Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024

TR#: STATE OF NEW JERSEY Action ID Code DEPARTMENT OF LAW AND PUBLIC SAFETY is te FEE: DIVISION OF ALCOHOLIC BEVERAGE CONTROL A W D U DATE: RETAIL LIQUOR LICENSE APPLICATION STATE ASSIGNED LICENSE NUMBER DATE APPLICATION FILED: 4802 _33 _005 . 012 12 ,; 07 , 2022 [For DIVISION use only ] CODE TYPE OF LICENSE (CHECK ONE) THIS APPLICATION |S FOR: CLASS C LICENSES [R.S. 33:1-12] uv Club A New License 32 Plenary Retail Consumption Person-to-Person Transfer wiBroad Package Privilege (Including Partnership change, * except Limited Partnership) 33 _¥_ Plenary Retail Consumption Place-to-Place Transfer 36 Plenary Retail Consumption (Including expansion of premises) (Hotel/Motel Exception) : é Change of Corporate Structure 37 Plenary Retail Consumption Z (Theatre Exception) Extension of License (to Executor, Receiver, Administrator, etc.) 35 _____ Seasonal Retail Consumption (November 15 through Apri! 30) Renewal of License 34 Seasonal Retail Consumption a Amendment of Application on File (May 1 through November 14) Oth er Plenary Retail Distribution i 43 Limited Retail Distribution OTHER 14 Annual State Permit (R.S, 33:1-42, NJAC 13:2-52) 40 Special Permit for a Golf Facility “JAF 59156 (NJAC 13:2-5.3) This Area is Reserved for Municipal Use Municipal Fee $, Effective Date Ul / (As Stated in Resolution. Date of resolution unless otherwise established.) State Fee $. Date Denied a ne (As Stated in Resolution) Refund Amount $. ‘Special Conditions Attached: Yes Kia Mee pClrei sting VN Sevea\ Chere ? int Name (Last Name, First Name, Middle Ini Vaso )) of Municipal Clerk or ABC Secretary 14 js ‘SiGrature of Municipal Clerk or ABQ Sderetary