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

Page 3 PLEASE TYPE OR PRINT ALL INFORIVIATION STATE ASSIGNED LICENSE NUI\,1BER 027 002 2020 33 The following questions identify inlormation about the licensed premises. This describes the area or place which is to be licensed for the sale, service, consumption, delivery, receipt or storage of alcoholic beverages. l{ the license is inactive and NOT SITED AT A PLACE OF BUSINESS, answer question 3.'l only, entering N/A for "nol applicable." lfyou 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 MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? lf more than one building is to be included under this license, a separate Page 3 is to be submitted covering each building An up-lo-date sketch of the entire licensed premises should be submitted for inclusion in the State ABC license file. OF 3,2 BUILDING NO. 3 3 TO BE LICENSED. IS THE ENTIRE BUILDING TO BE LICENSED? X No Yes lf the answer to question 3.3 is "No,' speciry which floors are to be under license and which ones are not by answering the following questions: 3.4 Basemenl 1"lfloor 2nd floor 3'd floor - -YesYes -No No -Yes -No Specify each additional floor number to be included under this license: -No -Yes All of it All of it -Yes Yes -No No -No Allof it -Yes -No -Yes All of it lf only 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 ADJACENTTO THE BUILDING UNDER LICENSE TO BE INCLUDEDAS PARTOF THE LICENSED PREMISES? x Yes No 3,6 ISTHERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDERTHIS LICENSE OR BETWEEN LICENSED ADJACENT GROUNDS? Yes ' No IFTHEANSWER IS 'YES," ATTACH A SKETCH OF THE LICENSEDAND UNLICENSEDAREAS SHOWING DIMENSIONS IN FEET. 3.7 DOES THE APPLICANT OWN THE BUILDING? X YES lF 'YES,' lS THERE A MORTGAGE ON THE BUILDING? DOES THE APPLICANT LEASE THE BUILDING? Yes -YES No -J!--NO X NO lflhere is a mortgage on the property, answer question 3.8. lf the licensed premise is leased, answer question 3.9. 3.8 MORTGAGEE (HOLDER OF MORTGAGE) (Last Name, First Name, Middle lnitial or Corporate Name) Street Address Number Street Name slate Municipality P.O. Box # zip 3.9 LANDLORD (HOLDER OF LEASE): - Street Address -- (Last Name, First Name, Middle lnitial or Corporate

r Corporate Name) Street Address Number Street Name slate Municipality P.O. Box # zip 3.9 LANDLORD (HOLDER OF LEASE): - Street Address -- (Last Name, First Name, Middle lnitial or Corporate Name) - Street Name N umber Municipality- P.O. Box # zip -- - - State -