LCRB094 (Last updated 27 June 2018) 1 of 3

WINERY, DISTILLERY OR BREWERY APPLICATION FOR

TRANSFER OF LOCATIONLiquor and Cannabis Regulation Form LCRB094

Instructions: Submit your completed application form, including all required documentation and the application fee to the Liquor and Cannabis Regulation Branch (LCRB). If you have any questions, call us toll-free at 1-866-209-2111. The application process takes an estimated 4-6 months. An incomplete application will delay processing time. Please advise the Liquor Distribution Branch (LDB) of your intention to relocate your manufacturing facility, particularly if your relocation may affect the classification of your business (as a Land-Based Winery, Commercial Winery, Brewery, Brewpub, Craft Distillery or Commercial Distillery). Contact LDB at regemail@bcldb.com or 604-252-6233 if you have any questions.

Part 1: Type of Application Provide the following:

Identify which licence(s) you are relocating:

Winery Licence number:

Part 2: Applicant Information

Note: Would you like an on-site store endorsement at your proposed location? No Yes The on-site store, if applicable, is required to be located on the same site as the manufacturing facility.

Office use only (C4 - LIC)Sub Job No. _______________

Mailing address (all correspondence will be sent to this address unless otherwise indicated):

Licensee Name (as shown on licence):

Contact Person: Title/Position:

Tel: E-mail:

(Full name)

Business Contact Information:

Brewery Licence number:

Distillery Licence number:

Transfer of Location - Winery, Distillery or Brewery

Postal CodeProvinceCityStreet

Liquor and Cannabis Regulation Branch 400-645 Tyee Road, Victoria, BC V9A 6X5 Mail: PO Box 9292 Stn Provincial Govt, Victoria, BC V8W 9J8 Phone: 1 866 209-2111 Fax: 250-952-7066

Copacker Licence number:

Other Endorsements: Lounge, special event area and picnic endorsements cannot transfer location. If you would like to keep any of these endorsements, or apply for a new endorsement, please submit the following applications:

Lounge and/or Special Event Area (LCLB 049a) Picnic Area (LCLB049b) Are you applying for lounge, special event area or picnic endorsements? No Yes

Note: Licensees and applicants can authorize a representative to take specified actions on their behalf.  Any action taken by the licensee representative will legally bind the licensee/applicant in respect of those authorized matters.  See the Licensee Representative form (LCLB101) for full details.

At the time the relocation application is approved, the applicant will be: • The owner of the place or premises that forms the establishment, or • The lessee of the place or premises that forms the establishment (term no less than 12 months).

The licensee will, if the general manager approves the transfer of location of the licence, be the owner of the business in respect of which the licence was issued

At the time of application, the applicant is: • The owner of or has an agreement to purchase the place or premises that will form the

proposed establishment, or • The lessee or has a binding offer to lease the place or premises that will form the proposed

establishment.

Yes No

Yes No

Yes No

Part 4: Wineries Only Indicate the amount of grapes, fruit and honey that will be farmed at the winery site and used for the production of wine:

Part 5: Required Documents To be considered a “complete application” the following documents must be provided:

Completed Application for a Transfer of Location (this form).A site plan (8.5” x 11”) of the proposed property showing the following details:

• All buildings and their uses (i.e. manufacturing building, on-site store, storage, personal residence, etc). • Other business operating on the site including other licensees approved by the Branch • Any vineyards, orchards, agricultural crops and bee hives. • Private and public roads and parking areas.

Two large (11”by 17”) scaled floor plans of the manufacturing facility including manufacturing equipment such as tanks and kettles, secure storage, entrances/exits and the on-site store and indoor sampling area(s), if applicable.

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Grapes: # of acres Fruit: # of acres Honey: # of beehives

A list of all manufacturing equipment used at the new site. You must own or lease the equipment necessary to manufacture on-site, and you must continue to maintain that equipment to renew your licence.A sketch of all proposed exterior signs if new signs will be constructed.

For Distillers Only: The Office of the Fire Commissioner (OFC) requires that a distillery be constructed and maintained in conformance with the BC Fire Code. The OFC will be provided a copy of the Approval in Principal for your application, if issued. Please ensure that you advise the Liquor Distribution Branch and any other relevant external agency of your intention to relocate the manufacturing facility.

By checking this box, I confirm that zoning permits manufacturing on the proposed manufacturing site.

By checking this box, I confirm that zoning permits retail sales on the proposed manufacturing site.

Please confirm the following about your manufacturing site:

Local Government or First Nation Jurisdiction for Proposed Site:

Local Police Jurisdiction at Proposed Site:

Is the proposed site on Treaty First Nation land?

