Lansing, MI

Application for Cabaret License

Steps

1. Step One This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete
3. Step Three This section is complete This section is incomplete

Step One

Contact us
If you desire assistance or have questions about this form, you can email us at [email protected], call us at (517) 483-4133, or visit us in the City Clerk's office, located on the 9th floor of City Hall (124 W Michigan Avenue, Lansing, MI 48933).
Instructions
Complete and submit this form. Bring $500 non-refundable application fee to City Clerk's office to complete application process.
Business Name*
DBA*
Business Owner First Name*
Last Name*
Business Street Address*
City*
State*
Zip code*
Main Contact Number*
Secondary Contact Number
Email Address
Description of Premises:*
Continue

Step Two

Applicant's First Name*
Applicant's Last Name*
Applicant Street Address*
City*
State*
Zip code*
Applicant Phone Number*
Applicant Email Address
Continue |Go Back

Step Three

Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
I certify that I, the applicant, do not owe any personal taxes to the City of Lansing I certify that there are no unpaid personal property taxes on any personal property, fixtures, or effects that will be used in the operation of this cabaret. I hereby agree and consent that any member of the Lansing Police Department or the Fire Department, Inspectors from the County Health Department, City of Lansing Building Safety Division or other officers of the City of Lansing may enter and inspect any part of such premises including the locked portions thereof, and further agrees to abide by and comply with the laws of the United States and the State of Michigan and the rules and regulations of the Liquor Control Commission relative to the sale of alcoholic liquors.*
Electronic Signature
Date*
Date
Approved by Fire Department
Date
Date
Approved by City Treasurer
Date
Date
Approved by Police Department
Date
Date
Approved by PND - Public Safety
Date
Date
Approved by PND - Building Safety
Date
Date
Approved by PND - Zoning
Date
Date
Approved by Health Department
Date
Date
Amount paid
Date paid
Date paid
License number

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit | Go Back

Form Center

Search Forms:

Application for Cabaret License

Steps

Step One

Contact us

Instructions

Step Two

Step Three

Contact

Quick Links