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

i Page 1 'l PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER AFFIDAVIT LICENSE PERIOD APPLIED FOR TO FROM DATE: ) State of ) SS: ) County of ) ) As provided by law (R.S. 33:1-35), (Check One) 1. The lndividual Applicant 2. Members ofthe Partnership Applicant of (Presidenwice-President) (Corporation or Club Name) consent(s) that the licensed premises and all portions ofthe building constituting the licensed premises, including all rooms, cellars, closets, out-buildings, passageways, vaults, yards, attics and every part ofthe struclure of which the licensed premises are a part and all buildings used in connection therewith which are in his/her/their possession or under his/her/their control, may be inspecled and searched without warrant at all hours by the Direc'tor of the Division of Alcoholic Beverage Control, his or her duly authorized deputies, inspectors or investigators and allothersworn lawenforcement officers, and being duly swom according to law, upon his/her/their oath(s), depose(s)and say(s) that he/she is (they are)the person(s) duly authorized to sign the application, that in instance ofcorporate ownership, the signator is authorized by corporate resolution to sign on behalf of the corporiltions; and that the contents of this application represent complele disclosure of the fact, and that the contenb of this application are lrue. (Signature of lndividual Agent / Soie Proprietor) (Corporations Only) Attestation by Corporate Secretary (Partnership Name) (Signature of Parlner) Attest: q Corporate Name By (Signatu Secretary (Signature of Partner) rporate President orVice President) (Signature of 0 Signature (sis Affix Corporate Seal ie of Partner) Sworn to and subscribed before me yof this re BY DULY AUTHORIZED NOTARY PUBLIC 20 /3 c€r Administering Oath) a(Printed Name of Officer Administering Oath) OR AN ATTORN EY.AT.LAW OF NEWJERSEY B N I{OIARY PUSLIC. }€IV JERSEY lry CnnB. Erti! Lt t, Otl (Date of Expiration of Commission, if applicable) -