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

Page 3 PLEASE ryPE OR PRINT ALL INFORMATION 2020 33 021 002 The foltowing questions identify information about the licensed premises This describes the area or place which is to be licensed forthe sale, service, consumption, delivery, receipt or storage of alcoholic beverages. If the license is ina ctive and NOT SITED AT A PLACE OF BUSINESS, answer question 3.1 only, entering N/A for "not applicable." fyou use N/A as a response to question 3.1, question 2.2 on Page 2 should also be answered N/A.l 3 3.1 HOW IVANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? lf more than one building is to be included under lhis license, a separate Page 3 is to be submitted covering each building An up-to-date sketch of the entire licensed premises should be submitted for inclusion in the State ABC license Ille. oF 3 ro BE LTcENSED x Yes tsrHE ENTTRE BUILDINGTo BE LIoENSED? 3,2 BUILDING NO. f, No lf the answer to queslion 3.3 is "No," specify which floors are to be under license and which ones are not by answering the following questions: 3.4 Basement 1"tfloor 2nd floor 3'd floor Yes No No - -Yes No Yes -No -Yes be included under this license: Specify each additional floor number to - All of il No All of it Yes No -Yes All of it No All of it Yes -No -Yes - Ifonly part of any floor is to be licensed, attach a more detailed explanation with sketches to clearly delineale licensed areas from unlicensed areas. 3.5 ARE ANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE TO BE INCLUDED AS PART OF THE LICENSEO PREI\iIISES? Yes No IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDERTHIS LICENSE OR BETWEEN LICENSED 3.6 -x ADJACENT GROUNDS? Yes- X No IFTHEANSWER IS "YES," ATTACH A SKETCH OFTHE LICENSEDAND UNLICENSED AREAS SHOWING DIMENSIONS IN FEET. 3.7 DOES THE APPLICANT OWN THE BUILDING? BUILDING? DoES THE APPLICANT LEASE THE BUILDING? IF "YES," IS THERE A MORTGAGE ON THE YES -L NO YES -I!_- NO -X NO lf there is a mortgage on the property, answer question 3.8. lf the licensed premise is leased, answer question 3.9. -YES 3.8 MORTGAGEE (HOLDER OF MORTGAGE): (Last Name, First Name, Middle lnitial or Corporate Name) Street Address Number Street Name State Municipality P.O. Box # zio 3.9 LANDLORD (HOLDER OF LEASE): - Street Address -- P.O. Box # (Last Name, First Name, Middle lnitial or Corporate Name) -

reet Address Number Street Name State Municipality P.O. Box # zio 3.9 LANDLORD (HOLDER OF LEASE): - Street Address -- P.O. Box # (Last Name, First Name, Middle lnitial or Corporate Name) - Number Street Name Municipality- 7io -- State