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

I Page 3 PLEASE TYPE OR PRINT ALL INFORIIIAIION srArE ASsTGNED LTcENSE NUMBER /lQt al - o al - oo t The following questions identify information about the licensed premises. Tl'lis descibes lhe area or p lace which is to be licensed for the sale. service, consuntplion, delivery, receipt or slorage of alcoholic beverages. lf the license is inactive and NOT SITED AT A PLACE OF BUSINESS, ans\aerquestion 3.'l only, enlering N/A for "noi applicable.' llf youuseN/Aasa response to question 3.1, q(estion 2.2 on Page 2 shourd also be answered N/A.l Te N U i> 1l-OF 0 3,,I HOW IIIANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER TI.IIS LICENSE? lf more than one building is to be included under this license, a separate Page 3 is to be submitted covering each building An up{oiale sketch of the entire licensed premises should be submitled for incluslon in ihe State ABC license file. ,., uurlolrc ,.ro. -4 or f To BE LJCENSED. 3.3 rs rHE ENTTRE Br,.o,*n ro ,, ai-ara*, / ,". No lf the answer lo question 3.3 is "N0," specify which floors are to be under license and which ones are noi by answerjng the following questions: 3.4 Basemenl l'rfloor 2"0 fioor 3'd floor _ Yes _ No _Yes _No Yes No _Yes _No Specify each additional lloor number to be included under thjs license: _ Allof il _ All oI it _ Yes _ -- No Yes _ No All of it Yes _ No All of il Yes No lf only part ol any floor ls to be licensed. attach a more detailed explanation wilh sketches to clearly delineaie 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? ',/ u.u *r, Yes ,** No o** LOCATED BEIWEEN BUILDINGS UNDER THIS LICENSE oR BETWEEN LICENSED ADJACENT GROUNDS? y' ./. No IF THE ANSWER IS "YES,'ATTACH A SKETCH OF THE LICENSED AND UNLICENSED AREAS SHOWNG DIMENSIONS FEET. 8.7 DoES -YesTHE AppLtcANT owN THE BUILDING? lF'YES,'lSTHEREA MORTGAGE ON THE BUILDING? DOES THE APPLICANT LEASE THE BUILDING? lN _/ / y"t No r')o _Yes -/ r,,' No _Yes lf there is a mortgage on the property, answer question 3.8. lf lhe licensed premise is leased, answer question 3.9, 3.8 MORTGAGEE (HOLDER OF i'ORTGAGE): (Last Name, First Name, Middle lnitial or Corporate Name) Streel Address Number P.O. Box #_ Streei Name lvlunicipality State zip 3.S LANDLORD (HOLDER OF LEASE) (Lasl Name First Name, Middle

GE): (Last Name, First Name, Middle lnitial or Corporate Name) Streel Address Number P.O. Box #_ Streei Name lvlunicipality State zip 3.S LANDLORD (HOLDER OF LEASE) (Lasl Name First Name, Middle lnilial or Corporate Name) -P.O.Box#_ rf i, i.el Address zip -- - Number Municipality Slreel Name State