Skyhigh ABC Permanent PremiseALCOHOLIC BEVERAGE CONTROL
109 SW 9th STREET
P.O. Box 3506
TOPEKA KS 66601-3506
DEPARTMENT OF REVENUE
PHONE: 785-296-7015
FAX: 785-296-7185
www.ksrevenue.org/abc.html
REQUEST FOR PERMANENT PREMISE APPROVAL
Check one: D'lNew License Application
O Permanent Change to Premise
DLocation Change -Required ABC-22 and a copy of your lease or deed are attached.
Licensee Information
Business OBA Name License Number (New License Applicant -enter your FEIN)
Sky high liquor and vape 881828474
Business Location Street Address City County Zip Code
2448 N. 9th St. Salina Saline 67401
Contact Phone Person Phone Number Email Address
Schuyler Long 785-819-5706 skyhighenterprisekansas@gmail.com
I am applying for or have a Retailer, Farm Winery, Microbrewery or Microdistillery license. 0Yes DNo
If yes, is the premise at least 200 feet from a school, college or church? 0Yes ONo
Diagram:
Check the appropriate box then draw a complete diagram of the premises for which you are seeking approval or attach your drawing.
The diagram must include all entrances, exits and interior doors, walls, coolers, bars, liquor storage space, kitchen, counters, sales
areas, office, restrooms, etc. Architectural drawings will not be accepted. Return the completed form to the address above.
Check one: 0 Diagram drawn below D8Yz" X 11" drawing attached
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ABC-806 (Rev. 06/19)
Page 2 of 3
ALCOHOLIC BEVERAGE CONTROL
109 SW 9th STREET
P.O. Box 3506
TOPEKA KS 66601-3506
Zoning:
DEPARTMENT OF REVENUE
PHONE: 785-296-7015
FAX: 785-296-7185
www.ksrevenue.org/abc.html
CERTIFICATE OF CITY, TOWNSHIP OR COUNTY CLERK
License Type (applicant check one):
DCaterer
DDistributor
D Drinking Establishment
D Drinking EstablishmenUCaterer
D Farm Winery
D Farm Winery Outlet
O Producer
D Hotel/Caterer
DHotel
D Manufacturer
D Microbrewery
D Microbrewery Packaging/Warehouse
D Microdistillery
D Microdistillery Packaging/Warehouse
D Non-Beverage User
DPublic Venue
D Private Club: D A or D B
0Retailer
OPackaging/Warehouseing Facility Permit
NOTICE TO CITY/COUNTY CLERK: Submission of this zoning form by the applicant to the City or County constitutes notification to the
governmental entity that an application for a liquor license has been or will be received by the ABC. Should the City or County you represent
desire to make any comments, suggestions or recommendations relative to the granting of or refusal to grant a license to the above-named
applicant; or, the premise for which licensure is sought or to request a hearing pursuant to K.S.A. 41-318 or 41-2608, it may do so by
submitting such comments, suggestions, recommendations or requests to the ABC within 10 days of the date you affix your seal to this
document. You may submit your written request to the address or fax number provided at the top of the form.
I HEREBY CERTIFY THAT THE PREMISES AT ... 2.-...."'i;..."i.;..8;;:;..... .... tJ-.:..· _1 .... +h&..&..::.....Si..:~:.o.· -..S-A~liun.a.:A:a....;K::...J.;:s;...__C,:::s...:;,..::'i.&.0\..___ 1s:
Location Street Address City Zip
(Check one box in each section below)
CITY LIMITS: ~ Inside the incorporated city limits D Outside the city limits
ZONING:
County
Retailers only: K.S.A. 41-303 states no license shall be granted to any applicant unless:
1. The board of county commissioners has adopted a resolution approving the issuance of a license to the
location. A certified copy of such resolution must accompany the license application.
D within an area that complies with all applicable zoning regulations required by K.S.A. 41-710 or K.S.A. 41-
2608. Farm Wineries, Microbreweries and Microdistilleries must be zoned agricultural, commercial or
business as required by K.S.A. 41-710(b); AND, Retail Liquor Sales, Farm Wineries or Microbreweries
premises must comply with the building regulations required by K.S.A. 41-710. "'l,p'l\e-'-. C,:S-
D located outside an incorporated city, in a township or county that is not zoned. l)A
THE CITY/COUNTY ALLOWS: D Basic Hours ~Expanded Hours (Sunday sales)
CLERK SI~
PRINTED NAME ,......,/ o U q40 I} 2Wwir£aL
llill City Clerk D Towns
DATE 1/zn/z.,z_
0 I understand that any changes to the approved diagram must be submitted to the ABC and approved prior to making any
change and that this diagram is subject to onsite review by an ABC Enforcement Agen't.--
El I understand that I must maintain a copy of the approved diagram on the licensed premise and make it available for
immediate inspection upon request.
Under penalties of perjury, I declare the information contained in this document a true, accurate and complete disclosure of information.
Schuyler Long 4/19/2022
Licensee Signature Printed Name Date
ABC Office Use Only
0 DIAGRAM APPROVED AS SUBMITIED Signature of ABC Official Date
0 DIAGRAM DENIED
Reason Denied:
ABC-806 (Rev. 06/19)
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