Is this manufacturing site part of the Agricultural Land Reserve (ALR)?

By checking this box, I confirm I will manufacture at least 4,500 litres of wine at my new manufacturing site each year, as required by regulation.

I understand on-site manufacturing includes fermentation and at least one other significant winemaking step from the following list (check all manufacturing steps that will take place at your new site): blending crushing filtering aging wine for at least three months secondary fermentation or carbonation packaging

Current Establishment Name (as on licence):

Proposed street address of the manufacturing facility:

Part 3: Establishment Information

Current street address of the manufacturing facility:

(Legal description and parcel identifier (PID) or Strata Plan number of the establishment site, found on property tax notice or from Land Titles office)

Legal Description of Proposed Site:

Postal CodeCityStreet

Postal CodeCityStreet

Yes No

Yes No

Note: An agent, lawyer or third party operator may not sign the declaration on behalf of the licensee. This form should be signed by an individual with the authority to bind the applicant. The Branch relies on the licensee to ensure that the individual who signs this form is authorized to do so. Typically, an appropriate individual will be as follows: • If the licensee is an individual or sole proprietor, the individual himself/herself • If the licensee is a corporation, a duly authorized signatory who will usually be an officer or, in some cases, a director • If the licensee is a general partnership, one of the partners • If the licensee is a limited partnership, the general partner of the partnership • If the licensee is a society, then a director or a senior manager (as defined in the Societies Act) If an authorized signatory has completed the Add, Change or Remove Licensee Representative form (LCRB101) and they have specifically permitted a licensee representative to sign this form on the licensee's behalf, the branch will accept the licensee representative's signature.

Part 7: Application Fee - $330 (non-refundable) $330 per licence x of licences = $

Payment is by (check (þ) one):

Cheque, payable to Minister of Finance (if cheque is returned as non-sufficient funds, a $30 fee will be charged)

Money order, payable to Minister of Finance

Credit card:

I am submitting my application by email and I will call with my credit card information. I will call Victoria Head Office at 250-952-5787 or 1-866-209-2111 and understand that no action can proceed with my application until the application fee is paid in full.

I am submitting my application by fax or mail and have given my credit information in the space provided at the bottom of the page.

In accordance with Payment Card Industry Standards, the branch is no longer able to accept credit card information via email.

VISA MasterCard AMEX

On-Site Store Endorsement $110 per licence x of licences = $

Part 8: What Happens Next? The Winery, Distiller or Brewer Licence transfer of location application and approval process.

1. Your application will be reviewed. LCRB will contact you if documentation is missing.2. If all is in order, LCRB will send you an Approval in Principle (AIP) letter.3. When your construction is complete, your equipment is in place and you are ready to begin manufacturing, contact your local

Liquor Inspector for a final inspection of your proposed manufacturing facility (and on-site store, if applicable). 4. If the inspection is satisfactory, you will be notified that your relocation application is approved (and on-site store, if applicable), and

you can begin manufacturing at your new location.

Note: Your complete application package must contain this application form with responses in all the applicable fields, all the required documentation and the full fee. If your application is submitted incomplete, it will cause a delay in processing your application. If you have any questions, contact us toll-free at 866-209-2111 and ask to speak to the Senior Licensing Analyst for your geographic area. If you have questions for LDB, please contact the Industry Programs Coordinator at regemail@bcldb.com or 604-252-6233.

The information requested on this form is collected by the Liquor and Cannabis Regulation Branch under Section 26 (a) and (c) of the Freedom of Information and Protection of Privacy Act and will be used for the purpose of liquor licensing and compliance and enforcement matters in accordance with the Liquor Control and Licensing Act. Should you have any questions about the collection, use, or disclosure of personal information, please contact the Freedom of Information Officer at PO Box 9292 STN PROV GVT, Victoria, BC, V8W 9J8 or by phone toll free at 1-866-209-2111.

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/Expiry date:(Month) (Year)

Credit card number:

Name of cardholder (as it appears on card):

Credit Card Information (To be submitted by fax or mail only)

Signature: ______________________________________________________________

Name: Position: Date:(Day/Month/Year)( last / first / middle )

Signature:_________________________________________________________________

(if not an individual)

Authorized signatory of the licensee

Section 57(1)(c) of the Liquor Control and Licensing Act states: “A person commits an offence if the person (c) provides false or misleading information in the following circumstances: (i) when making an application referred to in section 12; (ii) when making a report or when required and as specified by the general manager under section 59”. As the licensee or authorized signatory of the licensee, I understand and affirm that all of the information provided is true and complete.

Part 6: Declaration