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Supporting Documentation · Dec 4, 2024

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

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Page 27

PAgE 3 PLEASE TYPE OR PRINTALL INFORMATION STATE ASSIGNEO LICENSE NUMBER t The following questions id€nt information about the licensd prenis€s This describes the area or place \rt'ich is lo be licensed for the sale, service, consumplion, delivery, receipl or slorage olalcoholic boverages. lflhelicenseisinacliveandNOTSlTEDATAPLACEOF BIJSINESS answer question 3.I only, enEnng N/A for'nol applicable.' Ilf you use N/A as a response lo quesiion 3 1 , quesilon 2 2 on Page 2 should also be ansu/ered N,A.l -.- 3,1 HOW IIIANY SEPAFIATE BUILDINGSARE TO AE INCLUDED UNDER THIS LICENSE? lf more lhan one building ls to b€ included underthis license, a separate Page 3 is lo be submitled covering each bulding An upro{ate sketch oflhe enlire licens€d prcmlses should be submitted for indusion in lhe Staie aBC license fle. TO 8E LICENSEO. OFY6s 3.3 IS THE ENTIRE BUILDINGTO 8E LICENSED? 3.2 EUILDING NO, NO lflhe ansvvsr to queslron 3.3 is'No,'specit *nich Roors aro io ba und8r license and which ones ate not bv ans\,',edng the followns questons: 3.4 Basemenl1't foor 2"d foor 3d floor " zYas No Allolit Allof it Allolll -Y€s -\t"" ll Yes -lno -Yes -Yes -No -No specily each adciiional lloor number to be included under lhis licens€: -Yes Yes All of it - No -No -No No It onty pad of any floor is ro be Licensed aiach a more deiailed explanation wilh sketches to clearly delineate liGnsed areas f om unlicensed arcas. - 3.5 ARE ANY.GROUNOS ADJACENTTOTHE BUILDING UNDER LICENSETO BE INCLUDEDAS PARTOFTHE LICENSEO ,,/ 3.6 y.c No orna^a*ry rrlroa""* AREA LocATEo BETWEEN BUtLotNcs uNDERTHts LtcENsEoR BETwEEN LIcENSEo -,/ Ye. La No AOJACENT GROUNOS? orrJ[r**," ra*-]-*H A sKETcH oFTHE ttcENSEDAND uNLtcENSEDAREAs sHowNG DtMENstoNs IN FEET, 37 DOES THE APP-ICANT OWN THE BUILOING? IF'YES,' IS THEREA MORTGAGE ONTHE BUILDING? DOES THEAPPLICANT LEASE THE BUILOING? -4,", -2r". -No No -6,. llthere is a modgage on the prcp€rty, ansvlEr queslion 3.8 lflhe lic€nsed premise is leased' ansirerquestion 3'9' 38 MO (Last Name, First Name, Middle lnitjal or CoDorate Name) P.O. Box#_ State zip 3,9 LANDLORD (HOLDER OF LEASE): (t -ast tlame, rirst Hame, t"tiddb lnilialo. CoForale Name) -' P.O ztp Box#- - Numb€r Streel Name MunidpalilY

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