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

PLEASE TYPE OR PRINTALL INFORMATION srArEASsrGNEo LrcENs 4.1 ,*u*. ik(- i3 oa"l .a d t IS THE NEAREST ENTRANCE OF THE PLACE TO BE LICENSEO WTHIN 2OO FEET OF THE NEAREST ENTRANCE OF ANY CHURCH OR SCHOOL? -.2!no IF THE ANSWER IS'YES,'ISA WAIVER SIGNED BY THE APPROPRIATE OFFICIALATTACHED TO THIS APPLICATION? Yes -les No 4.2 DOES THE APPLTCANT TNTEND TO USE ANY_VEH|CLES FOR THE TRANSPORT OR DEL|VERY OF Yes --IZ1 No (A TRANSIT JNSIGNIA IS NECESSARY BEFORE ALCOHOLIC BEVERAGES? ALCOHOLIC BEVERAGES IVAY BE TRANSPORTED.) 4,3 HAS THE APPLICANT FILED -AN ANNUAL SPECIAL TAX REGISTRATION AND RETURN FORI\' (TTB F H THE FEDERAL ALCOHOL AND TOBACCO TAX AND TRAOE BUREAU? No IF'YES,'DATE FILED 4.4 ZI IO IOO WLLANY BUSINESS OTHER THAN THE SALE OFALCOHOLIC BEVERAGES BE CONDUCTED ON THE Yes PREMISES TO BE LICENSED? --l IFTHEANSWER IS 'YES," INDICATE THE NATURE OF THE BUSINESS AND WHO WLL CONDUCT IT BY -No RESPoNDING TO THE FOLLOWNG OUESTIONSi .,,.,. \-/f,estaurant --!: Applicenl _Applicant _Catering _ Hotel/l\Iotel _Applicanl _Amusements -Applicant _Applicant _ N.J. Lottery _ Grocery or Delicatessen l|otq apectty)6o Gl-r--;t : (eti Astr .:4L) other Olher Other -_ Other _Other Other _ - ----y{prcant -Applicant Other 4,5 IF SOMEONE OTHER THAN THE APPLICANT WLLOPERATE THE OTHER BUSINESS ON THE LICENSED PREMISES, ANSWER THIS OUESTION, IF THERE IS i.IORE THAN ONE INDIVIDUAL OR COMPANY. ATTACH A SEPARATE PAGE LISTING THE REQUESTEO INFORI\,IATION FOR EACH OPERATOR, Business to be operaled Name of company/individual @ SkeetAddress Number llunicipality zip Street Name State NJ Sales Tax Certificate of Aulhority No