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

Page 'l PLEASE TYPE OR PRINT ALL INFORMATION 1 STATE ASSIGNED LICENSE NUMBER 2O2O LICENSE PERIOD APPLIED FOR State - 33 027 FRoM 20L2 OOI AFFIDAVIT 20L3 TO DATE: May 15, 2012 New Jerse of SS: County of TTn i on As provided by law (R.S. 33:1-35), (Check One) 1. The lndividual Applicant 2. Members ofthe Partnership Applicant a. David E. Nowicki Echo Lake Country Club of (PresidentIffi5tstr$I$if (corporation or club Name) consent(s) that the lic€nsed premises and all portions ofthe building constituting the licensed premises, including allrooms, cellars, closets, out-buildings, passageways, vaults, yards, attics and every part of the structure of which the licensed premises are a parl and all buildings used in connectlon therewith which are in his/her/their possession or under his/her/lheir control, may be inspected and searched without wanant at all hours by the Director of the Division of Alcoholic Beverage Control, his or her duly authorized deputies, inspectors or investigators and all other sworn law enforcement offcers, and being duly sworn 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 of corporale ownership, the signator is authorized by corporate resolution to sign on behalf of the corporations: and that the contents of this application represent complete disclosure of the fact, and that the contents of this application are true. (Signature of lndividualAgent / Sole Proprietor) (Corporalions Only) Attestation by Corporate Secretary (Partnership Name) (Signature of Parlner) ilcho Lake Country Club Attest Co S"orr^yfu'A^ _ (Signature of Partner) me By (Signature of Corporale President (Signature of Partneo Signatuo/ (Signature of Partner) Jqffix Corporate Seal Sworn lo and subscribed before me this 5rh day of May 20 l2 AFFIDAVIT MUST BE SIGNED HERE -.--.-_--.---> atuie of Officer Administering Oath) BY DULY AUTHORIZED NOTARY PUBLIC OR AN ATTORNEY-AT.LAW OF NEW JERSEY Ke therine Rose (Printed Name of Officer Administering Oath) Uontroller (fitle of Ofiicer Administering Oath) N KATHEBINE BOSE Public, State of New Jersey (Date Commis{glffipt 2