Municipal Notification – Alcohol
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Note: Fields marked with
★
are mandatory.
Contact Information
Contact Name
Contact Organization (if applicable)
Primary Contact Number
Email
Event Information
Name of Event
Location of Event – Full Address
Name of Venue (if applicable)
Start Date
Start Time (HH:MM format)
End Date
End Time (HH:MM format)
For events running multiple dates, please provide all dates of the event below including the start and end time for each day
Permit Information
Type of Event
Select an item
Public
Private
Industry Promotion
Will alcohol be sold?
Yes
No
Will alcohol be served or consumed outdoors (including in a tent)?
Yes
No
Total number of people attending event per day
Total number of people on site at any one time
Will security be present?
Yes
No
Dimensions of Licensed Area
Capacity of Licensed Area (area in square feet divided by 12 people per square foot)
Number of Servers
Number of Point of Sale stations if selling alcohol
Site Plan
Please attach a detailed site map showing the location and dimensions of the licensed area
Municipally Significant Event Designation (if applicable)
Are you a public event organizer seeking designation of your public event as a “municipally significant event” for the purpose of applying to acquire a Special Occasion Permit under the Liquor License Act, R.S.O. 1990, c.L.19?
Yes
No
The personal information on this form is collected under the authority of section 367(1) of the Municipal Act, R.S.O. 1990, c. M.45. It will be used to process your notification application pursuant to the Liquor License Act, R.S.O. 1990, c.L.19. Questions about this collection may be directed to the Manager of Licensing & Customer Service, (519) 661-2489 ext. 7161, City Clerk’s Office, City of London, 300 Dufferin Ave, London, ON, N6A 4L9.
Note: If the form does not appear to submit, please open each section and confirm that there are no issues or missing required fields.
