Temporary limited licence

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1 Application Temporary limited licence Liquor Control Reform Act 1998 OFFICE USE ONLY Date Rec d / / Receipt No. File No. LIM-02/12 A temporary limited licence may be granted to cover: a one off event such as a 21st birthday, wedding, trivia night, presentation night or ball a booth at a sports game day an extension of trading hours or area for licensed premises for a one off event that does not relate to a major event in the area the supply of liquor at a market by a producer a theatre production internet sales, mail orders, wine drive, gift hampers. The following limitations will apply when considering an application for a temporary liquor licence: a maximum of 6 one off events at a venue over a 12 month period a maximum of 3 event dates will be accepted per application, no more than 6 months in advance an application for a limited licence should be lodged at least 8 weeks before the event lodging an application does not automatically mean that it will be approved. You should not advertise or promote any event before the application is approved and a licence granted. Should you proceed with this application? 1. Are you applying for a temporary limited licence because an event is being held at your premises or in your local area that may be attended by 5000 or more patrons? No Go to question 2. Yes An event is likely to attract more than 5000 patrons and/or have a significant impact. Please do not continue with this application. You need to complete an 'Application for a major event' licence form. 2. Is there a current application relating to these premises for a new permanent licence or a variation of an existing licence? No Go to question 3. Yes Please do not continue with this application. For further information contact the Victorian Commission for Gambling and Liquor Regulation on Do you hold a Victorian permanent liquor licence? No Go to question 4. Yes Victorian licence number Go to question 4. Applicant details 4. Name of applicant (company, incorporated body or individual person) ACN (if applicable) ABN (if applicable) Postal address Postcode Name of contact person Daytime telephone number Fax number Privacy the Victorian Commission for Gambling and Liquor Regulation is committed to responsible and fair handling of personal information consistent with the Information Privacy Act 2000 and its obligations under the Liquor Control Reform Act All information provided in this application is available for public viewing, except for the questionnaire form (if applicable) which is forwarded to and retained by Victoria Police. Victorian Commission for Gambling and Liquor Regulation 49 Elizabeth Street, Richmond VIC 3121 (Hours: 8:30-5:00) Monday to Friday closed on public holidays GPO Box 1988, Melbourne VIC 3001 Telephone DX ABN of 7

2 Name of event 5. Full name of event. Top Shelf: Boutique Drinks Festival Venue details 6. Provide details of the venue where the event will be held (only one venue per application). Venue name Royal Exhibition Building Venue address 9 Nicholson St, Carlton VIC Postcode 3053 Reason for application 7. Why are you seeking a temporary limited licence? One-off event (e.g. birthday, wedding, festival, country show, or other event) X Complete question 8-9. You are an existing Victorian permanent licence holder and wish to extend the trading Complete question hours and/or the licensed areas at your venue for a one-off event To supply liquor from a point of sale at a sporting event Complete question To supply liquor that you have produced at a single market venue Complete question To supply liquor at a theatre production Complete question Internet and/or mail orders, giveaway promotions, gift hampers etc. Complete question One off event 8. Provide details of event/s. A maximum of 3 event dates within a 3 month period will be accepted. If an outdoor event please provide a plan. Event Date Trading hours (e.g. 5pm-11pm) Maximum number of patrons 8 August August am - 9pm 11am - 9pm 2,300 2, Please provide a detailed description of the proposed event/s. Top Shelf, a boutique drinks festival organized by The Intermedia Group, is a two-day show aimed at: educating the general public and members of the hospitality trade about premium and artisan drinks; promoting the responsible consumption of quality products; and highlighting best business practice to licensed operators and venue managers. Go to question 13. Existing licence holders extension of trading hours and/or licensed areas 10. What are you seeking an extension for at your venue? Choose all that apply. Trading hours Licensed areas Provide a detailed plan of the extended licensed area/s. 11. Provide details of event/s (maximum of 3 event dates per application. The event dates must be within a 3 month period at a single venue.) Event Date Trading hours (e.g. 5pm-11pm) Maximum number of patrons LIM-02/12 2 of 7

3 12. Please provide a detailed description of the proposed event/s (if applicable). Go to question 13. Entertainment and security 13. Will entertainment be provided at the event/s? No Yes X Go to question 14. Provide details of the type of entertainment for each event. 14. Will there be trained crowd controllers at the event/s? No Yes X How many crowd controllers? Sporting events point of sale 6 per operational day 15. Liquor can only be supplied from a point of sale at a sports game day. A temporary limited licence for a point of sale will only be approved when there is an official sporting game being played at the venue. All liquor must be supplied in opened cans and/or plastic containers. Sales must cease no later than 30 minutes after the game finishes. The maximum length of this licence is 3 months. Start date End date 16. Maximum number of patrons attending each day 17. When will you be suppyling the liquor? Days Trading Hours 18. On which dates will you be suppyling the liquor (if licence is for 12 events or less over one year)? Date Trading Hours Date Trading Hours Date Trading Hours Provide a detailed description of the location of the point/s of sale. LIM-02/12 3 of 7

