Form Dbpr Abt-6002 - Examination Application For Multiple License Locations Page 4

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SECTION 6 – SPECIAL LICENSE REQUIREMENTS
(DOES NOT APPLY TO BEER AND WINE LICENSES)
Trade Name (D/B/A)
Please check the appropriate “Special Alcoholic Beverage License” box of the license for which you are
applying. The corresponding requirements are listed below for each Special License type.
Quota Alcoholic Beverage License
Special Alcoholic Beverage License
Club Alcoholic Beverage License
This license is issued pursuant to _________, Florida Statutes or Special Act, and as such we acknowledge
the following requirements must be met and maintained:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please initial and date:
Applicant’s Initials___________________________ Date______________
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