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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 38

S ".(l'd TR#:_ STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY DIVISION OF ALCOHOLIC BEVERAGE CONTROL RETA!L LIQUOR LICENSE APPLICATION FEE DATE: 0722 - 33 - 053 only oT I CODE TYPE OF LICENSE (CHECK ONE) CLASS c LICENSES [N.J.S.A. 33:1-121 31 32 33 JO 37 35 34 44 43 OTHER 14 06 t29 t16 THIS APPLICATION IS FOR: _ / _ _ / _ _ _ _ _ Club Plenary Retail Consumption wlBroad Package Privilege Plenary Retail Consumption Plenary Retail Consumption (Hotel/Motel Exception) Plenary Retail ConsumPtion (Theatre Exception) Seasonal Retail Consumption (November 15 through April30) Seasonal Retail Consumption _ Annual State Permit (N.J.S.A. 33:1-42, NJAC 13:2-52) { . -_ _ _ _ (May 1 through Nov. 14) Plenary Retail Distribution Limited Retail Distribution Special Permit for a Golf FacilitY (NJAC 13:2-5.3) 40 Action lD Code ilAWDU il il tI DATE APPLICATION FILED: STATE ASSIGNED LICENSE NUMB [For DIVISION use )t A New License Person to Person Transfer (lncl. Partnership change, except Ltd. PartnershiP) Place to Place Transfer (lncluding expansion of premises) Change of Corporate Structure Extension of License (To Executor, Receiver, Administrator, etc. Renewal of License Amendment of Application of File Other tfi{17 .I This Area is Reserved for Municipal Use rus l/i4,{'1 Errective oate /o ,Wfu Municipar [Pr-^ (As Stated in Resolution. Date of resolution unless otheruvise established.) State Fee Date Denied _l _l (As Stated in Resolution) Refund Amount _ $Yes Special Conditions Attached: Type Print Name (Last na No , first, middle initial) of Municipal Clerk or ABC Secretary Municipal Clerk or ABC Secretary &- l'(tJltu

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