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

fl ,/! Page 3 PLEASE TYPE OR PRINT ALL INFORMATION srArE ASSTGNED Lrcer.rsE Nur,rseo /l0i 33 I Jf - oo t ) l I I I Tlre following questions idenliry information aboul lhe licensed premises. This describes the a[ea or place which is lo be licensed for the sale, service, consumplion, delivery, .eceipl or stoEge of alcoholic beverages. lf the license is inacuve and NOT SITED AT A PLACE OF BUSINESS, answer question 3.1 only, entering N/A fgr"not applicable.' [fyouuse N/A as a response to queslion 3.1. question 2.2 on Page 2 should also be answered N/A.l /OO I S ,,J AdC /*/L 3.1 How rvrANy BUTLDTNG.ARETo BE INCLUDED ,NDER THrs LT.ENSE 5 l 'E,ARATE lf more than one building is to be included under this Iicense, a separate Page 3 is lo be submitted covering each building. An up{o-date skelch ofthe entire licensed premises should be submitled foi inclusion in the State ABC license file. TO BE LICENSED 3.2 BUTLDTNG No. AoF 3.3 IS THE ENTIRE BUILDING TO BE LICENSED? No lfthe answer to question 3.3 is "No,'specify which lloors are to be under license and which ones are not by answering the following questions: 3.4 Basement 1'rfloor 2nd fioor 3'd floor _ Yes _ No No -No Specify each additional floor number to be included under this license: -Yes -No Yes -Yes All of it Yes _ No Allofit Yes _ No Yes _ No Yes _ No Allof il Allolil - lf only part ofany floor is to be licensed, attach a more detailed explanalion with sketches to clearly delineate licensed areas from unlicensed areas. 3.5 ARE ANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE-TO BE INCLUDED AS PART OF THE LICENSED PREMISES? '/ Yes No 3.6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS LICENSE OR BETWEEN LICENSED ./7 Yes Y No ADJACENT GROUNDS? IF THE ANSWER IS tN FFFT -YES," ATTACH A SKEICH OF THE LICENSED AND UNLICENSED AREAS SHOWNG DIMENSIONS ,/ 3.7 DoES THE AppLlcANT owN THE BUILDTNG? Yes -a No v No lF'YES,' lS THERE A MoRTGAGE ON THE BUILDING? -/ YES .-:* No DOES THE APPLICANT LEASE THE BUILDING? -Yes lfthere is a mortgage on the property, answer question 3.8. lfthe licensed premise is leased, answerquestion 3.9. - 3,8 IV]ORTGAGEE (HOLDER OF MORTGAGE): (Last Name, First Name, lvliddle lnitial or Corporate Name) Street Add.ess Street Name Number P,O. Box # .-- State Munic,pality zip 3.9 LANDLORD (HOLDER OF LEASE) (Last Narne,

DER OF MORTGAGE): (Last Name, First Name, lvliddle lnitial or Corporate Name) Street Add.ess Street Name Number P,O. Box # .-- State Munic,pality zip 3.9 LANDLORD (HOLDER OF LEASE) (Last Narne, Firsi Name, MiddLe lnitialor Corporate Name) a;i, ',et Add.ess -- P.O. Box # zip - Number Municipality Street Name Slate _