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

/ r Page 3 PLEASE TYPE OR PRINT ALL INFORMATIoN &4t- 33 - 0&{ - 0 o / srArE ASsTGNED Lrcrr.,rsr Nur,,leen The following qlestions identi[y information hboul lhe licensed premises. This describes lhe area or place which as to be licensed for lhe sale, seryice, consun'rption, delivery, receipt or slorage of alcoholic beverages. lf the license is inactive and N OT SITED AT A PLACE OF BUSINESS, answer question 3.l only, entering N/A for "not applicable." fllyoir use N/Aasa response to question 3.l, queslton 2,2 on Page 2 should also be answered N/A.l H.a-tFAa,r,6 /lous<- 3.1 HOW i'ANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? 3 lf more than one building is to be included undet this license, a separaie Page 3 is lo be submitted covering each building An up-toiate sketch of the entire licensed premises should be submitied for inclusion in lhe Siate ABC Iicense file. or ( ,., tut,-rtro ro. *( rO BE LICENSED 3,3 IS THE ENTIRE BUILDING TO BE LICENSED? Yes _ No lfthe ansller to question 3.3 is'No," specify which floors are to be under license and which ones are not by answering lhe following questjons: Basement 1'' floor 2e fioor 3'd floor _ Yes _ Yes Yes No No No No Yes Specify each additional floor number to be included under this license: _ - All of it _ Yes _ No All oF it Yes _ No Yes _ No Yes _ No All of il All of it - lfonly part of any floor is to be licensed, attach a more detailed explanation with sketches to clearly delineate licensed areas from unlicensed areas. 3.5 ARE ANY GROUNDS ADJACENT IO THE BUILDING UNDER L)CENSE TO BE INCLUDED AS PART OF THE LICENSED PREIVIISES? ,/ ,,/ Yes No 3,6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS UCENSE OR BETWEEN LICENSED ADJACENT GROI]NDS? Yes / ./ . No IFTHE ANSWER IS "YES,'ATTACH A SKEICH OF THE LICENSED AND UNLICENSED AREAS SHOWNG DIMENSIONS tN FEET. 3.7 DOES THE APPLICANT OWN THE BUILDING? BUILDING? DOES THE APPLICANT LEASE THE BUILDING? lF 'YES,' lS THERE A MORTGAGE oN THE - V,,r.Yes No t/ Yes -No Yes il No lf there is a mortgage on the property, answer question 3.8. lfthe licensed premise is leased, answer question 3.9. 3.8 IMORTGAGEE (HOLDER OF [,4ORTGAGE): (Lasl Name, First Name, Middle lnitial or Corporate Name) Streel Address Street Name Number P.O. Box # _ State Municipality zip 3.9 LANDLORD (HOLDER OF LEASE) ili'

TGAGEE (HOLDER OF [,4ORTGAGE): (Lasl Name, First Name, Middle lnitial or Corporate Name) Streel Address Street Name Number P.O. Box # _ State Municipality zip 3.9 LANDLORD (HOLDER OF LEASE) ili' iet --Address P.O. Box # _ - {Last Name, First Name, Middle Initial or Corporate Name) Number Municipality Streel Name state zip --