

10. A description of where the casino hotel alcoholic beverage license will be displayed;

11. The name, address and telephone number of any officer, director, shareholder, owner, partner, holding company, intermediary company, subsidiary, employee or individual connected with the business or enterprise who has any direct or indirect interest in the manufacture, wholesale, importation or distribution of alcoholic beverages in New Jersey or any other jurisdiction and the percentage of that interest;

12. The names of all parties to any lease agreement between the applicant and a casino licensee;

13. Any management agreement, profit-sharing, franchise agreement or service agreement related to the operation of a proposed licensed CHAB facility, whether written or unwritten;

14. A listing of prospective employees containing the information in 13:69I-2.3(c), which listing is to be filed 21 days before the business or enterprise commences operations; and

15. An architectural blueprint drawn to one-eighth inch scale or such other scale approved by the Division.

1. A certification of truth, which shall be dated, notarized and signed by the following: