Supporting Documentation · Dec 4, 2024
Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024
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Show all pagesf Page 3 PLEASE ryPE OR PRINT ALL jNFORMATION srArE AssrcNED LTcENSE NUMBER /ZAt 3.i lpf oO t The followi ng questions identify information aboul the licensed prcmises. This describes the area or place wlrich is to be licensed forlhe sale, service, consumption, delivery, receipt or storage of alcoholic beverages. lf the license is inaclive and NOT SITED AT A PLACE OF BUSINESS, ans,rver question 3.1 only, enlering N/A lor 'not applicable.' fll you use N/A as a Esponse lo question 3.1, question 2.2 on Page 2 shourd arso be answered N/A.l h) -rcf Nt ilZ bUr'tfurtlF 3,1 HOW MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDERTHIS LICENSE? 5 lf more than one building is to be included under lhis license, a separale Page 3 is to be submiited colering each building An up-to-date sketch of he entire licensed premises should be submitled for incluslon in the State ABC license file 3,2 BUILDING NO rO BE LICENSED OF 3.3 IS IHE ENTIRE BUILDING TO BE LICENSED , ,.t '/ No lf the answer to question 3.3 is 'No,' specify which floors are to be under license and whach ones are not by answering the followinq questions: 3.4 Basement l''floor 2* floor 3d floor _Yes _No No -YesYes -No No Specify each additional floor number to be included under this license: _ Yes Allof il _ Yes _ No Allof il Yes _ No All of il Yes _ No Yes _ No AII of it - lf only part ofany floor is to be licensed, attach a more detailed explanalion with sketches to clearly delineate licensed arcas 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 ADJACENT GROUNDS? ./ Yes 't/,/ No IF THE ANSWER IS "YES,'ATTACH A SKETCH OF THE LICENSEDAND UNLICENSED AREAS SHOWNG DIIV]ENSIONS IN FEFT ./ u/ y., 3.7 DoES THE AppLrcANT owN THE BUTLDTNG? yes BUILDING? DOES THE APPLICANT LEASE THE BUILDING? lF 'YES,' IS THERE A MORTGAGE ON THE No -.Ll ryo --1*o lf there is a mortgage on the property, answer question 3.8. lfthe licensed premise is leased, answer question 3.9. ,". 3,8 IIORIGAGEE {HOLDER OF MORTGAGE); (Last Name, First Name, Middle lnitial or Corporate Name) Streei Address Number P.O.Box#_ zip -- Slreet Name State Municipality 3,9 LANDLORD (HOLDER OF LEASE): -- (Lasl Name, First Name,
GAGE); (Last Name, First Name, Middle lnitial or Corporate Name) Streei Address Number P.O.Box#_ zip -- Slreet Name State Municipality 3,9 LANDLORD (HOLDER OF LEASE): -- (Lasl Name, First Name, Middle lnitial or Corporate Name) ili, ret Address Number P.O. Box # zip Municipality Street Name Stale
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- Sep 29, 2026
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