4 Markets 20. Complete this section if you wish to sell liquor that you have produced at a single market venue. A temporary licence may be issued to cover sales at the nominated market for a period of up to 3 months and each market date will be specified on the licence. Packaged liquor sales must be in unchilled, sealed containers. Name of market 21. Is the market held Monthly Fortnightly Weekly 22. When will you be supplying the liquor? Date Trading hours (e.g. 9am-12pm) Theatre production 23. Provide details of event/s. A maximum of up to a 6 week period will be accepted. Name of show 24. Season start date Season end date 25. Maximum number of patrons attending each session 26. When will you be supplying the liquor? Days Trading hours of each session Days Trading hours of each session Wednesday Thursday Friday Saturday Sunday Monday Tuesday Internet, mail orders, gift hampers 27. Internet sales Mail order sales Wine/liquor drive Giveaway promotion Gift hamper Provide a description of how you will supply and distribute the liquor 28. Will the promotion be running? A maximum of up to a 6 week period will be accepted. Start date Finish date 29. What type of liquor do you intend to supply? Provide details: LIM-02/12 4 of 7

5 Additional information 30. Use this section to provide any other relevant information in support of your application. Declaration and signature 31. I declare/certify that: the information in this application and any attachments are true and correct; the applicant has the right to occupy all premises listed in this application during the event; if an individual applicant, I am aged 18 years or over; if a body corporate applicant, I am authorised to sign this application on behalf of the body corporate. Signature Printed name Position (if corporation) Date / / LIM-02/12 5 of 7

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7 Document checklist The application for a temporary limited licence must be accompanied by the following: Application form All relevant sections of the application form must be completed. Application fee Please refer to the 'Liquor licence fees' fact sheet for current details. The following information may also be requested as part of your application: A plan of the premises The plan of the licensed premises must meet the specifications set out in the attached 'Plans of licensed premises' fact sheet. Responsible Service of Alcohol Course All persons involved in the supply or service of liquor must have completed a Responsible Service of Alcohol course approved by the Commission. You may be required to produce copies of all bar staff RSA certificates. Management plan The management plan should include event information, plans and map of the areas, security and risk management strategies, traffic and transport management, emergency service arrangements and noise management plan. Display of the application if advised by Victorian Commission for Gambling and Liquor Regulation After an application has been accepted, you or your representative may be advised in writing of the period the public notice must be displayed. Refer to the 'Guidelines for displaying public notices' on the Victorian Commission for Gambling and Liquor Regulation website. If you are advised to display a public notice, it must be displayed at the proposed licensed premises. The Commission may also request that notice of the application be advertised in a newspaper or other manner, and may direct an applicant to give notice of the application to a specified person or the person in a specified area personally or by post. The Commission may request an applicant to provide any other information. If required to do so you will be notified in writing. A copy of your application may be given to Victoria Police and the relevant local council. Application fee The application fee must be paid at the time of application. There is no GST payable on any fee. Application fees are not refundable. Fee amounts are listed in the 'Liquor licence fees' fact sheet at or by calling The fee can be paid by cheque, money order or credit card. Cash will only be accepted if paying in person. Cheques and money orders are to be made payable to Victorian Commission for Gambling and Liquor Regulation. If paying by credit card fill in your credit card details at the end of this form. Please select your payment method Cash Cheque Money order Credit card X How to lodge this form By post to: Victorian Commission for Gambling and Liquor Regulation GPO Box 1988, Melbourne VIC 3001 In person to: Victorian Commission for Gambling and Liquor Regulation 49 Elizabeth Street, Richmond (Hours: 8:30-5:00) OR Victorian Consumer and Business Centre 113 Exhibition Street, Melbourne (Hours: 8:30-5:00) What happens next You will be sent a letter that confirms we have received your application and outlines any further information required. Once we have received all the required information and documents, your application will be determined. You will be advised of the outcome in writing. LIM-02/12 7 of 7

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9 Credit card payment details Visa Mastercard Bankcard Amex Amount $ Card number Top Shelf exhibitors do not need to complete this payment section. Top Shelf will pay for the liquor license on behalf of each exhibitor. Name of cardholder Signature of cardholder Card expiry date / Date / / Privacy the Victorian Commission for Gambling and Liquor Regulation is committed to responsible and fair handling of personal information consistent with the Information Privacy Act 2000 and its obligations under the Liquor Control Reform Act This page will be destroyed once your payment has been processed. Victorian Commission for Gambling and Liquor Regulation 49 Elizabeth Street, Richmond VIC 3121 (Hours: 8:30-5:00) Monday to Friday closed on public holidays GPO Box 1988, Melbourne VIC 3001 Telephone DX ABN

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