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Temporary Liquor License

  1. Assumption Parish Police Jury

  2. TO WHOM IT MAY CONCERN:

    This form will be approved or denied by the Assumption Parish Police Jury at the next available Jury meeting.

  3. If approved and signed, the members of the alcoholic permit committee, appointed by the Police Jury of Assumption Parish, Louisiana, to supervise the issuance of parish licenses for alcoholic beverages, have no objection to the issuance of a license for the sale of alcohol.

  4. Approved Application must be submitted to:

    Assumption Parish Sheriff Office, P.O. Box 69 Napoleonville, LA 70390

  5. Applicant Data

  6. Enter the date you are requesting the permit for. If applying for a one day permit, put the date in both fields.

  7. Enter your first name

  8. Enter your last name

  9. Enter your address

  10. Enter your city

  11. Enter your zip code

  12. Enter your email address

  13. Enter your phone number

  14. Enter what organization you are 'Doing Business As'

  15. Enter address where alcohol will be sold

  16. Enter city where alcohol will be sold

  17. Enter the ward alcohol will be sold in

  18. Leave This Blank:

  19. This field is not part of the form submission.